Location of Sternal Fractures as a Possible Marker for Associated Injuries
Joint Authors
Werner, Clément M. L.
Zimmermann, Stefan M.
Scheyerer, Max J.
Simmen, Hans-Peter
Bouaicha, Samy
Wanner, Guido A.
Source
Emergency Medicine International
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-11-13
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Introduction.
Sternal fractures often occur together with serious and life-threatening additional injuries.
This retrospective study was designed to assess concomitant injuries and develop a correlation between fracture location and the severity of injury.
Methods.
All patients (n=58) diagnosed with a fracture of the sternum by means of a CT scan were analysed with respect to accident circumstances, fracture morphology and topography, associated injuries, and outcome.
Results.
Isolated sternal fractures occurred in 9%.
In all other admissions, concomitant injuries were diagnosed: mainly rip fractures (64%), injury to the head (48%), the thoracic spine (38%), lumbar spine (27%), and cervical spine (22%).
Predominant fracture location was the manubrium sterni.
In these locations, the observed mean ISS was the highest.
They were strongly associated with thoracic spine and other chest injuries.
Furthermore, the incidence of head injuries was significantly higher.
ICU admission was significantly higher in patients with manubrium sterni fractures.
Conclusion.
Sternal fractures are frequently associated with other injuries.
It appears that the fracture location can provide important information regarding concomitant injuries.
In particular, in fractures of manubrium sterni, the need for further detailed clinical and radiologic workup is necessary to detect the frequently associated injuries and reduce the increased mortality.
American Psychological Association (APA)
Scheyerer, Max J.& Zimmermann, Stefan M.& Bouaicha, Samy& Simmen, Hans-Peter& Wanner, Guido A.& Werner, Clément M. L.. 2013. Location of Sternal Fractures as a Possible Marker for Associated Injuries. Emergency Medicine International،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-469704
Modern Language Association (MLA)
Scheyerer, Max J.…[et al.]. Location of Sternal Fractures as a Possible Marker for Associated Injuries. Emergency Medicine International No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-469704
American Medical Association (AMA)
Scheyerer, Max J.& Zimmermann, Stefan M.& Bouaicha, Samy& Simmen, Hans-Peter& Wanner, Guido A.& Werner, Clément M. L.. Location of Sternal Fractures as a Possible Marker for Associated Injuries. Emergency Medicine International. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-469704
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-469704