Sternal Fracture Differential Diagnoses

  • Author: Scott Felten, MD, FACEP; Chief Editor: Rick Kulkarni, MD   more...
 
Updated: Jan 7, 2010
 
 

Differential Diagnoses

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Contributor Information and Disclosures
Author

Scott Felten, MD, FACEP  Assistant Professor, Department of Emergency Medicine, University of Oklahoma College of Medicine; Attending Physician, Emergency Medicine Physicians, St Francis Medical Center

Scott Felten, MD, FACEP, is a member of the following medical societies: American College of Emergency Physicians

Disclosure: Nothing to disclose.

Coauthor(s)

Mark S Slabinski, MD, FACEP, FAAEM  Vice President, EMP Medical Group

Mark S Slabinski, MD, FACEP, FAAEM is a member of the following medical societies: Alpha Omega Alpha, American Academy of Emergency Medicine, American College of Emergency Physicians, American Medical Association, and Ohio State Medical Association

Disclosure: Nothing to disclose.

Mark B Sigler, MD  Resident Physician, Department of Emergency Medicine, University of Oklahoma College of Medicine, Tulsa

Disclosure: Nothing to disclose.

Specialty Editor Board

Michelle Ervin, MD  Chair, Department of Emergency Medicine, Howard University Hospital

Michelle Ervin, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, American Medical Association, National Medical Association, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Senior Pharmacy Editor, eMedicine

Disclosure: eMedicine Salary Employment

David B Levy, DO, FACEP, FAAEM  Chairman, Department of Emergency Medicine, St Elizabeth Health Center; Associate Professor of Emergency Medicine, Northeastern Ohio Universities College of Medicine

David B Levy, DO, FACEP, FAAEM is a member of the following medical societies: American Academy of Emergency Medicine, American Medical Informatics Association, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

John D Halamka, MD, MS  Associate Professor of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center; Chief Information Officer, CareGroup Healthcare System and Harvard Medical School; Attending Physician, Division of Emergency Medicine, Beth Israel Deaconess Medical Center

John D Halamka, MD, MS is a member of the following medical societies: American College of Emergency Physicians, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine

Disclosure: Nothing to disclose.

Chief Editor

Rick Kulkarni, MD 

Rick Kulkarni, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Emergency Medicine, American College of Emergency Physicians, American Medical Association, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine

Disclosure: WebMD Salary Employment

References

  1. Recinos G, Inaba K, Dubose J, Barmparas G, Teixeira PG, Talving P, et al. Epidemiology of sternal fractures. Am Surg. May 2009;75(5):401-4. [Medline].

  2. Knobloch K, Wagner S, Haasper C, Probst C, Krettek C, Otte D, et al. Sternal fractures occur most often in old cars without any airbag often with concomitant spinal injuries: clinical findings and technical collision variables among 42,055 crash victims. Ann Thorac Surg. Aug 2006;82(2):444-50. [Medline].

  3. Bar I, Friedman T, Rudis E, Shargal Y, Friedman M, Elami A. Isolated sternal fracture--a benign condition?. Isr Med Assoc J. Feb 2003;5(2):105-6. [Medline].

  4. Potaris K, Gakidis J, Mihos P, Voutsinas V, Deligeorgis A, Petsinis V. Management of sternal fractures: 239 cases. Asian Cardiovasc Thorac Ann. Jun 2002;10(2):145-9. [Medline].

  5. Peek GJ, Firmin RK. Isolated sternal fracture: an audit of 10 years' experience. Injury. Jul 1995;26(6):385-8. [Medline].

  6. Sadaba JR, Oswal D, Munsch CM. Management of isolated sternal fractures: determining the risk of blunt cardiac injury. Ann R Coll Surg Engl. May 2000;82(3):162-6. [Medline].

  7. Duncan MA, McNicholas W, O'Keeffe D, O'Reilly M. Periosteal infusion of bupivacaine/morphine post sternal fracture: a new analgesic technique. Reg Anesth Pain Med. May-Jun 2002;27(3):316-8. [Medline].

  8. Hechter S, Huyer D, Manson D. Sternal fractures as a manifestation of abusive injury in children. Pediatr Radiol. Dec 2002;32(12):902-6. [Medline].

  9. Athanassiadi K, Gerazounis M, Moustardas M, Metaxas E. Sternal fractures: retrospective analysis of 100 cases. World J Surg. Oct 2002;26(10):1243-6. [Medline].

  10. Breederveld RS, Patka P, van Mourik JC. Fractures of the sternum. Neth J Surg. Oct 1988;40(5):133-5. [Medline].

  11. Brookes JG, Dunn RJ, Rogers IR. Sternal fractures: a retrospective analysis of 272 cases. J Trauma. Jul 1993;35(1):46-54. [Medline].

  12. Bu'Lock FA, Prothero A, Shaw C, Parry A, Dodds CA, Keenan J, et al. Cardiac involvement in seatbelt-related and direct sternal trauma: a prospective study and management implications. Eur Heart J. Dec 1994;15(12):1621-7. [Medline].

  13. Budd JS. Isolated sternal fracture: a benign injury?. Injury. Aug 1993;24(7):501. [Medline].

  14. Calhoon JH, Grover FL, Trinkle JK. Chest trauma. Approach and management. Clin Chest Med. Mar 1992;13(1):55-67. [Medline].

  15. Carey S, Pezzella AT, Gilliam H. Traumatic sternal fractures: current concepts in diagnosis and management. Mil Med. Sep 1988;153(9):451-3. [Medline].

  16. Chiu WC, D'Amelio LF, Hammond JS. Sternal fractures in blunt chest trauma: a practical algorithm for management. Am J Emerg Med. May 1997;15(3):252-5. [Medline].

  17. Crestanello JA, Samuels LE, Kaufman MS, Thomas MP, Talucci R. Sternal fracture with mediastinal hematoma: delayed cardiopulmonary sequelae. J Trauma. Jul 1999;47(1):161-4. [Medline].

  18. Cuschieri J, Kralovich KA, Patton JH, Horst HM, Obeid FN, Karmy-Jones R. Anterior mediastinal abscess after closed sternal fracture. J Trauma. Sep 1999;47(3):551-4. [Medline].

  19. Ferguson LP, Wilkinson AG, Beattie TF. Fracture of the sternum in children. Emerg Med J. Nov 2003;20(6):518-20. [Medline].

  20. Gallo DR, Lett ED, Conner WC. Surgical repair of a chronic traumatic sternal fracture. Ann Thorac Surg. Feb 2006;81(2):726-8. [Medline].

  21. Gouldman JW, Miller RS. Sternal fracture: a benign entity?. Am Surg. Jan 1997;63(1):17-9. [Medline].

  22. Harley DP, Mena I. Cardiac and vascular sequelae of sternal fractures. J Trauma. Jun 1986;26(6):553-5. [Medline].

  23. Hendrich C, Finkewitz U, Berner W. Diagnostic value of ultrasonography and conventional radiography for the assessment of sternal fractures. Injury. Nov 1995;26(9):601-4. [Medline].

  24. Heyes FL, Vincent R. Sternal fracture: what investigations are indicated?. Injury. Feb 1993;24(2):113-5. [Medline].

  25. Hills MW, Delprado AM, Deane SA. Sternal fractures: associated injuries and management. J Trauma. Jul 1993;35(1):55-60. [Medline].

  26. Holcomb JB, McMullin NR, Kozar RA, Lygas MH, Moore FA. Morbidity from rib fractures increases after age 45. J Am Coll Surg. Apr 2003;196(4):549-55. [Medline].

  27. Huggett JM, Roszler MH. CT findings of sternal fracture. Injury. Oct 1998;29(8):623-6. [Medline].

  28. Jackimczyk K. Blunt chest trauma. Emerg Med Clin North Am. Feb 1993;11(1):81-96. [Medline].

  29. Johnson I, Branfoot T. Sternal fracture--a modern review. Arch Emerg Med. Mar 1993;10(1):24-8. [Medline].

  30. Jones A. Towards evidence based emergency medicine: best BETS from the Manchester Royal Infirmary. Admission of isolated sternal fracture for observation. J Accid Emerg Med. Jul 1998;15(4):227-8. [Medline].

  31. Lederer W, Mair D, Rabl W, Baubin M. Frequency of rib and sternum fractures associated with out-of-hospital cardiopulmonary resuscitation is underestimated by conventional chest X-ray. Resuscitation. Feb 2004;60(2):157-62. [Medline].

  32. Lin KH, Ponampalam R. Sternum insufficiency fracture presenting as acute chest pain: a case report and review of the literature. Eur J Emerg Med. Apr 2006;13(2):122-4. [Medline].

  33. Ohry A. Sternal fractures. J Trauma. Mar 1995;38(3):463-4. [Medline].

  34. Perron AD. Chest pain in athletes. Clin Sports Med. Jan 2003;22(1):37-50. [Medline].

  35. Purkiss SF, Graham TR. Sternal fractures. Br J Hosp Med. Jul 14-Aug 17 1993;50(2-3):107-12. [Medline].

  36. Rashid MA, Ortenwall P, Wikstrom T. Cardiovascular injuries associated with sternal fractures. Eur J Surg. Apr 2001;167(4):243-8. [Medline].

  37. Roy-Shapira A, Levi I, Khoda J. Sternal fractures: a red flag or a red herring?. J Trauma. Jul 1994;37(1):59-61. [Medline].

  38. Sarkar PK, Counsell D, Rabbi F. Fractures of the sternal body. Ann R Coll Surg Engl. May 1993;75(3):213-4. [Medline].

  39. Schapira D, Nachtigal A, Scharf Y. Spontaneous fracture of the sternum simulating myocardial infarction. Clin Rheumatol. Jul 1995;14(4):478-80. [Medline].

  40. Van Hise ML, Primack SL, Israel RS, Muller NL. CT in blunt chest trauma: indications and limitations. Radiographics. Sep-Oct 1998;18(5):1071-84. [Medline].

  41. Velissaris T, Tang AT, Patel A, Khallifa K, Weeden DF. Traumatic sternal fracture: outcome following admission to a Thoracic Surgical Unit. Injury. Dec 2003;34(12):924-7. [Medline].

  42. Vioreanu MH, Quinlan JF, Robertson I, O'Byrne JM. Vertebral fractures and concomitant fractures of the sternum. Int Orthop. Dec 2005;29(6):339-42. [Medline].

  43. Watts RA, Paice EW, White AG. Spontaneous fracture of the sternum and sternal tuberculosis. Thorax. Dec 1987;42(12):984-5. [Medline].

  44. Wiener Y, Achildiev B, Karni T, Halevi A. Echocardiogram in sternal fracture. Am J Emerg Med. Sep 2001;19(5):403-5. [Medline].

  45. Wojcik JB, Morgan AS. Sternal fractures--the natural history. Ann Emerg Med. Sep 1988;17(9):912-4. [Medline].

  46. Wright SW. Myth of the dangerous sternal fracture. Ann Emerg Med. Oct 1993;22(10):1589-92. [Medline].

  47. Yilmaz EN, van Heek NT, van der Spoel JI, Bakker FC, Patka P, Haarman HJ. Myocardial contusion as a result of isolated sternal fractures: a fact or a myth?. Eur J Emerg Med. Dec 1999;6(4):293-5. [Medline].

 
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