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Location of Sternal Fractures as a Possible Marker for Associated Injuries

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 wi...

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Autores principales: Scheyerer, Max J., Zimmermann, Stefan M., Bouaicha, Samy, Simmen, Hans-Peter, Wanner, Guido A., Werner, Clément M. L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3845240/
https://www.ncbi.nlm.nih.gov/pubmed/24324890
http://dx.doi.org/10.1155/2013/407589
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author Scheyerer, Max J.
Zimmermann, Stefan M.
Bouaicha, Samy
Simmen, Hans-Peter
Wanner, Guido A.
Werner, Clément M. L.
author_facet Scheyerer, Max J.
Zimmermann, Stefan M.
Bouaicha, Samy
Simmen, Hans-Peter
Wanner, Guido A.
Werner, Clément M. L.
author_sort Scheyerer, Max J.
collection PubMed
description 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.
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spelling pubmed-38452402013-12-09 Location of Sternal Fractures as a Possible Marker for Associated Injuries Scheyerer, Max J. Zimmermann, Stefan M. Bouaicha, Samy Simmen, Hans-Peter Wanner, Guido A. Werner, Clément M. L. Emerg Med Int Research Article 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. Hindawi Publishing Corporation 2013 2013-11-13 /pmc/articles/PMC3845240/ /pubmed/24324890 http://dx.doi.org/10.1155/2013/407589 Text en Copyright © 2013 Max J. Scheyerer et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
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
title Location of Sternal Fractures as a Possible Marker for Associated Injuries
title_full Location of Sternal Fractures as a Possible Marker for Associated Injuries
title_fullStr Location of Sternal Fractures as a Possible Marker for Associated Injuries
title_full_unstemmed Location of Sternal Fractures as a Possible Marker for Associated Injuries
title_short Location of Sternal Fractures as a Possible Marker for Associated Injuries
title_sort location of sternal fractures as a possible marker for associated injuries
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3845240/
https://www.ncbi.nlm.nih.gov/pubmed/24324890
http://dx.doi.org/10.1155/2013/407589
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