Road traffic accidents: a pictorial review

Kissi, Sanaa; Fournier, Louise; Kit, N. How

doi:10.1007/s10140-018-1603-1

Cited by 3 publications

(1 citation statement)

References 18 publications

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“…[1114] The incidence of sternal fractures has increased over the past decade; in general, it has been reported as 3–7 in MVCs. [515] Sternal fracture is also known as a typical “seat belt trauma.”[1116] Other reported risk factors for sternal fracture include advanced age and being a front seat passenger. [1] Many believe that the morbidity is attributable to the associated life-threatening injuries (thoracic, pulmonary, cardiac, and spinal injuries) rather than the sternal fracture per se .…”

Section: Discussionmentioning

confidence: 99%

Traumatic sternal injury in patients with rib fracture: A single-center experience

Al-Thani

Jabbour

El‐Menyar

et al. 2019

Int J Crit Illn Inj Sci

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Purpose: We aimed to assess the pattern and impact of sternal injury with rib fracture in a Level 1 trauma center. Patients and Methods: We conducted a retrospective review of trauma registry data to identify patients who presented with sternal fracture between 2010 and 2017. Data were analyzed and compared in patients with and without rib fracture. Results: We identified 212 patients with traumatic sternal injury, of them 119 (56%) had associated rib fractures. In comparison to those who had no rib fracture, patients with rib fractures were older (40.1 ± 13.6 vs. 37.8 ± 14.5), were frequently involved in traffic accidents (75% vs. 71%), had higher chest abbreviated injury scale (AIS 2.8 ± 0.6 vs. 2.2 ± 0.5) and Injury Severity Score ( ISS 17.5 ± 8.6 vs. 13.3 ± 9.6), were more likely to be intubated (33% vs. 19%), required chest tube insertion (13.4% vs. 4.3%), and received blood transfusion (29% vs. 17%). Rates of spine fracture, head injury, and solid organ injury were comparable in the two groups. Manubrium, clavicular and scapular fractures, lung contusion, hemothorax, and pneumothorax were significantly more evident in those who had rib fractures. Hospital length of stay was prolonged in patients with rib fractures ( P = 0.008). The overall mortality was higher but not statistically significant in patients with rib fractures (5.0% vs. 3.2%). Conclusions: Sternal fractures are rare, and detection of associated injuries requires a high index of suspicion. Combined sternal and rib fractures are more evident in relatively older patients after chest trauma. This combination has certain clinical implications that necessitate further prospective studies.

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