1,268 results match your criteria Fracture Sternal


Comparing FE human body model rib geometry to population data.

Biomech Model Mechanobiol 2020 May 22. Epub 2020 May 22.

International Center for Automotive Medicine, University of Michigan, Ann Arbor, MI, USA.

Finite element human body models (HBMs) are used to assess injury risk in a variety of impact scenarios. The ribs are a key structural component within the chest, so their accuracy within HBMs is vitally important for modeling human biomechanics. We assessed the geometric correspondence between the ribs defined within five widely used HBMs and measures drawn from population-wide studies of rib geometry, focusing on (1) rib global shape, (2) rib cross-sectional size and shape, and (3) rib cortical bone thickness. Read More

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http://dx.doi.org/10.1007/s10237-020-01335-2DOI Listing

Opioid prescription practices for patients discharged from the emergency department with acute musculoskeletal fractures.

CJEM 2020 May 21:1-8. Epub 2020 May 21.

Ottawa Hospital Research Institute, Ottawa, ON.

Background: Opioid related mortality rate has increased 200% over the past decade. Studies show variable emergency department (ED) opioid prescription practices and a correlation with increased long-term use. ED physicians may be contributing to this problem. Read More

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http://dx.doi.org/10.1017/cem.2020.50DOI Listing

Spontaneous sternal fracture during labor in a healthy primigravida with female athlete triad: A case report.

Case Rep Womens Health 2020 Jul 5;27:e00213. Epub 2020 May 5.

Department of Pediatric Surgery, Nicklaus Children's Hospital, Miami, Florida, USA.

Introduction: This case raises awareness of the diagnosis of sternal fracture during labor and obviates the need for lengthy, expense-consuming workup. This report identifies a subset of women who may be at higher risk for this pathology.

Methods: Upon diagnosing and treating a patient who spontaneously fractured her sternum during labor, we reviewed previously reported cases and highlight key points of this entity. Read More

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http://dx.doi.org/10.1016/j.crwh.2020.e00213DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229480PMC

Osteoporosis, osteomalacia, and hip fracture: A case study from the Terry collection.

Int J Paleopathol 2020 May 8;30:17-21. Epub 2020 May 8.

Department of Anthropology, McMaster University, Hamilton, ON L8S 4L9, Canada. Electronic address:

Objective: This case study describes a perimortem hip fracture in a documented individual from the Robert J. Terry Skeletal Collection. The purpose of this paper is to comprehend how co-occurring conditions contributed to fracture risk and to understand the effect of the injury on this individual. Read More

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http://dx.doi.org/10.1016/j.ijpp.2020.03.004DOI Listing

Traumatic Fractures of the Thoracic Spine.

Z Orthop Unfall 2020 May 11. Epub 2020 May 11.

Department of Orthopaedics, Trauma and Reconstructive Surgery, University Hospital Leipzig.

The majority of traumatic vertebral fractures occur at the thoracolumbar junction and the lumbar spine and less commonly at the mid-thoracic and upper thoracic spine. In accordance, a high number of articles are dealing with thoracolumbar fractures focusing on the thoracolumbar junction. Nonetheless, the biomechanics of the thoracic spine differ from the thoracolumbar junction and the lumbar vertebral spine. Read More

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http://dx.doi.org/10.1055/a-1144-3846DOI Listing

Ultrasound-guided bilateral parasternal block: A boon for managing pain after sternal fracture/dislocation.

Saudi J Anaesth 2020 Apr-Jun;14(2):224-227. Epub 2020 Mar 5.

Department of Anaesthesiology, Basavatarakam Indo-American Cancer Hospital and Research Institute, Hyderabad, Telangana, India.

Sternal fractures are high velocity injuries which is associated with thoracic or lumbar vertebral fractures. Severe pain associated with sternal fractures can lead to impaired ventilation, low partial pressure of arterial oxygen, need of non-invasive or invasive ventilation with an endotracheal tube thereby leading to significant morbidity. In a series of three patients with manubrium sternal dislocation, we administered continuous bilateral parasternal blocks and initiated infusion of local anesthetics for different periods of time in all patients. Read More

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http://dx.doi.org/10.4103/sja.SJA_575_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7164445PMC

Anterior cutaneous nerve block for analgesia in anterior chest trauma: is the parasternal approach necessary?

Clin Exp Emerg Med 2020 03 31;7(1):67-70. Epub 2020 Mar 31.

Servizio Anestesia e Rianimazione 2, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy.

In recent years, several techniques of regional anesthesia have been proposed to provide analgesia to the anterior thoracic cage; notably, most of these techniques require a parasternal approach. However, in this context, the potential role of a more common and well-established technique, namely the modified pectoral nerve block (known as PECS II block), has been poorly investigated. Here, we describe a case involving a patient with bilateral anterolateral multiple rib fractures associated with sternum fracture, who was successfully treated using bilateral PECS II blocks. Read More

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http://dx.doi.org/10.15441/ceem.18.089DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7141978PMC

Clinical and radiological evaluation of thoracic spine fractures with or without sternal fracture: is there a need for ventral stabilization?

Eur J Trauma Emerg Surg 2020 Mar 11. Epub 2020 Mar 11.

Department of Trauma Surgery, BG Trauma Centre Murnau, Prof. Küntscher Str. 8, 82418, Murnau, Germany.

Objective: The treatment of thoracic spine (TS) fractures with additional sternal fractures compared to TS fractures without sternal fractures is discussed controversionally, because in some studies it was stated that sternal fractures decrease the thoracic stability. We hypothesized that both types of fractures can be treated the same way by posterior stabilization alone.

Methods: A total number of 69 patients with thoracic fractures, with or without additional sternal fractures, were examined, regarding the angle of kyphosis after fracture, postoperatively and after 6 and 12 months. Read More

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http://dx.doi.org/10.1007/s00068-019-01280-5DOI Listing

Incidence of fractures in patients with type 1 diabetes mellitus-a retrospective study with 4420 patients.

Osteoporos Int 2020 Feb 23. Epub 2020 Feb 23.

Epidemiology, IQVIA, Main Airport Center, Unterschweinstiege 2-14, 60549, Frankfurt am Main, Germany.

This retrospective study investigated the incidence of fracture in 4420 type 1 diabetes (T1DM) patients. Our findings indicate that patients with T1DM have an increased incidence of fractures. Further studies and preventive measures are urgently needed. Read More

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http://dx.doi.org/10.1007/s00198-020-05344-wDOI Listing
February 2020

Traumatic medial clavicle fracture induced by chin bar of a full-face helmet following a downhill mountainbike accident.

Sportverletz Sportschaden 2020 Mar 18;34(1):48-50. Epub 2020 Feb 18.

Sportklinik Stuttgart GmbH, Stuttgart, Germany.

Downhill mountain biking is a rapidly growing sport. In our case we want to present an isolated medial clavicular fracture following a mountain bike accident with a critical review on the used protection device. A 35 year old healthy patient presented to our hospital after bike accident during downhill mountain biking in Austria with pain over his right medial clavicle. Read More

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http://dx.doi.org/10.1055/a-1057-1096DOI Listing

The history of bone marrow in orthopaedic surgery (part I trauma): trepanning, bone marrow injection in damage control resuscitation, and bone marrow aspiration to heal fractures.

Int Orthop 2020 Apr 15;44(4):795-808. Epub 2020 Feb 15.

Hôpital Henri Mondor, 94010, Creteil, France.

Purpose: One of the oldest procedures performed by man is trepanning of the bone and yet it was only in the last 40 years that bone marrow aspiration has been used to treat nonunion disorders.

Material And Methods: These advances were possible due to improvements in instruments and in techniques to make holes in the bone, an history that began with skull trephinations around 8000-10,000 years ago, and continued with sternum bone marrow injection for trauma resuscitation in the beginning of the twentieth century; this procedure had improved at the beginning of the twenty-first century to allow pelvis bone marrow aspiration for the treatment of nonunion.

Results: Trephined skulls from antiquity have been found in many parts of world, showing that trephining was ancient and widespread. Read More

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http://dx.doi.org/10.1007/s00264-020-04506-zDOI Listing

Morphometric analyses of clavicle's nutrient foramen.

Surg Radiol Anat 2020 Feb 12. Epub 2020 Feb 12.

Department of Anatomy, Faculty of Medicine, Hacettepe University, Ankara, Turkey.

Purpose: Fractures of the clavicle, which has an important location and function in the upper extremity and shoulder joint, compose 10% of all fracture cases. During the osteosynthesis of clavicle fractures and in the post-operative period of patients, considering the detailed morphometric and topographic properties of the nutrient foramen of clavicle is important to avoid the disruption of arterial nutrition of the clavicle and prevent unexpected injuries. The aim of this study was to investigate the morphometric properties of the nutrient foramen of clavicle in more detail using computedtomography images. Read More

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http://dx.doi.org/10.1007/s00276-020-02433-7DOI Listing
February 2020

[Early Sternum Fixation with a Locking Plate for Traumatic Sternal Fracture].

Kyobu Geka 2019 Dec;72(13):1076-1079

Department of Respiratory Surgery, Kure Medical Center and Chugoku Cancer Center, Kure, Japan.

An 86-year-old man fell from a farm trolley and presented with chest bruising. Chest computed tomography showed a hemopneumothorax, multiple right rib fractures, and a sternal fracture at the sternal angle. Although he was treated with a chest tube for drainage and external fixation, a flail chest and severe pain continued. Read More

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December 2019

Surgical Treatment of a Medial Clavicle Fracture Nonunion with Medial Clavicle Resection and Stabilization to the Sternum with Palmaris Longus Graft.

Case Rep Orthop 2019 24;2019:7123790. Epub 2019 Oct 24.

Centre de Recherche FRQS du CHU de Québec-Hôpital Enfant-Jésus, 1401, 18ème Rue, Québec, Québec, Canada G1J 1Z4.

Medial end clavicular fractures are a rare occurrence. While most of these fractures can be appropriately managed with a nonoperative treatment, some cases of symptomatic nonunion might be surgically addressed to preserve sternoclavicular joint stability and ensure favorable outcomes. The open reduction and osteosynthesis procedure is a commonly performed procedure to treat clavicular fracture nonunion. Read More

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http://dx.doi.org/10.1155/2019/7123790DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6855021PMC
October 2019

Throws of Death: Traumatic Coronary Artery Dissection Resulting From Jiu Jitsu Training.

J Emerg Med 2019 Nov 16. Epub 2019 Nov 16.

Northeast Ohio Medical College, Rootstown, Ohio; Department of Emergency Medicine, Summa Health, Akron, Ohio.

Background: The risk of cardiac injury in blunt thoracic trauma is quite rare, occurring in only 0.1% of patients. The least common cardiac injury is coronary artery dissection. Read More

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http://dx.doi.org/10.1016/j.jemermed.2019.09.037DOI Listing
November 2019

Inter- and intra-observer variability of the AO/OTA classification for sternal fractures: a validation study.

Arch Orthop Trauma Surg 2020 Jun 15;140(6):735-739. Epub 2019 Nov 15.

Department of Trauma Surgery, Kantonsspital Graubünden, Loëstrasse 170, 7000, Chur, Switzerland.

Introduction: Recently, a new classification system for sternal fractures has been published in the Journal of Orthopedic trauma by the Arbeitsgemeinschaft für Osteosynthesefragen (AO) foundation and the Orthopaedic Trauma Association (OTA). The aim of this study was to evaluate inter- and intra-observer variability of the AO/OTA classification for sternal fractures.

Materials And Methods: Twenty multidetector computed tomography (CT) scans of patients with sternal fractures were classified independently by six senior and six junior orthopedic trauma surgeons of two level-1 trauma centers. Read More

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http://dx.doi.org/10.1007/s00402-019-03289-2DOI Listing

Pediatric Sternal Fractures: A Single Center Retrospective Review.

J Pediatr Surg 2019 Nov 6. Epub 2019 Nov 6.

Department of Surgery, Boston Children's Hospital and Harvard Medical School Boston, MA. Electronic address:

Purpose: We sought to investigate the diagnosis, management, and outcomes of pediatric sternal fractures.

Methods: We used ICD codes to search our trauma registry and Hound Dog software to search the hospital data warehouse for all cases of radiologically confirmed sternal fracture in patients <21 years from January 1, 1997 to July 1, 2017. We extracted demographics, mechanism of injury, diagnostic modality, associated injuries, and clinical outcomes. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2019.10.002DOI Listing
November 2019

Epidemiology of adult rib fracture and factors associated with surgical fixation: Analysis of a chest wall injury dataset from England and Wales.

Injury 2020 Feb 15;51(2):218-223. Epub 2019 Oct 15.

York Trials Unit, Department of Health Sciences, ARRC Building, University of York, Heslington, York, YO10 5DD. Electronic address:

Introduction: Chest wall trauma is commonly seen in patients admitted with both high and low-energy transfer injury. Whilst often associated with other injuries, it is also seen in isolation following simple falls in the older patient. Fixation of the chest wall grows in popularity as part of optimising patient care, particularly in terms of critical care stay. Read More

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http://dx.doi.org/10.1016/j.injury.2019.10.030DOI Listing
February 2020
3 Reads

A case of severe flail chest with several dislocated sterno-chondral fractures.

Int J Surg Case Rep 2019 28;65:52-56. Epub 2019 Oct 28.

Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, DK - 8200 Aarhus N, Denmark; Department of Clinical Medicine, Aarhus University Hospital, DK - 8200 Aarhus N, Denmark.

Introduction: Flail chest is diagnosed clinically by the presence of paradox movement of a segment of the thoracic wall during spontaneous breathing. Radiographic finding confirming a clinical flail chest are fractures of three or more consecutive ribs or costal cartilages in two or more places. Surgical stabilization is associated with a reduced length of hospital stay, time with mechanical ventilation and risk of respiratory complications. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.10.043DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6838885PMC
October 2019

Bedside Incentive Spirometry Predicts Risk of Pulmonary Complication in Patients with Rib Fractures.

Am Surg 2019 Sep;85(9):1051-1055

This retrospective chart review demonstrates the relationship between bedside incentive spirometry (ICS) volumes and risk of pulmonary complications. Two hundred patients admitted for rib fractures between April and October 2016 were reviewed. The inclusion criteria were age 18-98 years, diagnosis of rib or sternal fractures, and no procedures requiring postoperative intubation within 48 hours of admission. Read More

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September 2019
1 Read

Improving intra- and inter-observer repeatability and accuracy of keel bone assessment by training with radiographs.

Poult Sci 2019 Nov;98(11):5234-5240

Center for Proper Housing: Poultry and Rabbits (ZTHZ), Division of Animal Welfare, VPH Institute, University of Bern, Zollikofen, 3052, Switzerland.

Assessing keel bone damage reliably and accurately is a requirement for all research on this topic. Most commonly, assessment is done on live birds by palpation and is therefore prone to bias. A 2-day Training School of the COST Action "Identifying causes and solutions of keel bone damage in laying hens" with 16 participants of variable experience was held where palpation of live hens was followed by consulting corresponding radiographic images of keel bones. Read More

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http://dx.doi.org/10.3382/ps/pez410DOI Listing
November 2019

A Rare Injury in Children: Sternum Fractures.

J Coll Physicians Surg Pak 2019 Oct;29(10):993-995

Department of Thoracic Surgery, Kayseri City Training and Research Hospital, Kayseri, Turkey.

Although there are a lot of data on intrathoracic and extrathoracic injuries associated with adult sternal fractures and how to manage them; but there is not much data on diagnosis and treatment protocols, since they are rare in children. If the child patient has a sternal fracture, he/she probably had a high-energy trauma, so it should be carefully examined whether if there is an accompanying intrathoracic or extrathoracic injury. In this study, we aimed to determine the demographic data, accompanying injuries, treatment modalities and results in children who were admitted to the emergency trauma unit of our hospital and diagnosed with sternal fracture. Read More

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https://www.jcpsp.pk/archive/2019/Oct2019/19.pdf
Publisher Site
http://dx.doi.org/10.29271/jcpsp.2019.10.993DOI Listing
October 2019
6 Reads

Successfully non-surgical management of flail chest as first manifestation of multiple myeloma: A case report.

World J Crit Care Med 2019 Sep 11;8(5):82-86. Epub 2019 Sep 11.

Department of Critical Care, Hospital del Mar, Barcelona 08003, Spain.

Background: Multiple myeloma is a malignant neoplasm of the bone marrow characterized by neoplastic proliferation of monoclonal plasma cells with a high relationship with destructive bone disease. We present a case of a patient diagnosed with multiple myeloma and sternal fracture in association with multiple bilateral rib fractures and thoracic kyphosis, who developed a severe acute respiratory failure, thus complicating the initial presentation of multiple myeloma. We discuss the therapeutic implications of this uncommon presentation. Read More

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http://dx.doi.org/10.5492/wjccm.v8.i5.82DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6753394PMC
September 2019
5 Reads

Percutaneous Fixation by Internal Cemented Screws of the Sternum.

Cardiovasc Intervent Radiol 2020 Jan 3;43(1):103-109. Epub 2019 Sep 3.

Interventional Radiology Unit, Medical Imaging Department, Gustave Roussy - Cancer Center, 114 Rue Edouard Vaillant, 94805, Villejuif, France.

Purpose: To evaluate the feasibility, efficacy and safety of sternal percutaneous fixation by internal cemented screw (FICS) using fluoroscopy and/or CT needle guidance.

Materials And Methods: This retrospective single-center study analyzed 9 consecutive cancer patients managed with percutaneous FICS for sternal fracture fixation or osteolytic metastasis consolidation, from May 2014 to February 2019. Eastern Cooperative Oncology Group performance status, Numeric Pain Rating Scale (NPRS) and opioid use were studied preoperatively and postoperatively. Read More

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http://dx.doi.org/10.1007/s00270-019-02334-2DOI Listing
January 2020
2 Reads

Osteosynthesis of sternal fractures with double locking compression plate fixation: a retrospective cohort study.

Eur J Orthop Surg Traumatol 2020 Jan 28;30(1):75-81. Epub 2019 Aug 28.

Department of Trauma Surgery, Kantonsspital Graubünden, Loëstrasse 170, 7000, Chur, Switzerland.

Purpose: Sternal fractures are rare injuries and mostly treated non-operatively. In selected cases, internal fixation becomes necessary. No standard operative approach has been determined yet among experts. Read More

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http://dx.doi.org/10.1007/s00590-019-02526-zDOI Listing
January 2020
1 Read

Skeletal manifestations of hydatid cystic disease in Sudan.

J Taibah Univ Med Sci 2018 Dec 26;13(6):564-571. Epub 2018 Nov 26.

Histocenter, Khartoum, Sudan.

Objectives: Hydatid bone disease is a zoonotic disease caused mainly by . Middle Eastern, African, and Mediterranean populations are endemically affected. Hydatid disease of the bone is a rare clinical condition that affects people with a history of animal contact. Read More

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http://dx.doi.org/10.1016/j.jtumed.2018.10.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6694899PMC
December 2018
2 Reads

Anesthetic management of tracheal laceration from traumatic dislocation of the first rib: a case report and literature of the review.

BMC Anesthesiol 2019 08 9;19(1):149. Epub 2019 Aug 9.

Department of Anesthesiology, Qilu Hospital of Shandong University (Qingdao), No.758 Hefei Road, Qingdao, People's Republic of China.

Background: Tracheobronchial lacerations from trauma can be life-threatening and present significant challenges for safe anesthetic management. Early recognition of tracheal injuries and prompt airway control can be lifesaving.

Case Presentation: A 56-year-old man with no significant medical history presented with difficulty breathing after a blunt trauma to his chest to the emergency room and was diagnosed with dislocation of the first rib and tracheal laceration after a chest tomography (CT) study. Read More

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http://dx.doi.org/10.1186/s12871-019-0812-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6689158PMC
August 2019
3 Reads

Histovariability in human clavicular cortical bone microstructure and its mechanical implications.

J Anat 2019 11 2;235(5):873-882. Epub 2019 Aug 2.

Department of Integrative Anatomical Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

The human clavicle (i.e. collarbone) is an unusual long bone due to its signature S-shaped curve and variability in macrostructure observed between individuals. Read More

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http://dx.doi.org/10.1111/joa.13056DOI Listing
November 2019
4 Reads

Minimally invasive plate osteosynthesis for the treatment of sternal fracture in the lower chest: a case report.

J Int Med Res 2019 Aug 31;47(8):4033-4038. Epub 2019 Jul 31.

Department of Cardiothoracic Surgery, Shijiazhuang Third Hospital, Shijiazhuang, China.

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http://dx.doi.org/10.1177/0300060519865074DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6726812PMC
August 2019
2 Reads
1.095 Impact Factor

Missed manubriosternal dislocation in patient with thoracolumbar fracture, a case report.

BMC Surg 2019 Jul 29;19(1):101. Epub 2019 Jul 29.

Department of Spine Surgery, Ningbo No.6 Hospital, No.1059, Zhongshan East Road, Ningbo, China.

Background: Spine fractures combined with sternal injury are most commonly occur in the thoracic region. Lower cervical and thoracolumbar injuries have also been reported, especially for the patients with manubriosternal dislocation. The type of spine injury is easily recognized in initial presentation, but we may miss the sternal fracture and manubriosternal dislocation. Read More

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http://dx.doi.org/10.1186/s12893-019-0564-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6664747PMC
July 2019
8 Reads

Thoracic spine Langerhans cell histiocytosis in a child with achondroplasia.

BMJ Case Rep 2019 Jul 24;12(7). Epub 2019 Jul 24.

Paediatric Neurosurgery, Royal Hospital for Sick Children, Edinburgh, UK.

Multifocal bone Langerhans cell histiocytosis (LCH) is usually treated with prednisolone and vinblastine. We present a case conservatively treated with indomethacin with good clinical and radiological response. A 7-year-old achondroplastic boy presented with worsening thoracic back pain and leg weakness. Read More

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http://dx.doi.org/10.1136/bcr-2018-228801DOI Listing
July 2019
5 Reads

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

Int J Crit Illn Inj Sci 2019 Apr-Jun;9(2):75-81

Department of Surgery, Trauma Surgery, Hamad General Hospital, Doha, Qatar.

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. Read More

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http://dx.doi.org/10.4103/IJCIIS.IJCIIS_67_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6625325PMC
July 2019
22 Reads

Traumatic retrosternal hematoma leading to extra-pericardial cardiac tamponade-Case report.

Int J Surg Case Rep 2019 27;61:30-32. Epub 2019 Jun 27.

Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia. Electronic address:

Introduction: Cardiac tamponade typically results from fluid or gas collection in the pericardial space leading to impairment in the cardiac function.

Presentation Of Case: A 34 years old male patient presented to the ER after a fall from height. X-rays were done which showed no hemothorax or pneumothorax and multiple stable pelvic fractures. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.06.055DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6627002PMC
June 2019
3 Reads

Death by Ram Attack: A Case Report from Greece and a Brief Review of the Literature.

J Forensic Sci 2019 Sep 9;64(5):1559-1562. Epub 2019 Jul 9.

Department of Forensic Medicine and Toxicology, School of Medicine, National and Kapodistrian University of Athens, 75 M. Asias Str., Athens, 11527, Greece.

A case of a ram attack that caused injuries to a 73-year-old man is presented. The deceased survived the attack and had the opportunity to speak with a friend over the phone before being transferred to the hospital. After a 21-day hospitalization, the patient passed away. Read More

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http://dx.doi.org/10.1111/1556-4029.14121DOI Listing
September 2019
2 Reads

Automobile injury trends in the contemporary fleet: Belted occupants in frontal collisions.

Traffic Inj Prev 2019 8;20(6):607-612. Epub 2019 Jul 8.

b Autoliv Research , Vårgårda , Sweden.

As vehicle safety technologies and evaluation procedures advance, it is pertinent to periodically evaluate injury trends to identify continuing and emerging priorities for intervention. This study examined detailed injury distributions and injury risk trends in belted occupants in frontal automobile collisions (10 o'clock to 2 o'clock) using NASS-CDS (1998-2015). Injury distributions were examined by occupant age and vehicle model year (stratified at pre- and post-2009). Read More

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http://dx.doi.org/10.1080/15389588.2019.1630825DOI Listing
July 2019
4 Reads

Surgical Removal of Migrated Broken Sternal Wire Using Endoscopic Assistance.

Ann Thorac Surg 2020 02 2;109(2):e107-e108. Epub 2019 Jul 2.

Division of Cardiac Surgery, Department of Surgery, Queen's University, Kingston Health Sciences Centre, Kingston, Ontario, Canada. Electronic address:

Patients undergoing sternotomy routinely undergo sternal closure with stainless steel wires. Occasionally these wires can fracture, although normally this presents no concern as the broken wire remains fixed and is not problematic. We report a case of a segment of a broken sternal wire that migrated through the pericardium onto the right ventricular. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2019.05.030DOI Listing
February 2020
4 Reads

Efficacy of nickel-titanium memory alloy in the treatment of multiple rib fracture combined with sternal fracture.

Exp Ther Med 2019 Jul 22;18(1):537-542. Epub 2019 May 22.

Department of Thoracic Surgery, Xuzhou Central Hospital, Xuzhou, Jiangsu 221000, P.R. China.

Clinical efficacy and complications of nickel-titanium memory alloy in the treatment of multiple rib fractures combined with sternal fractures was investigated. A retrospective analysis of 123 patients with multiple rib fractures combined with sternal fractures admitted to First People's Hospital of Fuzhou from January 2013 to December 2015 was performed, including study group (treated with internal fixation by the nickel-titanium memory alloy, n=68) and control group (treated with internal fixation by partial pressure bandage, n=55). Μean arterial pressure (MAP), heart rate (HR), and visual analogue pain score (VAS) of the two groups before and after treatment were compared and analyzed. Read More

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http://dx.doi.org/10.3892/etm.2019.7597DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6566122PMC
July 2019
7 Reads

Ventricular Septal Defect Closure in a Neonate with Osteogenesis Imperfecta.

Korean J Thorac Cardiovasc Surg 2019 Jun 5;52(3):162-164. Epub 2019 Jun 5.

Department of Thoracic and Cardiovascular Surgery, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.

A male patient weighing 2.5 kg was admitted for respiratory difficulty, and a large ventricular septal defect (VSD) was diagnosed. During care, sudden right leg swelling with a femur shaft fracture occurred. Read More

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http://dx.doi.org/10.5090/kjtcs.2019.52.3.162DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6559185PMC
June 2019
12 Reads

Whole-Body CT after Motor Vehicle Crash: No Benefit after High-Energy Impact and with Normal Physical Examination.

Radiology 2019 07 28;292(1):94-100. Epub 2019 May 28.

From the Departments of Radiology (D.B., M.A., M.L., Y.G., A.P.) and Emergency (J.B.), University Hospital of Rennes, 2 Rue Henri le Guilloux, 35000 Rennes, France; and Department of Radiology, University Hospital of Angers, Angers, France (C.A., A.P.).

Background Debate continues about the risks and benefits of systematic whole-body CT when no injury is clinically suspected. Risks of whole-body CT include high radiation exposure and iodine contrast agent, but its effectiveness in reducing mortality in low-risk motor vehicle crashes is unclear. Purpose To assess unsuspected injuries revealed at whole-body CT in patients following motor vehicle crash (MVC) meeting only kinetic elements of the Vittel criteria for the severity of trauma, with no evidence of trunk injury and a Glasgow Coma Scale score of 15. Read More

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http://dx.doi.org/10.1148/radiol.2019182806DOI Listing
July 2019
6 Reads

Thoracoscopy-assisted repair of comminuted sternal fracture with bioresorbable plates.

Interact Cardiovasc Thorac Surg 2019 09;29(3):478-480

Second Department of Surgery (Chest Surgery), University of Occupational and Environmental Health, Kitakyushu, Japan.

We present a case of comminuted sternal fracture with posterior displacement, which was successfully repaired by 'sandwich' fixation using 2 bioresorbable plates that were placed anterior to and posterior to the sternum. All procedures including retro-sternal dissection for placement of the posterior plate were performed using video-assisted thoracoscopic surgery. The minimally invasive thoracoscopic technique provided effective repair and rigid fixation with immediate relief from intractable chest pain that had persisted before surgery. Read More

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https://academic.oup.com/icvts/advance-article/doi/10.1093/i
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http://dx.doi.org/10.1093/icvts/ivz118DOI Listing
September 2019
22 Reads

Anterior Odontoid Screw Fixation for the Treatment of Type 2 Odontoid Fracture with a Kyphotic Angulation or an Anterior Down-slope: A Technical Note.

Neurol Med Chir (Tokyo) 2019 Aug 9;59(8):321-325. Epub 2019 May 9.

Department of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine.

Anterior odontoid screw fixation (AOSF) is difficult and challenging to perform in patients with type 2 odontoid fracture with a kyphotic angulation or an anterior down-slope. To demonstrate two surgical techniques to resolve kyphotic angulation or difficult fracture direction issues. Anterior odontoid screw fixation was performed in two patients with type 2 odontoid fracture with a kyphotic angulation or an anterior down-slope. Read More

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http://dx.doi.org/10.2176/nmc.tn.2018-0249DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6694020PMC
August 2019
8 Reads

Sternoclavicular Joint Reconstruction Fracture Risk Is Reduced With Straight Drill Tunnels and Optimized With Tendon Graft Suture Augmentation.

Orthop J Sports Med 2019 Apr 23;7(4):2325967119838265. Epub 2019 Apr 23.

Department of Orthopaedic Sports Medicine, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany.

Background: Despite the rare entity of sternoclavicular joint (SCJ) instability, a variety of different reconstruction techniques for SCJ dislocations have been described. A technique with oblique drilling has been proposed to reduce intraoperative risks.

Purpose: To biomechanically investigate different cerclage reconstruction techniques and the benefit of additional reinforcement using suture tape. Read More

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http://dx.doi.org/10.1177/2325967119838265DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6481000PMC
April 2019
25 Reads

Manubriosternal joint dislocation due to blunt force trauma.

Trauma Case Rep 2019 Jun 29;21:100187. Epub 2019 Mar 29.

Division Cardiothoracic Surgery, University of California Davis, Sacramento, CA, United States of America.

A 35-year-old woman was involved in a motor vehicle collision and suffered a manubriosternal joint dislocation with posterior subluxation of the manubrium. She underwent open reduction and internal fixation with sternal plate reconstruction. This report highlights the mechanism and management of these rare traumatic chest wall injuries. Read More

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http://dx.doi.org/10.1016/j.tcr.2019.100187DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444288PMC
June 2019
10 Reads

Mechanism of injury, injury patterns and associated injuries in patients operated for chest wall trauma.

Eur J Trauma Emerg Surg 2019 Apr 6. Epub 2019 Apr 6.

Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, Sahlgrenska University Hospital, University of Gothenburg, Per Dubbsgatan 15, 413 45, Gothenburg, Sweden.

Purpose: Chest wall injuries are common in blunt trauma and associated with significant morbidity and mortality. The aim of this study was to determine the most common mechanisms of injury (MOI), injury patterns, and associated injuries in patients who undergo surgery for chest wall trauma.

Methods: This was a retrospective study of trauma patients with multiple rib fractures and unstable thoracic cage injuries who were managed surgically at Sahlgrenska University Hospital during the period September 2010-September 2017. Read More

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http://dx.doi.org/10.1007/s00068-019-01119-zDOI Listing
April 2019
33 Reads

Sternal fractures in a level III trauma intensive care unit.

Rev Col Bras Cir 2019 Mar 21;46(1):e2059. Epub 2019 Mar 21.

Universidade de São Paulo, Faculdade de Medicina, Departamento de Cirurgia, Divisão de Cirurgia Geral e Trauma, São Paulo, SP, Brasil.

Objective: to evaluate epidemiology, anatomical characteristics, management, and prognosis of critical patients with sternum fractures.

Methods: retrospective analysis of patients admitted to intensive care unit (ICU) of a Level III trauma center in Sao Paulo, Brazil.

Results: 1552 trauma patients were admitted from January 2012 to April 2016. Read More

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http://dx.doi.org/10.1590/0100-6991e-20192059DOI Listing
March 2019
5 Reads

Epidemiologic Features of Traumatic Fractures in Children and Adolescents: A 9-Year Retrospective Study.

Biomed Res Int 2019 20;2019:8019063. Epub 2019 Feb 20.

Department of Orthopedics, General Hospital of Northern Theater Command of Chinese PLA, Shenyang, Liaoning 110016, China.

Purpose: Fractures are common among all types of paediatric injuries, with differences in incidence over time. Here, we present the epidemiologic features of traumatic fractures in a population of youth ≤ 18 years of age who were admitted to our university-affiliated hospitals from 2002 to 2010.

Methods: We retrospectively reviewed 2450 children and adolescents who had traumatic fractures. Read More

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http://dx.doi.org/10.1155/2019/8019063DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6402285PMC
July 2019
4 Reads

Car Accident With Airbag Deployment Trauma Showed Special Pattern in Bone Scan.

Clin Nucl Med 2019 May;44(5):429-430

A 72-year-old man had rectal adenocarcinoma with partial obstruction with liver and lung metastases. Bone scan showed special pattern with bony destructions to the lateral aspect of the left first to fourth and right first to 10th ribs (in a row in continuous vertical alignment), the costal end of the left second rib, the left sternoclavicular junction, and sternum. Patient recalled a car traffic accident with airbag deployment trauma to the anterior aspect of the chest about 2 months prior. Read More

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http://dx.doi.org/10.1097/RLU.0000000000002537DOI Listing
May 2019
9 Reads