Full medical evaluation is paramount for all trauma patients. Minor traumas are often overlooked, as they are thought to bear low\ninjury potential. In this case report, we describe the case of a 48-year-old man presenting to our Emergency Department with\nmild to moderate right-sided shoulder and scapular pain following a fall from his own height ten days previously. Clinical and\nparaclinical investigations (CT) revealed diffuse right shoulder pain, with crepitations on palpation of the neck, right shoulder,\nand right lateral chest wall. Computed tomography (CT) demonstrated right-sided costal fractures (ribs 7 to 9), with diffuse\nsubcutaneous emphysema and pneumomediastinum due to laceration of the visceral and parietal pleura and the adjacent lung\nparenchyma. In addition, a small ipsilateral pneumothorax was found. Surprisingly, the clinical status was only minimally affected\nby mild to moderate pain and minor functional impairment.
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