Sternal fracture: Difference between revisions
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**Low intrathoracic morbidity | **Low intrathoracic morbidity | ||
*May be associated with: | *May be associated with: | ||
**[[Rib Fracture]], [[Pulmonary Contusion]] | **[[Rib Fracture]], [[Pulmonary Contusion]] | ||
**Myocardial contusion (1.5%) | **Myocardial contusion (1.5%) | ||
*No association between sternal fracture and aortic rupture | *No association between sternal fracture and aortic rupture | ||
==Clinical Features== | |||
*Anterior chest pain | |||
*Point tenderness over sternum | |||
*Ecchymosis, soft tissue swelling | |||
==Diagnosis== | ==Diagnosis== | ||
*Imaging | *Imaging | ||
**Most are visible on lateral CXR or on ultrasound | **Most are visible on lateral CXR or on ultrasound | ||
Revision as of 22:56, 27 February 2012
Background
- Fracture is MORE likely in restrained passengers than unrestrained passengers
- Isolated sternal fx is relatively benign
- Low mortality (<1%)
- Low intrathoracic morbidity
- May be associated with:
- Rib Fracture, Pulmonary Contusion
- Myocardial contusion (1.5%)
- No association between sternal fracture and aortic rupture
Clinical Features
- Anterior chest pain
- Point tenderness over sternum
- Ecchymosis, soft tissue swelling
Diagnosis
- Imaging
- Most are visible on lateral CXR or on ultrasound
Disposition
- Isolated, non-displaced fx:
- If can achieve pain control and ECG nl ok to d/c home
- Displaced fx or concern for severe pain or respiratory compromise:
- Refer for operative fixation
See Also
Source
Tintinalli