Characteristics of the Sternal Fractures and Associated Injuries: A Three-year Clinical Experience Sternal Fractures and Associated Injuries

Abstract

Background

Although they constitute a small portion of thoracic trauma, sternal fractures require attention as they may be indicators of major cardiac injuries. The aim of this study is to review the diagnosis, treatment, and outcome of such patients administered to our emergency department.

Material and Methods

The archive files of the patients administered to the emergency department due to thoracic trauma and diagnosed to have sternal fractures between January 2015 and December 2017 were reviewed for age, gender, type of trauma, type of injury, associated injuries, and clinical outcome.

Results

There were 27 male, and 6 female patients. The mean age was 48.9 ± 16.50 years (20-79). The most frequent cause was vehicle accident. The sternal fracture was isolated in 13, and associated with other injuries in 20 patients. Eight of the isolated fracture patients and all of the latter were hospitalized. Six of the patients underwent tube thoracostomy, one bilateral. When the length of hospital stay is compared between the two groups, sternal fracture with associated injury patients stayed in the hospital for significantly longer periods.

 

Conclusion

Although isolated sternal fracture is benign in nature and may be treated with basic measures, when associated with other injuries, it becomes more complicated to treat, and the length of hospital stay increases significantly. 

Keywords

• Sternum Fracture,Associated Injuries

Sternum Fraktürü ve Eşlik Eden Yaralanmaların Özellikleri; Üç Yıllık Klinik Deneyim Sternum Fraktürü ve Eşlik Eden Yaralanmalar

Abstract

Amaç;

Sternum fraktürleri, göğüs travması sonrası acil serviste görülen patolojilerden küçük bir yüzdesini oluşturmasına rağmen, kardiyak yaralanmaların habercisi olabilmeleri nedeni ile tanı ve izlemleri önem taşımaktadır. Amaç bu hastaların tanı izlem ve tedavisindeki yaklaşımları tartışmaktır.

Yöntem;

Çalışma Ocak 2015 – Aralık 2017 tarihleri arasında göğüs travması sebebi ile acil servise başvuru yapan ve sternum fraktürü tanısı alan 33 hastanın demografik özellikleri ve klinik özellikleri retrospektif olarak değerlendirildi.

Bulgular;

Hastaların 27’si erkek, 6’sı kadındı. Yaş ortalaması 48.9 ± 16.50 (20-79) olarak tespit edildi. En sık görülen etiyolojik neden trafik kazası olarak bulundu. Hastaların 13’ünde izole sternum fraktürü tespit edilirken 20’sinde komplike fraktür görüldü. Eşlik eden en sık travmatik patoloji kot fraktürü olarak tespit edildi. İzole fraktürlerin 8’i hastaneye yatırılırken komplike fraktürlerin tamamının izlemi hastaneye yatırılarak tedeavisi yapıldı. Olguların 6 sına tüp torakostomi uygulandı. Hastanede yatış süreleri açısından değerlendirildiğinde komplile sternum fraktürü mevcut olan hastaların izole fraktürlere göre istatistiksel olarak anlamlı bir şekilde uzun olduğu tespit edildi .

Sonuç;

İzole sternum fraktürleri medikal yöntemlerle güvenle yönetilerek hastanede kalış süresi kısa, iyi prognozlu travmalar olarak değerlendirebilir. Eşlik eden yaralanma tespit edilen hastalarda meydana gelen patolojiler nedeniyle hem hastanede kalış süresi hem de morbiditenin arttığı kanısındayız.

Keywords

• Sternum Fraktürü,Eşlik Eden Yaralanmalar

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