Sternal Fracture Clinical Presentation

1. Schulz-Drost S, Krinner S, Langenbach A, Oppel P, Lefering R, Taylor D, et al. Concomitant Sternal Fracture in Flail Chest: An Analysis of 21,741 Polytrauma Patients from the TraumaRegister DGU®. Thorac Cardiovasc Surg. 2017 Feb 10. [Medline].

2. Morgenstern M, von Rüden C, Callsen H, Friederichs J, Hungerer S, Bühren V, et al. The unstable thoracic cage injury: The concomitant sternal fracture indicates a severe thoracic spine fracture. Injury. 2016 Nov. 47 (11):2465-2472. [Medline].

3. Schulz-Drost S, Oppel P, Grupp S, Taylor D, Krinner S, Langenbach A, et al. The oblique fracture of the manubrium sterni caused by a seatbelt--a rare injury? Treatment options based on the experiences gained in a level I trauma centre. Int Orthop. 2016 Apr. 40 (4):791-8. [Medline].

4. Khoriati AA, Rajakulasingam R, Shah R. Sternal fractures and their management. J Emerg Trauma Shock. 2013 Apr. 6 (2):113-6. [Medline].

5. Lahham S, Patane J, Lane N. Ultrasound of Sternal Fracture. West J Emerg Med. 2015 Dec. 16 (7):1057-8. [Medline].

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

7. Racine S, Émond M, Audette-Côté JS, Le Sage N, Guimont C, Moore L, et al. Delayed complications and functional outcome of isolated sternal fracture after emergency department discharge: a prospective, multicentre cohort study. CJEM. 2016 Sep. 18 (5):349-57. [Medline].

8. Schulz-Drost S, Oppel P, Grupp S, Taylor D, Krinner S, Langenbach A, et al. The oblique fracture of the manubrium sterni caused by a seatbelt-a rare injury? Treatment options based on the experiences gained in a level I trauma centre. Int Orthop. 2015 May 10. [Medline].

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

10. 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. 2006 Aug. 82(2):444-50. [Medline].

11. Weaver AA, Schoell SL, Nguyen CM, Lynch SK, Stitzel JD. Morphometric analysis of variation in the sternum with sex and age. J Morphol. 2014 Nov. 275 (11):1284-99. [Medline].

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

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

14. Fichtel I, Fernandez FF, Wirth T. [Sternal fracture in growing children : A rare and often overlooked fracture? Documentation of four cases]. Unfallchirurg. 2016 Jul. 119 (7):570-4. [Medline].

15. Karangelis D, Bouliaris K, Koufakis T, Spiliopoulos K, Desimonas N, Tsilimingas N. Management of isolated sternal fractures using a practical algorithm. J Emerg Trauma Shock. 2014 Jul. 7 (3):170-3. [Medline].

16. Jin W, Yang DM, Kim HC, Ryu KN. Diagnostic value of sonography for assessment of sternal fractures compared with conventional radiograaphy and bone scans. J Ultrasound Med. 2006. 25:

17. Racine S, Drake D. BET 3: Bedside ultrasound for the diagnosis of sternal fracture. Emerg Med J. 2015 Dec. 32 (12):971-2. [Medline].

18. Miller PR, Croce MA, Bee TK, et al. ARDS after pulmonary contusion: accurate measurement of contusion volume identifies high risk patients. J Trauma. 2001. 51:223:

19. Terry NL, Watts JR Jr, Sonavane SK, Beasley TM, Munden R, Nath PH, et al. Improved identification of sternal injuries with multidetector computed tomography (MDCT): sagittal reconstructions. Clin Imaging. 2016 Jul-Aug. 40 (4):739-44. [Medline].

20. Perez MR, Rodriguez RM, Baumann BM, Langdorf MI, Anglin D, Bradley RN, et al. Sternal fracture in the age of pan-scan. Injury. 2015 Jul. 46 (7):1324-7. [Medline].

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

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

23. Raza I, Narayanan M, Venkataraju A, Ciocarlan A. Bilateral Subpectoral Interfascial Plane Catheters for Analgesia for Sternal Fractures: A Case Report. Reg Anesth Pain Med. 2016 Sep-Oct. 41 (5):607-9. [Medline].

24. Thomas KP, Sainudeen S, Jose S, Nadhari MY, Macaire PB. Ultrasound-Guided Parasternal Block Allows Optimal Pain Relief and Ventilation Improvement After a Sternal Fracture. Pain Ther. 2016 Jun. 5 (1):115-22. [Medline].

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

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

27. Schulz-Drost S, Oppel P, Grupp S, Schmitt S, Carbon RT, Mauerer A, et al. Surgical fixation of sternal fractures: preoperative planning and a safe surgical technique using locked titanium plates and depth limited drilling. J Vis Exp. 2015 Jan 5. e52124. [Medline].

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

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

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

31. 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. 2002 May-Jun. 27(3):316-8. [Medline].

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

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

34. 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. 2004 Feb. 60(2):157-62. [Medline].

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

36. Miller LA. Chest wall, lung, and pleural space trauma. Radiol Clin North Am. 2006. 44 (2):213-244.

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

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

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

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

Scott Felten, MD, FACEP Residency Director for Emergency Medicine Physicians, 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.

Mark S Slabinski, MD, FACEP, FAAEM Vice President, USACS Central

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, 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.

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

David B Levy, DO, FAAEM Senior Consultant in Emergency Medicine, Waikato District Health Board, New Zealand; Associate Professor of Emergency Medicine, Northeastern Ohio Universities College of Medicine

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

Disclosure: Nothing to disclose.

Trevor John Mills, MD, MPH Chief of Emergency Medicine, Veterans Affairs Northern California Health Care System; Professor of Emergency Medicine, Department of Emergency Medicine, University of California, Davis, School of Medicine

Trevor John Mills, MD, MPH is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians

Disclosure: Nothing to disclose.

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.

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