Abstract
Keywords
References
- Brookes JG, Dunn RJ, Rogers IR. Sternal fractures: a retrospective analysis of 272 cases. J Trauma 1993;35:46–54
- Roy-Shapira A, Levi I, Khoda J. Sternal fractures: a red flag or a red herring? J Trauma 1994;37:59–61
- Porter RS, Zhao N. Patterns of injury in belted presenting to a trauma center after motor vehicle crash: seat belt syndrome revisited. Ann Emerg Med 1998;32:418– 424 individuals
- Hills MW, Delprado AM, Deane SA. Sternal fractures: associated injuries and management. J Trauma 1993;35:55-60
- Bilgin M, Akçalı Y, Hasdıraz L, et al. Isolated sternal fractures: a hallmark of violent injury. Türk Göğüs Kalp Damar Cer Derg 2009;17:33-35
- Richardson JD, Grover FL, Trinkle JK. Early operative management of isolated sternal fractures. J Trauma 1975; 15:156- 158
- Crestanello JA, Samuels LE, Kaufman MS, et al. Sternal fracture with mediastinal cardiopulmonary sequelae. J Trauma 1999;47:161–164 delayed
- Saab M, Kurdy NM, Birkinshaw R. Widening of the mediastinum following a sternal fracture. Int J Clin Pract 1997;51:256–257
- Velissaris T, Tang AT, Patel A, et al. Traumatic sternal fracture: outcome following admission to a Thoracic Surgical Unit. Injury 2003;34:924-927
- Celik B, Sahin E, Nadir A, et al. Sternum fractures and effects of associated injuries. 2009;57:468-471. Surg.
- Odell JA. Trauma to the chest wall and thoracic vertebrae. In Westaby ST, Odell JA, editors, Cardiothoracic Trauma, London: Arnold, 1999. p:247-266
- Rehring TF, Winter CB, Chambers JA, et al. complicating blunt sternal fracture. J Trauma 1999;47:594–596 mediastinitis
- Kao CL, Chang JP, Chang CH. Acute mediastinal tamponade secondary to blunt 2000;48:157–158 J Trauma
- Chiu WC, D'Amelio LF, Hammond JS. Sternal fractures in blunt chest trauma: a practical algorithm for management. Am J Emerg Med 1997;15:252-255
- Gouldman JW, Miller RS. Sternal fracture: a benign entity? Am Surg 1997;63:17-19
- Athanassiadi K, Gerazounis M, Moustardas M, et al. Sternal Fractures: Retrospective Analysis of 100 Cases. World J Surg 2002;26:1243–1246
Abstract
Amaç: Sternum fraktürleri (SF) seyrek rastlanmakla birlikte ciddi mediastinal yaralanma ile birlikte
görülebildiğinden önemli bir morbidite ve mortalite nedenidir. Bu çalıșmada künt travmaya
bağlı gelișen sternum fraktürlerinde etyolojik nedenlerin belirlenmesi ve prognozda etkili
faktörlerin incelenmesi amaçlanmıștır.
Materyal ve Metod: 2003 ile 2009 yılları arasında kliniğimizde künt travma sonucu sternum
fraktürü tanısı ile tedavi edilen 55 hasta incelendi.
Bulgular: Hastaların 40’ı erkek (%72.7), 15’i (%27.3) kadındı. Yaș ortalaması 38.32±11.88 olarak
hesaplandı (19-64). En sık rastlanan etyolojik neden trafik kazası olarak belirlendi. Ancak hastalardan
sadece 4’ünde emniyet kemerine bağlı SF gözlendi. İkinci en sık travma nedeni darp
olarak belirlendi. Hastalardan 18’inde izole (%32.7), 37’inde komplike (%67.3) SF saptandı. İzole
SF saptanan 18 hastadan sadece 6’sı hospitalize edildi. Eșlik eden travmatik patolojisi olan hastaların
tamamı yatarak tedavi edildi. Hastalardan 4’ünde pnömotoraks, 6’sında
hemopnömotoraks saptandı ve tüp torakostomi ile tedavi edildi. İzole SF veya sadece toraks
patolojisi ile birlikte SF nedeniyle hastanede yatarak tedavi edilen hastaların, kafa travması
ve/veya extremite fraktürü olan hastalara göre istatistiksel olarak anlamlı șekilde daha kısa yatıș
süresine sahip olduğu görüldü (p < 0.05).
Sonuç: İzole SF benign bir antite olarak değerlendirilebilir ve ayaktan tedavi edilebilen bir durumdur.
Ancak genel vücut travması ile birlikte SF, travmanın șiddetinin yüksek olduğunu gösterir
ve dikkatli izlem ve tedavi gerektirir.
Keywords
References
- Brookes JG, Dunn RJ, Rogers IR. Sternal fractures: a retrospective analysis of 272 cases. J Trauma 1993;35:46–54
- Roy-Shapira A, Levi I, Khoda J. Sternal fractures: a red flag or a red herring? J Trauma 1994;37:59–61
- Porter RS, Zhao N. Patterns of injury in belted presenting to a trauma center after motor vehicle crash: seat belt syndrome revisited. Ann Emerg Med 1998;32:418– 424 individuals
- Hills MW, Delprado AM, Deane SA. Sternal fractures: associated injuries and management. J Trauma 1993;35:55-60
- Bilgin M, Akçalı Y, Hasdıraz L, et al. Isolated sternal fractures: a hallmark of violent injury. Türk Göğüs Kalp Damar Cer Derg 2009;17:33-35
- Richardson JD, Grover FL, Trinkle JK. Early operative management of isolated sternal fractures. J Trauma 1975; 15:156- 158
- Crestanello JA, Samuels LE, Kaufman MS, et al. Sternal fracture with mediastinal cardiopulmonary sequelae. J Trauma 1999;47:161–164 delayed
- Saab M, Kurdy NM, Birkinshaw R. Widening of the mediastinum following a sternal fracture. Int J Clin Pract 1997;51:256–257
- Velissaris T, Tang AT, Patel A, et al. Traumatic sternal fracture: outcome following admission to a Thoracic Surgical Unit. Injury 2003;34:924-927
- Celik B, Sahin E, Nadir A, et al. Sternum fractures and effects of associated injuries. 2009;57:468-471. Surg.
- Odell JA. Trauma to the chest wall and thoracic vertebrae. In Westaby ST, Odell JA, editors, Cardiothoracic Trauma, London: Arnold, 1999. p:247-266
- Rehring TF, Winter CB, Chambers JA, et al. complicating blunt sternal fracture. J Trauma 1999;47:594–596 mediastinitis
- Kao CL, Chang JP, Chang CH. Acute mediastinal tamponade secondary to blunt 2000;48:157–158 J Trauma
- Chiu WC, D'Amelio LF, Hammond JS. Sternal fractures in blunt chest trauma: a practical algorithm for management. Am J Emerg Med 1997;15:252-255
- Gouldman JW, Miller RS. Sternal fracture: a benign entity? Am Surg 1997;63:17-19
- Athanassiadi K, Gerazounis M, Moustardas M, et al. Sternal Fractures: Retrospective Analysis of 100 Cases. World J Surg 2002;26:1243–1246
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Articles |
| Authors | |
| Publication Date | February 1, 2012 |
| Published in Issue | Year 2012 Volume: 65 Issue: 2 |