Management of sternal fractures: 239 cases
- PMID: 12079939
- DOI: 10.1177/021849230201000212
Management of sternal fractures: 239 cases
Abstract
A review of the management of 239 patients with sternal fractures in a busy trauma center between October 1989 and May 2000 was undertaken to determine the incidence, significance, morbidity, and mortality of this injury. There were 140 men and 99 women with a mean age of 50.3 years (range, 15 to 93 years). Sternal fractures accounted for 8% of admissions for thoracic trauma. The causes were motor vehicle collisions in 215 patients (90%) and falls or direct blows in 24 (10%). Only 64 of 204 car accident patients (31%), 28 men and 36 women, were restrained by seat belts. Complications developed in 13 patients (5.4%). Mortality rate was 0.8%. Mean length of stay in the ward was 6.4 days (range, 1 to 32 days). Four patients (1.7%) underwent surgery. The results show that isolated sternal fractures have low associated morbidity and mortality. Admission is justified for the management of pain and treatment of cardiac complications and concomitant injuries.
Comment in
-
Anterior flail chest and sternal fracture: to fix or not to fix?Asian Cardiovasc Thorac Ann. 2003 Jun;11(2):188. doi: 10.1177/021849230301100228. Asian Cardiovasc Thorac Ann. 2003. PMID: 12878579 No abstract available.
MeSH terms
LinkOut - more resources
Full Text Sources
Medical