Epidemiology of Sternal Fractures

• DOI: 10.1177/000313480907500510
• Publication Date: 2020-06-17T09:50:27Z
• Authors: Gustavo Recinos; Kenji Inaba; Joseph Dubose; Galinos Barmparas; Pedro G. R. Teixeira; Peep Talving; David Plurad; Donald Green; Demetrios Demetri...
• Keywords: Hemothorax; Blunt trauma; Trauma Center; Sequela

The epidemiology of sternal fractures has been poorly described. objective this study was to examine the demographics, outcomes and injuries associated with fractures. trauma registry at a level I center retrospectively reviewed identify all patients over 10 year period. Demographic data collected included age, gender, mechanism injury severity score. Patients were analyzed according age < or = 55 > years. During 10-year period, total 37,087 admitted emergency department. Of these, 125 (0.33%) had fracture. average 44 +/- 17 years, 76.0 per cent being male. most common motor vehicle collision (68%) followed by auto vs. pedestrian (18%). Associated rib occurred in 49.6% population, cardiac contusions 8.0%, thoracic aortic 4.0 heart lacerations 2.4 patients. more likely occur (66.7% vs 44.2%, P 0.032) as well traumatic hemothorax (15.8% 40.0%, 0.005). However, no significant difference mortality observed between two groups (16.8% 26.7%, OR: 0.56, 95% CI, 0.21 1.47; 0.234). Sternal are rare sequela blunt trauma. common, including soft tissue contusions. but highly lethal should be screened for on initial chest CT scan. After appropriate exclusion injuries, majority diagnosed fracture following can safely discharged home.