| A CLINICAL STUDY ON
THE SIGNIFICANCE OF STERNAL FRACTURE
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| Jung Bae Park, Hyung Seob Won, Sung Yun Hwang, Jun Hyung Lee, Cheol Wan Park, Keun Lee |
| Department of Emergency Medicine, Chung Ang Gil Hospital, Incheon, Korea |
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Published online: June 30, 1996. |
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| ABSTRACT |
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It has been known that sternal fracture increases the risk of potentially life-threatening injuries, such as myocardial, pulmonary, and thoracis vascular injuries, and it has 25% to
45% of mortality, primarily resulting from these underlying injuries.
The authors reviewed retrospectively the medical records and radiographic findings of the patients who admitted with sternal fracture at Chung Ang Gil Hospital from 1 June 1994 to 31 December 1995 to evaluate the significance and clinical course of sternal fracture.
The result were followings:
1. The male to female ratio was 3 : 2 and the mean age was 43. 1 and 45. 4 years old in male and female, respectively. 2. Motor vehicle occupant accident was the most common cause of
sternal fracture. 3. Of 33 cases, there was no death, but common associated injuries which were rib fracture, hemothorax, lung contusion, vertebral fracture, penwnothorax, long bone fracture, myocardial contusion, flail chest, facial bone fracture, and pericardial effusion, in order. 4. The clinical course of sternal fracture was determined primarily by associated injuries except for communited sternal fracture. 5. The patients with isolated sternal fracture, who had an otherwise normal chest x-ray, normal electrocardiogram, no other significant associated injuries and are hemodynamically stable, had a benign clinical course.
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| Key words:
Sternal fracture, Isolated sternal fracture |
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