Surgical Treatment of Sternal Fracture: Case Report and Literature Review

Orlando Téllez-Almenares, MD, MSc
Saturnino Lora Provincial Hospital, Santiago de Cuba, Cuba; University of Medical Sciences of Santiago de Cuba, Santiago de Cuba, Cuba;
E-mail: orlandotellez.al@gmail.com

1. Byun CS, Park IH, Oh JH, Bae KS, Lee KH, Lee E. Epidemiology of trauma patients and analysis of 268 mortality cases: Trends
of a single Center in Korea. Yonsei Med J. 2015; 56(1): 220-226. doi:
10.3349/ymj.2015.56.1.220
2. Beshay M, Mertzlufft F, Kottkamp HW, et al. Analysis of risk
factors in thoracic trauma patients with a comparison of a modern
trauma centre: a mono-centre study. World J Emerg Surg. 2020; 15:
45. doi: 10.1186/s13017-020-00324-1
3. Satorre Rocha JA, León González OC, López Rodríguez PR,
García Castillo E, Danta Fundora LM. Characterisation of patients
with thoracic trauma treated at the Hospital Enrique Cabrera.
2014-2018. MediSur. 2019; 17(6): 815-823.
4. SweTrau. Svenska Traumaregistret. Website. https://rcsyd.se/
swetrau/. Accessed July 7, 2023.
5. World Health Organization (WHO). Road traffic injuries.
Website. https://www.who.int/news-room/fact-sheets/detail/
road-traffic-injuries. Accessed July 3, 2023.
6. American College of Surgeons (ACS). NTDB Reports and
Publications. Website. https://www.facs.org/quality-programs/
trauma/quality/national-trauma-data-bank/reports-and-publications/. Accessed July 7, 2023.
7. Ministry of Public Health. Health Statistical Yearbook 2020.
Website. https://temas.sld.cu/estadisticassalud/. Accessed March
6, 2023.
8. Lundin A, Akram SK, Berg L, Göransson KE, Enocson A. Thoracic injuries in trauma patients: Epidemiology and its influence
on mortality. Scand J Trauma Resusc Emerg Med. 2022; 30(1): 69. doi:
10.1186/s13049-022-01058-6
9. Latarjet M, Ruíz Liard A, Pró E. Sección XIII. Capítulo 71. Caja
Torácica. In: Anatomía Humana. [In: Spanish]. 5ta ed. España, Spain:
Editorial Médica Panamericana; 2019: 860.
10. Fonseca Sosa FK. Sternal fracture. Presentation of a case. Rev
Chil Cir. 2017; 69(5): 408-411. doi: 10.1016/j.rchic.2016.10.018
11. Tinajero JCJ, Santillán-Doherty P, Argote-Greene LM, et al.
Traumatic fractures of the sternum: Priorities and management
strategy. NCT Neumol Cir Torax. 2009; 68(4): 151-155.
12. Brookes JG, Dunn RJ, Rogers IR. Sternal fractures: A retrospective analysis of 272 cases. J Trauma. 1993; 35(1): 46-54. doi:
10.1097/00005373-199307000-00008
13. Hochhegger B, Altmayer S. Traumatic sternal fractures. Radiol
Bras. 2022; 55(4): IX. doi: 10.1590/0100-3984.2022.55.4e3
14. Knobloch K, Wagner S, Haasper C, et al. Sternal fractures occur most often in old cars to seat-belted drivers without any airbag
often with concomitant spinal injuries: Clinical findings and technical collision variables among 42,055 crash victims. Ann Thorac Surg.
2006; 82(2): 444-450. doi: 10.1016/j.athoracsur.2006.03.046
15. Bentley TP, Ponnarasu S, Journey JD. Sternal Fracture. In: StatPearls. Treasure Island (FL), USA: StatPearls Publishing; 2022.
16. Ferrer Lozano Y, Oquendo Vazquez P, Morejón Trofimova
Y. Isolated sternal fracture. Presentation of a case. MediSur. 2014;
12(6): 889-894.
17. Klei DS, Schutte H, Öner FC, van Baal MC, Leenen LP, van
Wessem KJ. Traumatic sternal fractures can be safely treated conservatively – A 13-year retrospective cohort study. J Surg Res (Houst).
2021; 4(4): 572-587. doi: 10.26502/jsr.10020170
18. Perez MR, Rodriguez RM, Baumann BM, et al. Sternal fracture in the age of pan-scan. Injury. 2015; 46(7): 1324-1327. doi:
10.1016/j.injury.2015.03.015
19. Doyle JE, Diaz-Gutierrez I. Traumatic sternal fractures: A narrative review. Mediastinum. 2023; 5: 34. doi: 10.21037/med-21-27
20. Şimşek S, Özmen CA, Onat S. Morbidity and mortality associated with fracture of the sternum due to blunt trauma, by
fracture type and location. Radiol Bras. 2022; 55(3): 167-172. doi:
10.1590/0100-3984.2021.0074
21. Ayes-Valladares F, Alvarado LT. Clinical and therapeutic characterisation of sternal fractures in the Hospital Escuela. Rev Méd
Hondur. 2009; 77(3): 114-117.
22. Nazario Dolz AM, Orosco García L, Domínguez González EJ,
Rodríguez Fernández Z, Falcón Vilariño CG. Sternal fracture due
to ox goring. Rev Cuba Cir. 2013; 52(4): 315-323.
23. Herrera JM, Soler J de JM. Sternal fracture, plate and screw fixation. Review of the literature on a case report. Rev Cuba Reumatol.
2019; 21(1 Supp. 1): 70.
24. Moya Rosa EJ, Marrero Peláez N. Thoracic trauma. A four-year
study. Rev Arch Méd Camagüey. 2002; 6(6): 602-608.
25. von Garrel T, Ince A, Junge A, Schnabel M, Bahrs C. The sternal fracture: Radiographic analysis of 200 fractures with special
reference to concomitant injuries. J Trauma. 2004; 57(4): 837-844.
doi: 10.1097/01.ta.0000091112.02703.d8
26. Şimşek S, Özmen CA, Onat S. Morbidity and mortality associated with fracture of the sternum due to blunt trauma, by
fracture type and location. Radiol Bras. 2022; 55(3): 167-172. doi:
10.1590/0100-3984.2021.0074
27. Ramgopal S, Shaffiey SA, Conti KA. Pediatric sternal fractures
from a Level 1 trauma center. J Pediatr Surg. 2019; 54(8): 1628-1631.
doi: 10.1016/j.jpedsurg.2018.08.040
28. Kim EY, Yang HJ, Sung YM, Hwang KH, Kim JH, Kim
HS. Sternal fracture in the emergency department: Diagnostic
value of multidetector CT with sagittal and coronal reconstruction images. Eur J Radiol. 2012; 81(5): e708-e711. doi: 10.1016/j.
ejrad.2011.05.029
29. Dua A, McMaster J, Desai PJ, et al. The Association between
blunt cardiac injury and isolated sternal fracture. Cardiol Res Pract.
2014; 2014: 629687. doi: 10.1155/2014/629687
30. Potaris K, Gakidis J, Mihos P, Voutsinas V, Deligeorgis A, Petsinis V. Management of sternal fractures: 239 cases. Asian Cardiovasc Thorac Ann. 2002; 10(2): 145-149. doi:
10.1177/021849230201000212
31. O’Connor JV, Adamski J. The diagnosis and treatment of
non-cardiac thoracic trauma. J R Army Med Corps. 2010; 156(1):
5-14. doi: 10.1136/jramc-156-01-02
32. Sarquis G, Vejez SE, Suizer A, Reche F. Fracturas traumáticas
del esternon: Opciones de diagnostico y tratamiento / Diagnostic
and therapeutic options for traumatic sternal fractures. [In: Spanish]. Rev Fac Cienc Méd (Córdoba). 2003; 60(1): 13-18.
33. Salas VP, Bannura YF, Solovera RME, et al. Sternal fracture:
Description of surgical treatment. Rev Cir. 2021; 73(6): 758-762.
34. Harston A, Roberts C. Fixation of sternal fractures: A systematic review. J Trauma. 2011; 71(6): 1875-1879. doi: 10.1097/
TA.0b013e31823c46e8