Fracture of the manubrium with posterior displacement of the clavicle and first rib

Velutini, J. A.; Tarazona, P. F.

doi:10.1007/s002640050257

Cited by 12 publications

(8 citation statements)

References 16 publications

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“…This entity has not as yet been reported in this setting in the radiological literature. Other rare disorders after sternal trauma are manubrio-sternal dislocation [6] or displacement of the clavicle and rib [20].…”

Section: Discussionmentioning

confidence: 99%

MRI findings of prolonged post-traumatic sternal pain

Grosse

Steinbach

et al. 2007

Skeletal Radiol

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Various factors may be responsible for prolonged sternal pain following thoracic trauma, and these can be viewed with MRI. In cases of sternal nonunion there was common fluid-like signal in the fracture interspace between the bony edges, and the bone marrow adjacent to the nonunion showed altered signal intensity. MRI identified sternal nonunion and other trauma-related abnormalities of the sternum following chest trauma.

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Section: Discussionmentioning

confidence: 99%

MRI findings of prolonged post-traumatic sternal pain

Grosse

Steinbach

et al. 2007

Skeletal Radiol

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“…In recapitulating, the authors see the indication for the operative open reduction and internal fixation as justified, due to the combination of instability, the associated pain, the lateral displacement with widening of the fracture cleft and the malrotation of the sternocostal parts of the shoulder girdle [7,15]. In order for a satisfactory reduction to be achieved, a surgical access point by means of an incision at the mediocranial part of the sternum was chosen.…”

Section: Summary and Conclusion Treatmentmentioning

confidence: 99%

“…It was caused by an indirect trauma, namely, a strike to the ipsilateral shoulder [7]. Direct impact to the manubrium, in addition to the oblique manubrium fracture, induces a domino-effect injury mechanism following the impact pathway, whereby the neighbouring ribs are also injured.…”

Section: Summary and Conclusion Treatmentmentioning

confidence: 99%

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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

Schulz-Drost

Oppel

Grupp

et al. 2015

International Orthopaedics (SICOT)

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“…Gurlt reported in 1864 that all patients with oblique manubrium fractures had died (9). The first report about a living patient suffering from an oblique fracture was published in 1998 by Velutini (10). A systematic review of trauma scans in a Level 1 Trauma Center in Germany proved that oblique fractures of the manubrium have a higher incidence than expected, often lead to mediastinal hematoma, and are usually accompanied by severe injuries due to road traffic accidents.…”

Section: Introductionmentioning

confidence: 99%

Fractures of the manubrium sterni: treatment options and a possible classification of different types of fractures

et al. 2018

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Background: Sternum fractures are mostly located on the sternal corpus, seldom on the manubrium.Fractures of the sternal manubrium are, however, more frequently associated with severe concomitant injuries of thoracic organs, and therefore deserve special attention. In addition, in its function as a capstone in between the anterior chest wall and the shoulder girdle, it is exposed to a multiplicity of forces. Therefore the questions arise what types of fractures are observed in today's clinical practice, how to classify them and which treatment options are available. This study reports on different types of fractures which involve the manubrium sterni. Methods: Between January 2012 and October 2014, data was collected from all severely injured patients (ISS ≥16), which received a CT scan of the thorax in our Level-I-Trauma Center and retrospectively analyzed concerning sternal fractures. Fracture type, collateral injuries, age, and information about the circumstances of the accident were noted. Results: Of 890 evaluable patients, 154 (17.3%) had a fracture of the sternum and 23 (2.6%) of the manubrium. Fractures of the manubrium appeared in following types: A-type-transverse fracture (n=11) in 1st intercostal space by direct blunt trauma or flexion of the torso with sagittal instability; B-type-oblique fracture (n=9) by seat belt injury with rotatory instability; C-type-combined, more fragmentary fracture (n=3) by direct blunt trauma with simultaneous flexion of the torso and multi directional instability. Fractures only little dislocation were treated conservatively, and unstable fractures were surgically stabilized (n=10). Conclusions: In summary, three main types of fractures could be found. A-type fractures were stabilized with a longitudinal plate osteosynthesis and B-type fractures with transverse positioned plates. To treat complex C-type fractures, plates with a T-or H-form could be a good solution.Level of evidence: Level III retrospective prognostic cohort study

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Fracture of the manubrium with posterior displacement of the clavicle and first rib

Cited by 12 publications

References 16 publications

MRI findings of prolonged post-traumatic sternal pain

MRI findings of prolonged post-traumatic sternal pain

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

Fractures of the manubrium sterni: treatment options and a possible classification of different types of fractures

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