Isolated sternal fracture: an audit of 10 years' experience

G. J. Peek, R. K. Firmin

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Abstract

We have reviewed 162 consecutive cases of sternal fracture admitted to the Leicester Royal Infirmary over a 10 year period. There were no incidences of cardiogenic shock or arryhthmia developing in patients who had sustained an isolated sternal fracture, irrespective of the aetiology. There were three deaths, three ITU admissions and one arryhthmia, all occurring in patients with severe thoracic injuries, or other associated injury. Our series confirms the observations of other authors, that patients with isolated sternal fractures, especially those sustained by car occupants wearing seatbelts, do not develop myocardial pump failure or arryhthmias as a late or occult phenomenon and can often be discharged home if there is no clinical evidence of cardiac failure and a 12-lead ECG is normal.

Original languageEnglish (US)
Pages (from-to)385-388
Number of pages4
JournalInjury
Volume26
Issue number6
DOIs
Publication statusPublished - Jul 1995

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ASJC Scopus subject areas

  • Emergency Medicine
  • Orthopedics and Sports Medicine

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