ch. 8 Sternal and Rib fractures

Posted: May 5, 2012 in Traumatology
Tags: , , ,

Sternal fractures were once thought to be high-morbidity injuries, with a mortality rate of 25-45% from associated injuries.

Etiology :

  •  60-90% of cases occurring in motor vehicle accidents by seat belts or by direct impact with the steering wheel. (Incidents are now decreasing with more cars fitted with airbags.)
  •  Contact sports.
  • Patients over 50 have a higher prevalence and risk of sustaining sternal fractures, with a higher incident in the elderly and women.

Complications :

  • Rib fractures
  • Flail chest
  • Pneumothorax
  • Haemothorax
  • Pulmonary Contusion
  • Blunt cardiac injuries
  • Pericardial tamponade
  • Sternoclavicular joint Dislocation
  • Vascular injury
  • Spinal Injuires
  • Trauma to head, neck, abdomen and extremities

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