381 results match your criteria Imaging in Sternal Fractures


Novel roles of vibration transmittance in fracture testing.

J Cardiothorac Surg 2019 Mar 12;14(1):53. Epub 2019 Mar 12.

Metamaterials Unit, Faculty of Science, University of Malta, Msida, Malta.

This letter re-assesses a publication in the Journal of Cardiothoracic Surgery entitled 'Vibration transmittance measures sternotomy stability - a preliminary study in human cadavers.' The roles of ultrasound in testing for sternotomy stability and that of stress vibration transmittance in cases of fracture of the posterior table of the sternum or in hairline undisplaced fractures are examined in view of their differing sound wave frequency ranges. Read More

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http://dx.doi.org/10.1186/s13019-019-0884-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417125PMC
March 2019
1 Read

Clinical and radiological study of sternal fractures in pediatrics.

Radiologia 2019 Feb 23. Epub 2019 Feb 23.

Cirujano infantil, Clínica Las Condes, Santiago de Chile, Chile.

Sternal fractures are considered uncommon in pediatric patients. Classically, they have been described as fractures secondary to high-energy trauma that have a risk of associated lesions.

Objective: To describe the clinical and imaging features of sternal fractures in patients less than 18 years of age. Read More

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http://dx.doi.org/10.1016/j.rx.2019.01.004DOI Listing
February 2019

Sternal Fracture Complicated by a Subcutaneous Abscess in a 5-Year-Old Boy and Diagnosed Using Point-of-Care Ultrasound.

J Emerg Med 2019 Feb 8. Epub 2019 Feb 8.

Department of Pediatrics, Awaji Medical Center, Sumoto City, Hyogo Prefecture, Japan.

Background: Although fractures of the sternum are rare in young children, owing to the compliance of the chest wall, these fractures are still possible and require thorough examination. We present a case that emphasizes the usefulness of point-of-care ultrasound in the diagnosis of a pediatric sternal fracture complicated by a subcutaneous abscess.

Case Report: A 5-year-old boy presented with tenderness of the sternum, with diffuse swelling extending bilaterally to the anterior chest wall. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.12.040DOI Listing
February 2019
1 Read

Thoracic cage injuries.

Eur J Radiol 2019 Jan 6;110:225-232. Epub 2018 Dec 6.

Department of Radiology, University of Washington, 4245 Roosevelt Way NE, Box 354755, Seattle, WA, 98105, USA. Electronic address:

Rib fractures are the most common form of blunt thoracic injury. Multiple rib fractures are an important indicator of trauma severity, with increased morbidity and mortality occurring with increasing numbers of rib fractures, especially in the elderly. Thoracic cage injuries may be associated with concomitant and potentially life-threating injuries. Read More

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http://dx.doi.org/10.1016/j.ejrad.2018.12.003DOI Listing
January 2019
4 Reads

[CME: Significance of Thoracic Sonography in Thoracic Trauma].

Authors:
Susanne Morf

Praxis (Bern 1994) 2018 Nov;107(23):1243-1248

1 Institut für klinische Notfallmedizin, Spital Limmattal.

CME: Significance of Thoracic Sonography in Thoracic Trauma Abstract. Trauma patients should be treated according to international guidelines. Depending on the severity of the trauma, an immediate threat to life must be ruled out and sonography is part of the complementation of diagnostics. Read More

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http://dx.doi.org/10.1024/1661-8157/a003135DOI Listing
November 2018
2 Reads

Redefining the morphometry of subclavian vessels for clavicle fracture treatments.

Surg Radiol Anat 2019 Apr 3;41(4):365-372. Epub 2018 Nov 3.

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

Purpose: Clavicle fractures are common injuries in adults and children. Although neurovascular damage is rarely seen, acute subclavian artery pseudoaneurysms and injuries to subclavian vessels were reported for closed fractures of the clavicle. The aim of this study was to identify the morphological details of the subclavian vessels and their relation to the sternoclavicular joint and body of the clavicle. Read More

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http://link.springer.com/10.1007/s00276-018-2132-z
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http://dx.doi.org/10.1007/s00276-018-2132-zDOI Listing
April 2019
10 Reads

Comparison of ultrasonography and computed tomography in the determination of traumatic thoracic injuries.

Am J Emerg Med 2018 Aug 3. Epub 2018 Aug 3.

University of Health Sciences Antalya Education and Research Hospital, Department of Emergency Medicine, Antalya, Turkey.

Objective: In this study, the accuracy of bedside thoracic ultrasonography (TUSG) performed by emergency physicians with patients in the supine position was compared with that of thoracic computed tomography (TCT) for the determination of thoracic injuries due to trauma.

Methods: Patients who suffered the multiple traumas, whose thoracic trauma was identified on physical examination or TCT imaging were included in the study. TUSG was performed following a physical examination by the emergency physician who managed the trauma patient. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07356757183063
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http://dx.doi.org/10.1016/j.ajem.2018.08.002DOI Listing
August 2018
24 Reads

Uncommon cause of chest pain in a postoperative spinal patient.

Authors:
Rajesh Dwivedi

BMJ Case Rep 2018 Sep 14;2018. Epub 2018 Sep 14.

Health Care for Older People, Nottingham University Hospitals NHS Trust, Nottingham, UK.

An 84-year-old woman with previous spinal operations including vertebroplasty and lumbar decompressions was admitted electively under the spinal team for right-sided L4/5 decompression for worsening back pain which she undergoes using a posterior approach. Postoperatively, she develops stabbing upper central chest pain and given unremarkable chest X-ray, ECG and cardiac troponin, she undergoes a CT pulmonary angiogram which shows a fracture of the upper part of sternum but no pulmonary embolism. There is no history of recent trauma and this is deemed to be secondary to prolonged spinal surgery in the prone position in a patient with osteopenic bones. Read More

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http://dx.doi.org/10.1136/bcr-2018-225293DOI Listing
September 2018
4 Reads

Age Distribution and Concomitant Injuries in Pulmonary Contusion: An Analysis Based on Routine Data.

Thorac Cardiovasc Surg 2018 11 24;66(8):678-685. Epub 2018 Aug 24.

Department of Trauma and Orthopedic Surgery, University Erlangen, Erlangen, Germany.

Background: As the population ages, low-energy thoracic injuries are becoming increasingly relevant in individual injuries, particularly pulmonary contusions (PCs) and their common concomitant injuries. The objective of this study was to determine the prevalence and age distribution of thoracic trauma, especially PC, to make conclusions about common secondary diagnoses and developments in management.

Methods: A retrospective analysis of 209,820 cases, based on German routine data from the years 2009 to 2015, with a main diagnosis (MD) or secondary diagnosis (SD) of thoracic trauma (S27 according to ICD-10) was performed. Read More

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http://dx.doi.org/10.1055/s-0038-1667323DOI Listing
November 2018
14 Reads

[Lesions of the anterior chest wall-significance of additional fractures of the spine].

Unfallchirurg 2018 Aug;121(8):624-633

Unfallchirurgische Abteilung, Universitätsklinikum Erlangen, Krankenhausstr. 12, 91054, Erlangen, Deutschland.

Background: Fractures of the anterior chest wall are rare among the total number of fractures. They include sternal fractures (SF) and the adjacent cartilaginous structures of the ribs. The accident mechanism can allow conclusions to be drawn about which further accompanying injuries may be present, e. Read More

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http://dx.doi.org/10.1007/s00113-018-0529-0DOI Listing
August 2018
1 Read

[Rib fixation for flail chest after resuscitation].

Ned Tijdschr Geneeskd 2018 Jun 7;162. Epub 2018 Jun 7.

Haaglanden Medisch Centrum (locatie Westeinde), afd. Traumachirurgie, Den Haag.

Background: Rib fractures are a common complication caused by chest compressions during resuscitation. Flail chest may occur as a consequence, leading to respiratory failure.

Case Description: We present two cases in which surgical rib fixation was performed to treat flail chest after resuscitation. Read More

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June 2018
22 Reads

Blunt rupture of the thoracic duct after severe thoracic trauma.

Trauma Surg Acute Care Open 2018 20;3(1):e000183. Epub 2018 Jun 20.

Department of Surgery, CHI Health Creighton University Medical Center Bergan Mercy, Omaha, Nebraska, USA.

A 53-year-old man was admitted to our trauma center after sustaining thoracoabdominal injuries, secondary to a rear-end motor vehicle collision. As he stepped out of his vehicle, he was struck by a tractor trailer at 55 mph. The following were the initial vital signs on his arrival: heart rate 140 beats/min, blood pressure 142/80 mm Hg, respiratory rate 28 breaths/min, temperature 36. Read More

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http://dx.doi.org/10.1136/tsaco-2018-000183DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6018842PMC
June 2018
20 Reads

Giant Uterine Leiomyoma in a Young Woman as an Incidental Finding After a Car Accident: a Case Report.

Acta Medica (Hradec Kralove) 2018;61(1):29-32

Department of Gynecology and Obstetrics, Faculty Hospital in Žilina, Slovakia.

Leiomyomas are the most common benign tumor of the uterus. Occasionally, they may reach an extreme dimension. The authors present a case of a 44-year old woman, who suffered a car accident as a driver of personal motor vehicle. Read More

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http://dx.doi.org/10.14712/18059694.2018.20DOI Listing
November 2018
2 Reads

Cardiac findings of sternal fractures due to thoracic trauma: A five-year retrospective study.

Ulus Travma Acil Cerrahi Derg 2018 May;24(3):249-254

Department of Chest Surgery, Hitit University Çorum Training and Research Hospital, Çorum-Turkey.

Background: This study mainly aimed to determine the frequency of sternal fractures in thoracic trauma patients and to assess the differences in surgical need, cardiac findings, and treatment processes between patients with fracture on different sternal zones and displaced and non-displaced sternal fractures.

Methods: We analyzed the data of patients with sternal fracture due to thoracic trauma admitted to a state hospital between January 2011 and December 2015. Patient data comprised demographics, trauma characteristics, clinical findings, and treatment process. Read More

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http://dx.doi.org/10.5505/tjtes.2017.01336DOI Listing
May 2018
18 Reads

Thoracic trauma in fatal falls from height - Traumatic pneumopericardium correlates with height of fall and severe injury.

Forensic Sci Med Pathol 2018 06 3;14(2):188-193. Epub 2018 May 3.

Department of Forensic Medicine and Imaging, Institute of Forensic Medicine, University of Zurich, Winterthurerstrasse 190/52, CH-8057, Zurich, Switzerland.

Pneumopericardium (PPC) describes the collection of gas in the pericardial sac. In tension Pneumopericardium (tPPC), this collection of gas may lead to cardiac tamponade. PPC following blunt trauma is considered a rare finding, as reflected by the low number of case reports on the topic. Read More

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http://dx.doi.org/10.1007/s12024-018-9977-7DOI Listing
June 2018
10 Reads

Early Surgical Reconstruction of Sternum with Longitudinal Rigid Polymer Plating after Acute Chest Trauma.

Ann Thorac Cardiovasc Surg 2018 Dec 27;24(6):324-327. Epub 2018 Feb 27.

Department of Cardiovascular Surgery, Sanger Heart & Vascular Institute, Charlotte, NC, USA.

Purpose: The surgical management of the patients with traumatic sternal fractures remains controversial. The aim of this study was to evaluate the effectiveness of an early surgical reconstruction of a displaced sternal fracture utilizing longitudinal rigid polymer fixation in the settings of an acute chest trauma.

Methods: To perform the sternal fixation, we utilized a longitudinal rigid plating system. Read More

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https://www.jstage.jst.go.jp/article/atcs/24/6/24_cr.17-0015
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http://dx.doi.org/10.5761/atcs.cr.17-00156DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6300427PMC
December 2018
12 Reads
0.690 Impact Factor

Scapular Fractures in the Pan-scan Era.

Acad Emerg Med 2018 Jul 25;25(7):738-743. Epub 2018 May 25.

Department of Emergency Medicine, The University of California San Francisco, San Francisco, CA.

Background: Scapular fractures have been traditionally taught to be associated with significant injuries and major morbidity. As we demonstrated with sternal fracture, pulmonary contusion, and rib fracture, increased chest computed tomography (CT) utilization and head-to-pelvis CT (pan-scan) protocols in blunt trauma evaluation, however, may diagnose minor, clinically irrelevant scapular fractures, possibly rendering previous teachings obsolete.

Objectives: The objectives were to determine the 1) percentages of scapular fractures seen on chest CT only (SOCTO) versus seen on both chest x-ray (CXR) and CT and of isolated scapular fracture (scapular fracture without other thoracic injuries); 2) frequencies of associated thoracic injury with scapular fracture; and 3) proportion of patients admitted, mortality, hospital length of stay, and injury severity scores (ISS), comparing four patient groups: scapular fracture, nonscapular fracture, scapular fracture SOCTO, and isolated scapular fracture. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1111/acem.13377
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http://dx.doi.org/10.1111/acem.13377DOI Listing
July 2018
19 Reads

Insufficiency Fractures at Unusual Sites: A Case Series.

J Orthop Case Rep 2017 Jul-Aug;7(4):76-79

Department of Orthopaedics, Indraprastha Apollo Hospital, Sarita Vihar, New Delhi, India.

Introduction: Insufficiency fractures (IFs) are a subtype of stress fractures commonly associated with osteoporosis and Vitamin D deficiency. These nontraumatic fractures often occur in the pelvis and spine, but the involvement of other unusual sites is also not very uncommon. Plain radiographs and magnetic resonance imaging scan are the most commonly used imaging modalities for the diagnosis of IF. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.862DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5702713PMC
November 2017
8 Reads

Chest compression-related fatal internal mammary artery injuries manifesting after venoarterial extracorporeal membrane oxygenation: a case series.

J Med Case Rep 2017 Nov 11;11(1):318. Epub 2017 Nov 11.

Tertiary Emergency Medical Center, Tokyo Metropolitan Bokutoh Hospital, 4-23-15 Kotobashi, Sumida-ku, Tokyo, 130-8575, Japan.

Background: Cardiopulmonary resuscitation-related bleeding, especially internal mammary artery injuries, can become life-threatening complications after initiating venoarterial extracorporeal membrane oxygenation owing to the frequent involvement of concomitant anticoagulant treatment, antiplatelet treatment, targeted temperature management, and bleeding coagulopathy. We report the cases of five patients who experienced this complication and discuss their management.

Case Presentation: We retrospectively evaluated five patients with cardiopulmonary resuscitation-related internal mammary artery injuries who were treated between February 2011 and February 2016 at our institution. Read More

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http://dx.doi.org/10.1186/s13256-017-1485-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5681756PMC
November 2017
18 Reads

Use of whole body CT to detect patterns of CPR-related injuries after sudden cardiac arrest.

Eur Radiol 2018 Oct 9;28(10):4122-4127. Epub 2017 Nov 9.

Department of Radiology, University of Washington, 1959 N.E. Pacific Street, Seattle, WA, 98195-7117, USA.

Aims And Objectives: We have recently implemented a dedicated sudden cardiac arrest (SCA) - whole-body computed tomography (WBCT) protocol to evaluate SCA patients with return of spontaneous circulation (ROSC) following cardiopulmonary resuscitation (CPR). The aim of this study is to evaluate the number and pattern of CPR-related injuries in ROSC patients with SCA-WBCT.

Methods And Materials: Single-centre retrospective review of 39 patients (13 female; 20 male, mean age 51. Read More

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http://dx.doi.org/10.1007/s00330-017-5117-0DOI Listing
October 2018
9 Reads

The Operative Management of Flail Chest Injuries with Concomitant Sternal Fracture.

Chirurgia (Bucur) 2017 Sept-Oct;112(5):573-593

Flail Chest Injuries (FCI) are one of the most severe thoracic injuries. Moreover, an additional sternal fracture (SF) even worsens the outcome, such as the duration of mechanical ventilation, therefore an surgical fixation of the fractures could be considered in certain cases to improve the weaning from the ventilator. This paper aims to emphasize on the management of different types of SF in FCI. Read More

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http://dx.doi.org/10.21614/chirurgia.112.5.573DOI Listing
March 2018
6 Reads

Analysis on the Age Distribution of Sternum Fractures.

Thorac Cardiovasc Surg 2018 11 27;66(8):670-677. Epub 2017 Oct 27.

Department of Pediatric Surgery, University Hospital Erlangen, Germany.

Background: Sternum fractures (SFs) are described as a rare entity of bony fractures. Various accident mechanisms may cause SF such as the direct impact of traffic accidents and also by indirect mechanisms within the framework of falls. Osteoporotic fractures also play an increasing role in SF, but no reliable data on the age distribution of SF in a representative collective have been published so far. Read More

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http://dx.doi.org/10.1055/s-0037-1607305DOI Listing
November 2018
6 Reads

Chest wall - underappreciated structure in sonography. Part I: Examination methodology and ultrasound anatomy.

J Ultrason 2017 Sep 29;17(70):197-205. Epub 2017 Sep 29.

Self-education Sonography Group, Genetics Division, Pomeranian Medical University, Szczecin, Poland.

Chest wall ultrasound has been awarded little interest in the literature, with chest wall anatomy described only in limited extent. The objective of this study has been to discuss the methodology of chest wall ultrasound and the sonographic anatomy of the region to facilitate professional evaluation of this complex structure. The primarily used transducer is a 7-12 MHz linear one. Read More

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http://dx.doi.org/10.15557/JoU.2017.0029DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5647615PMC
September 2017
20 Reads

Frequency and influencing factors of cardiopulmonary resuscitation-related injuries during implementation of the American Heart Association 2010 Guidelines: a retrospective study based on autopsy and postmortem computed tomography.

Int J Legal Med 2017 Nov 13;131(6):1655-1663. Epub 2017 Sep 13.

Department of Forensic Medicine, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.

Aim: To determine the frequency of cardiopulmonary resuscitation (CPR)-related injuries and factors involved in their occurrence, data based on forensic autopsy and postmortem computed tomography (PMCT) during implementation of the 2010 American Heart Association Guidelines for CPR were studied.

Methods: We retrospectively evaluated data on adult patients with non-traumatic deaths who had undergone manual CPR and autopsy from January 2012 to December 2014. CPR-related injuries were analyzed on autopsy records and PMCT images and compared with results of previous studies. Read More

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http://link.springer.com/10.1007/s00414-017-1673-8
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http://dx.doi.org/10.1007/s00414-017-1673-8DOI Listing
November 2017
21 Reads

Sternal Fracture in Children: Diagnosis by Ultrasonography.

European J Pediatr Surg Rep 2017 Jan 31;5(1):e39-e42. Epub 2017 Aug 31.

Department of Pediatric Surgery, University Children's Hospital of Basel (UKBB), Basel, Switzerland.

Because of its subcutaneous location, the sternum can be examined sonographically using a linear scanner. We report about two children who experienced blunt chest trauma. Anterior-posterior chest X-rays were normal. Read More

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http://dx.doi.org/10.1055/s-0037-1606197DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5578814PMC
January 2017
2 Reads

SGEM Hot Off the Press: Delayed complications of sternal fractures.

CJEM 2017 09 24;19(5):392-397. Epub 2017 Aug 24.

‡Department of Emergency Medicine,University of Calgary,Calgary,AB.

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http://dx.doi.org/10.1017/cem.2017.374DOI Listing
September 2017

Stairlike fracture of the sternum.

CMAJ 2017 07;189(27):E914

Departments of Radiology (Sade) and Thoracic Surgery (Aydin), Ataturk University, Medical Faculty, Erzurum, Turkey

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http://dx.doi.org/10.1503/cmaj.161344DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5505759PMC
July 2017
3 Reads

Anatomical variations of the sternal angle and anomalies of adult human sterna from the Galloway osteological collection at Makerere University Anatomy Department.

Folia Morphol (Warsz) 2017 Mar 29. Epub 2017 Mar 29.

Background: Anatomical variations of the sternal angle and anomalies of the sternum are unique happenings of major clinical significance.It is known that misplaced sternal angles may lead to inaccurate counting of ribs and create challenges with intercostal nerve blocks and needle thoracostomies. Sternal foramina may pose a great hazard during sternal puncture, due to inadvertent cardiac or great vessel injury. Read More

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https://journals.viamedica.pl/folia_morphologica/article/vie
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http://dx.doi.org/10.5603/FM.a2017.0026DOI Listing
March 2017
19 Reads
1 Citation
0.524 Impact Factor

Efficacy analysis of a novel sternoclavicular hook plate for treatment of unstable sternoclavicular joint dislocation or fracture.

J Orthop Surg (Hong Kong) 2017 01;25(1):2309499016684488

Taizhou Hospital of Zhejiang Province, Linhai, Zhejiang, China.

Purpose: Sternoclavicular joint is an amphiarthrodial joint formed by the clavicle and sternal manubrium. This joint becomes chronically unstable in case of a medial clavicle dislocation or fracture, and improper treatment could cause malformation and pain. We aimed to determine the efficacy of a novel sternoclavicular hook plate for treatment of unstable sternoclavicular joint dislocation or fracture. Read More

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http://dx.doi.org/10.1177/2309499016684488DOI Listing
January 2017
13 Reads

Sternal stress fracture in a middle-aged woman.

BMJ Case Rep 2017 Feb 7;2017. Epub 2017 Feb 7.

Department of Family and Sports Medicine, University of North Carolina at Chapel Hill, Greensboro, North Carolina, USA.

A middle-aged premenopausal woman presented with 3 months of right chest wall pain after beginning a new weight training programme. Examination was significant only for mild-to-moderate tenderness to palpation over the right pectoral muscle and sternoclavicular joint. In-office musculoskeletal ultrasound scan, chest X-ray and shoulder X-rays were unremarkable. Read More

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http://dx.doi.org/10.1136/bcr-2016-218203DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5307278PMC
February 2017
3 Reads

[Fracture-separation of the medial clavicular epiphysis: about 6 cases and review of the literature].

Pan Afr Med J 2016 22;25:19. Epub 2016 Sep 22.

Service d'Orthopédie-Traumatologie de l'Hôpital Général de Grand Yoff, Dakar, Sénégal.

This study aims to describe the epidemiological characteristics and the different anatomo-clinical entities of the fracture-separation of the medial clavicular epiphysis but also to relate the morphological and functional results of bloody reduction followed by osteosuture using non absorbable thread. Five boys and one girl (mean age 14 years) showed a closed and isolated shoulder girdle trauma. Clinical examination and medical imaging, especially CT scan, allowed the diagnosis of epiphyseal separation and to classify the degree of medial clavicular epiphysiseal ossification indicating the direction of displacement as well as the nature of displacement according to the Salter-Harris classification. Read More

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http://dx.doi.org/10.11604/pamj.2016.25.19.8787DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5268753PMC
March 2017
14 Reads

Investigation of complications secondary to chest compressions before and after the 2010 cardiopulmonary resuscitation guideline changes by using multi-detector computed tomography: a retrospective study.

Scand J Trauma Resusc Emerg Med 2017 Jan 26;25(1). Epub 2017 Jan 26.

Department of Emergency Medicine, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, 120-752, Seoul, Republic of Korea.

Background: The purpose of this study was to identify the relationship between the deeper and faster chest compressions suggested by the 2010 cardiopulmonary resuscitation guidelines and complications arising from chest compressions, using multi-detector computed tomography.

Methods: We performed a retrospective analysis of prospective registry data. This study was conducted with in- and out-of-hospital cardiac arrest patients who underwent successful resuscitation in the emergency departments of two academic tertiary care centres from October 2006 to September 2010 (pre-2010 group) and from October 2011 to September 2015 (post-2010 group). Read More

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http://dx.doi.org/10.1186/s13049-017-0352-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5267458PMC
January 2017
6 Reads

Chest wall stabilization in ventilator-dependent traumatic flail chest patients: who benefits?

Eur J Cardiothorac Surg 2017 04;51(4):696-701

Division of General Thoracic Surgery, University Hospital Bern/Inselspital, Bern, Switzerland.

Objectives: Traumatic flail chest is a potentially life threatening injury, often associated with prolonged invasive mechanical ventilation and intensive care unit stay. This study evaluates the usefulness and cost-effectiveness of surgical rib stabilization in patients with flail chest resulting in ventilator dependent respiratory insufficiency.

Methods: A retrospective study on a consecutive series of patients with flail chest with the need for mechanical ventilation was performed. Read More

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http://dx.doi.org/10.1093/ejcts/ezw365DOI Listing
April 2017
33 Reads
3 Citations
3.304 Impact Factor

The unstable thoracic cage injury: The concomitant sternal fracture indicates a severe thoracic spine fracture.

Injury 2016 Nov 29;47(11):2465-2472. Epub 2016 Aug 29.

Department of Trauma Surgery, University Hospital Zürich, Switzerland.

Introduction: The thoracic cage is an anatomical entity composed of the upper thoracic spine, the ribs and the sternum. The aims of this study were primarily to analyse the combined injury pattern of thoracic cage injuries and secondarily to evaluate associated injuries, trauma mechanism, and clinical outcome. We hypothesized that the sternal fracture is frequently associated with an unstable fracture of the thoracic spine and that it may be an indicator for unstable thoracic cage injuries. Read More

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http://dx.doi.org/10.1016/j.injury.2016.08.026DOI Listing
November 2016
6 Reads

Small female rib cage fracture in frontal sled tests.

Traffic Inj Prev 2017 01 3;18(1):77-82. Epub 2016 Jun 3.

a University of Virginia , Center for Applied Biomechanics , Charlottesville , Virginia.

Objectives: The 2 objectives of this study are to (1) examine the rib and sternal fractures sustained by small stature elderly females in simulated frontal crashes and (2) determine how the findings are characterized by prior knowledge and field data.

Methods: A test series was conducted to evaluate the response of 5 elderly (average age 76 years) female postmortem human subjects (PMHS), similar in mass and size to a 5th percentile female, in 30 km/h frontal sled tests. The subjects were restrained on a rigid planar seat by bilateral rigid knee bolsters, pelvic blocks, and a custom force-limited 3-point shoulder and lap belt. Read More

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http://dx.doi.org/10.1080/15389588.2016.1193599DOI Listing
January 2017
9 Reads

Areal and volumetric bone mineral density and risk of multiple types of fracture in older men.

Bone 2016 11 20;92:100-106. Epub 2016 Aug 20.

Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, United States. Electronic address:

Although many studies have examined the association between low bone mineral density (BMD) and fracture risk in older men, none have simultaneously studied the relationship between multiple BMD sites and risk of different types of fractures. Using data from the Osteoporotic Fractures in Men study, we evaluated the association between areal BMD (aBMD) by dual-energy X-ray absorptiometry (DXA) and volumetric BMD (vBMD) by quantitative computed tomography (QCT) measurements, and different types of fractures during an average of 9.7years of follow-up. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5056840PMC
http://dx.doi.org/10.1016/j.bone.2016.08.014DOI Listing
November 2016
14 Reads

Anatomic Study of Anterior Transdiscal Axial Screw Fixation for Subaxial Cervical Spine Injuries.

Medicine (Baltimore) 2016 Aug;95(31):e3723

From the Department of Spinal Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China.

Anterior transdiscal axial screw (ATAS) fixation is an alternative or supplement to the plate and screw constructs for the upper cervical spine injury. However, no existing literatures clarified the anatomic feasibility of this technique for subaxial cervical spine. Therefore, the objective of this study was to evaluate the anatomical feasibility and to establish guidelines for the use of the ATAS fixation for the subaxial cervical spine injury. Read More

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http://dx.doi.org/10.1097/MD.0000000000003723DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4979770PMC
August 2016
10 Reads

Traumatic sternal segment dislocation in a 3-year-old girl: Sonographic findings.

J Clin Ultrasound 2017 Jan 21;45(1):45-49. Epub 2016 Jul 21.

Department of Medical Imaging, CHU Sainte-Justine, University of Montreal, 3175 Cote Sainte-Catherine, Montreal, Canada, H3T 1C5.

Sternal fractures are uncommon in the pediatric population, and sternal segment dislocations are even rarer with only a few cases reported in the literature. Most cases are secondary to direct trauma to the chest, but nontraumatic dislocations have been reported. The diagnosis can be difficult to establish with standard radiographs, while CT is not desirable in the pediatric population due to the associated irradiation. Read More

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http://dx.doi.org/10.1002/jcu.22378DOI Listing
January 2017
4 Reads

A runaway sternal wire: A rare case and outcome of sternal wire intravascular embolization.

J Cardiol Cases 2016 Oct 14;14(4):100-102. Epub 2016 Jun 14.

Queens Medical Center, University of Hawaii John A Burns School of Medicine, Honolulu, HI, USA.

We present a case of a 56-year-old man with history of coronary artery disease and prior two coronary bypass surgeries, who presented with chronic chest pain and was found to have a fractured sternal wire that migrated through the right ventricle and embolized to the right lower pulmonary artery without evident hemodynamic consequences. The sternal wire migration process, in part due to patient's poor medical compliance, was captured on serial computed tomography scans over a period of several years. < Recognize potential sternotomy complications on imaging. Read More

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http://dx.doi.org/10.1016/j.jccase.2016.05.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262091PMC
October 2016
1 Read

Aortic intimal separation resulting from manual cardiopulmonary resuscitation-completing the spectrum of blunt thoracic aortic injury complicating CPR.

Int J Legal Med 2016 Nov 30;130(6):1581-1585. Epub 2016 May 30.

Division of Anatomical Pathology, QEII Health Sciences Centre and Dalhousie University, Dr. D.J. Mackenzie Bldg, Rm 736, 5788 University Ave, Halifax, Nova Scotia, B3H 2Y9, Canada.

Blunt thoracic aortic injury (BTAI) resulting from cardiopulmonary resuscitation (CPR) is rarely reported and most reports are of aortic rupture. Clinical reports have also documented aortic dissection and intramural hematomas with sequential imaging showing the development of these aortic injuries after the administration of CPR, suggesting that non-transmural aortic injury may also result from CPR. We report partial separation of an aortic intimal atheromatous plaque as a component injury in a case with multiple complications of manual CPR. Read More

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http://dx.doi.org/10.1007/s00414-016-1377-5DOI Listing
November 2016
2 Reads

Bilateral Subpectoral Interfascial Plane Catheters for Analgesia for Sternal Fractures: A Case Report.

Reg Anesth Pain Med 2016 Sep-Oct;41(5):607-9

From the *Department of Anesthetics, Frimley Park Hospital, Surrey; and †Hampshire Hospitals NHS Trust, Winchester, Hampshire, United Kingdom.

Objectives: Sternal fractures occur after deceleration injuries such as falls and road traffic accidents. Recovery from isolated fractures is excellent, but mortality increases dramatically with concurrent chest injuries such as rib fractures and soft tissue injuries. Short-term complications include chest pain, which prevents patients from taking deep breaths and coughing, thereby predisposing them to chest infections. Read More

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http://dx.doi.org/10.1097/AAP.0000000000000388DOI Listing
March 2017
5 Reads

Nonoperative Management of a Large Extrapleural Hematoma after Blunt Chest Trauma.

J Emerg Med 2016 Aug 25;51(2):159-63. Epub 2016 Apr 25.

Department of Thoracic Surgery, Ramón y Cajal University Hospital, Madrid, Spain.

Background: An extrapleural hematoma (EH) is an uncommon and potentially life-threatening condition defined as the accumulation of blood in the extrapleural space between the parietal pleura and the endothoracic fascia. EH usually occurs after blunt thoracic trauma causing fractures of the sternum and ribs, which can tear the intercostal or internal mammary vessels. Typical radiological findings of EH are a biconvex opacity on the involved hemithorax and the so-called displaced "extrapleural fat sign. Read More

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http://dx.doi.org/10.1016/j.jemermed.2016.02.027DOI Listing
August 2016
5 Reads
1.180 Impact Factor

[The application of osteoscintigraphy in forensic medical practice for the detection and differentiation of bone fractures in the living human].

Sud Med Ekspert 2016 Mar-Apr;59(2):37-39

Federal state budgetary institution 'Russian Centre of Forensic Medical Expertise', Russian Ministry of Health, Moscow, Russia, 125284.

This paper is designed to present an example from the domestic expert practice with the successful application of the radionuclide technique to visualize the bone lesions in a victim of a traffic accident having concomitant pathology of the osseous-articular apparatus (Scheuermann-Mau disease). The use of the osteoscintigraphic method made it possible not only to confirm the injury to the spinal column and the sternum but also to ensure its differential diagnostics from the concurrent pathology. Also, the method allowed to detect the exact location of the fractures. Read More

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http://dx.doi.org/10.17116/sudmed201659237-39DOI Listing
August 2016
7 Reads

Manubrial stress fractures diagnosed on MRI: report of two cases and review of the literature.

Skeletal Radiol 2016 Jun 15;45(6):833-7. Epub 2016 Mar 15.

Mallinckrodt Institute of Radiology, Musculoskeletal Section, Washington University School of Medicine, 510 S. Kingshighway Boulevard, Campus Box 8131, St Louis, MO, 63110, USA.

In contrast to widely-reported sternal insufficiency fractures, stress fractures of the sternum from overuse are extremely rare. Of the 5 cases of sternal stress fracture published in the English-language medical literature, 3 were in the sternal body and only 2 were in the manubrium. We describe two cases of manubrial stress fracture related to golf and weightlifting, and present the first report of the MR findings of this injury. Read More

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http://dx.doi.org/10.1007/s00256-016-2357-zDOI Listing
June 2016
1 Read

Bilateral sternoclavicular joint dislocation due to sternal fracture: Is it a dislocation or a separation?

Arch Orthop Trauma Surg 2016 May 5;136(5):605-8. Epub 2016 Mar 5.

Department of Orthopaedic Surgery, Konyang University College of Medicine, 158 Gwanjeodong-ro, Seo-Gu, Daejeon, Republic of Korea.

Traumatic bilateral sternoclavicular joint dislocation is very rare injury. In shoulder girdle injuries, anterior dislocation of the sternoclavicular joint accounts for 3 % and posterior sternoclavicular joint dislocation is lesser. Previous reported cases about bilateral sternoclavicular joint dislocation were result from proximal clavicle fracture with intact connection between sternum and ribs. Read More

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http://dx.doi.org/10.1007/s00402-016-2433-9DOI Listing
May 2016
8 Reads
1.310 Impact Factor

Anatomic variations of sternum may mimic traumatic complications.

Am J Emerg Med 2016 Sep 26;34(9):1912.e1-2. Epub 2016 Jan 26.

Gata Medical Faculty, Department of Radiology, Ankara, Turkey.

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http://dx.doi.org/10.1016/j.ajem.2016.01.026DOI Listing
September 2016
3 Reads

This diagnosis is nothing to sneeze at!

Surgery 2016 08 10;160(2):523-4. Epub 2016 Feb 10.

Department of Surgery, Mayo Clinic, Rochester, MN.

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http://dx.doi.org/10.1016/j.surg.2015.12.023DOI Listing
August 2016
2 Reads

Manubriosternal dislocation with spinal fracture: A rare cause for delayed haemothorax.

Chin J Traumatol 2015 ;18(4):245-8

Spine Room 1408, Hinduja Clinic, PD Hinduja National Hospital and MRC, Mahim, Mumbai, Maharashtra 400016, India.

Type 2 manubriosternal dislocations with concomitant spinal fracture are rare and may be associated with thoracic visceral injuries. The complication of delayed haemothorax has not been reported yet. We report a case of a young male who suffered manubriosternal dislocation with chance type thoracic spine fracture due to fall of a tree branch over his back. Read More

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January 2017
6 Reads

Ultrasound of Sternal Fracture.

West J Emerg Med 2015 Dec 8;16(7):1057-8. Epub 2015 Dec 8.

University of California, Irvine, Department of Emergency Medicine, Irvine, California.

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http://dx.doi.org/10.5811/westjem.2015.9.28645DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4703187PMC
December 2015
3 Reads

Occult Sternal Fractures Identified by Bone Scintigraphy Occult Sternal Fractures.

Am Surg 2015 Dec;81(12):E424-5

Division of Surgical Critical Care, Department of Surgery, The Long Island Comprehensive Trauma Center, Nassau University Medical Center, East Meadow, New York, USA.

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December 2015
3 Reads