Clinical Evaluation of Traumatic Sternal Fracture.
- Author:
Sung Joo LEE
1
;
Won Mo GOO
;
Seung Chul MOON
;
Dae Sik KIM
;
Kun LEE
;
Chang Young LIM
;
Chang Heo KIM
;
Seong Soo CHAE
Author Information
1. Department of thoracic and Cardiovascular Surgery, Pundang Cha General Hospital, College of medicine, Pochon Cha Universit, Korea.
- Publication Type:Original Article
- Keywords:
Stermum;
Fracture
- MeSH:
Automobiles;
Contusions;
Humans;
Incidence;
Isoenzymes;
Motor Vehicles;
Seoul;
Thorax
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1998;31(3):291-297
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Sternal fractures, once thought of as an uncommon phenomenon, have occurred with an increasing frequency, paralleling the incidence of motor vehicle accidents. The tremendous force necessary to cause sternal fracture and this bone's prominent position overlying major intrathoracic and mediastinal structures, have important implications in the assessment and treatment of patients. This evaluation is based on the review of 72 patients of traumatic sternal fracture treated at the Department of Thoracic and Cardiovascular Surgery, Seoul Adventist Hospital during the last 4 years from March 1993 to February 1997. The frequency was 12.2% of nonpenetrating chest trauma and average age was 43.2 years old. Automobile accidents (84%) and sternal body fractures (95.8%) with anterior displacements (19.4%) was the most common cause and fracture site. Increase of cardiac isoenzymes was more frequent and higher in sternal fracture than chest contusion but there was no relationship between the time to take normalization of them and the mode of trauma.
