Sternal fracture

Background

• Fracture is MORE likely in restrained passengers than unrestrained passengers
• Isolated sternal fx is relatively benign
  • Low mortality (<1%)
  • Low intrathoracic morbidity
• May be associated with:
  • Rib Fracture, Pulmonary Contusion (~10%)
  • Myocardial contusion (1.5%)
• No association between sternal fracture and aortic rupture

Diagnosis

• S/S
  • Anterior chest pain
  • Point tenderness over sternum
  • Ecchymosis, soft tissue swelling
• Imaging
  • Most are visible on lateral CXR or on ultrasound

Disposition

• Isolated, non-displaced fx:
  • If can achieve pain control and ECG nl ok to d/c home
• Displaced fx or concern for severe pain or respiratory compromise:
  • Refer for operative fixation

See Also

• Thoracic Trauma
• Rib Fracture
• Pulmonary Contusion
• Traumatic Pneumothorax

Source

Tintinalli