Traumatic sternal fractures: a narrative review

Ilitch Diaz Gutierrez, Jesse E Doyle

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations

Abstract

Objective: Traumatic sternal fractures are injuries most commonly resulting from a direct blow to the
anterior chest wall or forced deceleration. The purpose of this review is to define the clinical significance of
these injuries, outline their initial evaluation and work up, and review current treatment strategies available
and their outcomes.
Background: The diagnosis of traumatic sternal fractures has seen a recent rise, largely due to the
increased access to computed tomography (CT) scan. Currently, there are no published guidelines to make
recommendations on operative fixation for sternal fractures. This is probably related to the lack of evidence
in published literature along with patient heterogeneity.
Methods: We conducted a non-systematic review of the English literature published from January 2000
to December 2020, including meta-analyses, systematic reviews, case series and case reports regarding the
diagnosis, treatment, and complications of traumatic sternal fractures. We critically analyzed the available
evidence to provide an overview of the treatment and clinical outcomes of traumatic sternal fractures.
Conclusion: Isolated sternal fractures are commonly benign injuries that can be managed conservatively
in an outpatient setting. Polytrauma patients with sternal fractures should be carefully screened for possible
associated injuries. Surgical stabilization of sternal fractures is feasible and safe, and should be considered in
unstable fractures, severe displacement, symptomatic malunion or non-union.
Original languageEnglish (US)
Pages (from-to)1-7
JournalMediastinum
Volume5
DOIs
StatePublished - Dec 25 2021

Keywords

  • Sternal fracture
  • sternal fixation
  • trauma

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