TY  - JOUR
PY  - 2022//
TI  - Sternal fractures in blunt chest trauma: retrospective analysis of 330 cases
JO  - Journal of the College of Physicians and Surgeons -- Pakistan : JCPSP
A1  - Kara, Hasan
A1  - Bayir, Aysegul
A1  - Degirmenci, Selim
A1  - Yildiran, Huseyin
A1  - Kafali, Mehmet Ertugrul
A1  - Ak, Ahmet
SP  - 799
EP  - 803
VL  - 32
IS  - 6
N2  - OBJECTIVE: To analyse the range of injuries associated with sternal fracture (SF) and their clinical features and outcomes. STUDY DESIGN: Observational study.     PLACE AND DURATION OF STUDY: Department of Emergency Medicine, Faculty of Medicine, Selcuk University, Konya, Turkey, from July 2010 to July 2020. <br><br>METHODOLOGY: Sternal fractures were considered in 330 patients with blunt trauma during the study period. They were categorised according to the Johnson and Branfoot classification and the Arbeitsgemeinschaft fur Osteosynthesefragen / Orthopaedic Trauma Association classification. Demographic data were collected, including age, gender, mechanism of injury, associated injuries, and the length of hospital stay. <br><br>RESULTS: During the 10-year study period, a total of 4024 thoracic trauma patients were admitted to the emergency department. Of these, 330 (8.2%) had a sternal fracture. The median age of the patients was 41 (8-90) years, and 72.7% were male. Isolated sternal fractures occurred in 93 patients (28.2%). An additional thoracic injury was observed in 74 patients (22.4%) included in the study, and an accompanying extrathoracic injury was observed in 34 patients (10.3%). In 129 patients (39.1%), both thoracic and extrathoracic pathologies were detected, in addition to SF. The mortality rate among patients with isolated sternal fracture was 1.1%; the mortality rate among patients with sternal fracture accompanied by additional pathologies was 6.6%. <br><br>CONCLUSION: Sternal fractures are frequently associated with other injuries. Although isolated sternal fracture has a good prognosis, careful evaluation and clinical observation are essential for additional injuries.     KEY WORDS: Emergency medicine, Sternal fracture, Chest trauma.<p />  <p>Language: en</p>
LA  - en
SN  - 1022-386X
UR  - http://dx.doi.org/10.29271/jcpsp.2022.06.799
ID  - ref1
ER  -