Presentation
Fall. ?Pneumothorax
Patient Data
Age: 75 years
Gender: Female
From the case:
Communited proximal humeral fracture (chest radiograph)
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Comminuted and displaced right proximal humerus fracture. No rib fractures. The lungs are clear. No pneumothorax or pleural effusion.
Case Discussion
Proximal humerus fractures can be overlooked on chest radiographs, therefore using a systemic review system will reduce the chance of overlooking such pathology. If from a standing height, such fractures should be considered fragility fractures and referral for a DEXA scan and bone assessment recommended.