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
  • Myocardial contusion (1.5%)
• No association between sternal fracture and aortic rupture

Clinical Features

• Anterior chest pain
• Point tenderness over sternum
• Ecchymosis, soft tissue swelling

Diagnosis

• Imaging
  • Most are visible on lateral CXR or on ultrasound

Disposition

• Isolated, non-displaced fx:
  • If pain control achieved and ECG normal 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