According to the text, because of the force involved in a flail chest injury, you should also suspect

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Flail chest injuries involve significant force to the chest, which can damage underlying structures. Pulmonary and myocardial contusions are direct injuries to the lung and heart muscle, respectively, while hemothorax (blood in the chest cavity) and pneumothorax (air in the chest cavity) can result from the trauma affecting the chest wall and potentially puncturing the lung or causing other injuries that lead to these conditions.

According to the Text, Because of the Force Involved in a Flail