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The patient is an 82-year-old man who presents after having fallen backwards and landing on his back. He did not lose consciousness; nor did he vomit.
The patient enters the clinic using a walker, which he reports using on a regular basis.
Examination reveals an abrasion over his forehead and over the anterior right tibia. The neurological exam shows no acute changes. The patient is specifically tender over the shoulder, but there is no spiny tenderness.
View the x-ray taken and consider what your diagnosis and next steps would be.
82-year-old man injured from falling to his back
Nahum Kovalski, BSc, MDCM
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