Case report : dislocation of the sternoclavicular joint : delayed diagnosis with an unusual complication

Extracted from text ... A 38-year-old male mine worker was immobilised on a spine board and brought into the casualty department by ambulance after being involved in a rock-fall. He was fully conscious, but drowsy and complained of headache, neck pain and right shoulder pain. On arrival his BP was 110/64, pulse rate 115/minute and respiratory rate15/ minute. On examination, contusions to the head, chest and back were noted with no further clinical abnormality. X-rays of the skull, cervical spine, chest, right shoulder and right scapula were ordered. No fractures were demonstrated and the cervical spine and shoulder joint alignments were normal. The ..