Cardiac findings of sternal fractures due to thoracic trauma: A five-year retrospective study
Yıl: 2018 Cilt: 24 Sayı: 3 Sayfa Aralığı: 249 - 254 Metin Dili: İngilizce DOI: 10.5505/tjtes.2017.01336 İndeks Tarihi: 07-03-2019
Cardiac findings of sternal fractures due to thoracic trauma: A five-year retrospective study
Öz: BACKGROUND: This study mainly aimed to determine the frequency of sternal fractures in thoracic trauma patients and to assessthe differences in surgical need, cardiac findings, and treatment processes between patients with fracture on different sternal zonesand displaced and non-displaced sternal fractures.METHODS: We analyzed the data of patients with sternal fracture due to thoracic trauma admitted to a state hospital between January2011 and December 2015. Patient data comprised demographics, trauma characteristics, clinical findings, and treatment process.RESULTS: Of the 2764 thoracic trauma patients admitted during the study period, 72 (2.6%) had sternal fracture. The median agewas 52 (inter quartile range: 61–38) years; the patients were predominantly male (F/M: 18/54). The most common causes of sternalfractures were motor vehicle accident, fall, and work accident. Of all the patients, 15 had displaced fracture. Abnormal echocardiogramfindings were significantly more frequent in patients having fractures on the manubrium than in those having fractures on the corpus of the sternum. Patients who had fracture on the corpus had significantly lesser surgery need than those who had fracture on the manubrium of the sternum. Also, there was statistically significant difference between displaced and non-displaced sternal fracture cases in terms of surgery need (p<0.005).
Anahtar Kelime: Konular:
Toraks travmasına bağlı sternal kırıkların kardiyak bulguları: Beş yıllık geriye dönük bir çalışma
Öz: AMAÇ: Bu çalışmanın temel amacı; torasik travmalı hastalarda sternal kırık sıklığını, farklı sternal zonlarda kırığı olan ve deplase ve non-deplase sternal kırıklı hastalardaki, cerrahi gereksinim, kardiyak bulgular ve tedavi sürecindeki farklılıkları belirlemektir. GEREÇ VE YÖNTEM: Ocak 2011–Aralık 2015 tarihleri arasında bir devlet hastanesine başvuran torasik travmaya bağlı sternal kırıklı olguların verileri analiz edildi. Hastaların verileri, demografik özellikler, travma özellikleri, klinik bulguları ve tedavi yöntemlerini içermektedir. BULGULAR: Çalışma süresince başvuran 2764 torasik travmalı hastanın 72’sinde (%2.6) sternal kırık saptandı. Hastaların medyan yaşları 52 (ÇAA: 61–38) iken, ağırlığı erkekler oluşturdu (kadın/erkek: 18/54). Sternal kırık olgularının en sık üç nedeni motorlu taşıt kazası, düşme ve iş kazasıydı. Olguların 15’inde deplase kırık olduğu bulundu. Anormal ekokardiyografi bulguları, manubrium kırıklı olgularda, korpus kırıklı olgulara göre istatistiksel olarak anlamlı şekilde daha fazla idi. Korpus kırıklı hastalarda, manubrium kırıklılara oranla istatistiksel olarak daha az sıklıkta cerrahi ihtiyacı gelişti. Ayrıca, deplase kırığı olan ve olmayan hastalar arasında cerrahi girişim gereksinimlerine göre istatistiksel olarak anlamlı farklılık vardı (p<0.005). TARTIŞMA: Manubriumda görülen ve deplase sternal kırıklarda anormal ekokardiyografi bulguları daha fazla sıklıkta görülmektedir. Anahtar sözcükler: Kardiyak bulgular; sternal kırık; torasik travma.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- Canevelli M, Lucchini F, Quarata F, Bruno G, Cesari M. Nutrition and Dementia: Evidence for Preventive Approaches? Nutrients 2016;8:144.
- Ziegler DW, Agarwal NN. The morbidity and mortality of rib fractures. J Trauma 1994;37:975–9. [CrossRef ]
- Besson A, Saegesser F. Color Atlas of Chest Trauma and Associated Injuries. Vol 1. NJ:Medical Economics; 1983. p. 9.
- Kaewlai R, Avery LL, Asrani AV, Novelline RA. Multidetector CT of blunt thoracic trauma. Radiographics 2008;28:1555–70. [CrossRef ]
- Demirhan R, Onan B, Oz K, Halezeroglu S. Comprehensive analysis of 4205 patients with chest trauma: a 10-year experience. Interact Cardiovasc Thorac Surg 2009;9:450–3. [CrossRef ]
- Cangır A, Nadir A, Akal M, Kutlay H, Özdemir N, Güngör A, et al.Thoracic trauma: Analysis of 532 patients. Turk J Trau 2000;6:100–5.
- Monaco M, Mondello B, Monaco F, Vasta I, Perrone O, Micali V, et al. Misunderstood cardiac involvement with heart impairment in traumatic sternal fracture: an enzyme-guided evaluation. G Chir 2009;30:117–20.
- Rashid MA, Ortenwall P, Wikström T. Cardiovascular injuries associated with sternal fractures. Eur J Surg 2001;167:243–8. [CrossRef ]
- Buckman R, Trooskin SZ, Flancbaum L, Chandler J. The significance of stable patients with sternal fractures. Surg Gynecol Obstet 1987;164:261–5.
- Wojcik JB, Morgan AS. Sternal fractures-the natural history. Ann Emerg Med 1988;17:912–4. [CrossRef ]
- Rambaud G, Desachy A, François B, Allot V, Cornu E, Vignon P. Extrapericardial cardiac tamponade caused by traumatic retrosternalhematoma. J Cardiovasc Surg 2001;42:621–4.
- Velissaris T, Tang AT, Patel A, Khallifa K, Weeden DF. Traumatic sternal fracture: outcome following admission to a Thoracic Surgical Unit. Injury 2003;34:924–7. [CrossRef ]
- Perez MR, Rodriguez RM, Baumann BM, Langdorf MI, Anglin D, Bradley RN, et al. Sternal fracture in the age of pan-scan. Injury 2015;46:1324–7. [CrossRef ]
- Skinner DL, Laing GL, Rodseth RN, Ryan L, Hardcastle TC, Muckart DJ. Blunt cardiac injury in critically ill trauma patients: a single centre experience. Injury 2015;46:66–70. [CrossRef ]
- Athanassiadi K, Gerazounis M, Moustardas M, Metaxas E. Sternal fractures: retrospective analysis of 100 cases. World J Surg 2002;26:1243–6.
- Knobloch K, Wagner S, Haasper C, Probst C, Krettek C, Otte D, et al. Sternal fractures occur most often in old cars to seat-belted driverswithout any airbag often with concomitant spinal injuries: clinicalfindings and technical collision variables among 42,055 crash victims. Ann Thorac Surg 2006;82:444–50. [CrossRef ]
- Burnside N, McManus K. Blunt thoracic trauma. Surgery (Oxford) 2014;32:254–60. [CrossRef ]
- Johnson I, Branfoot T. Sternal fracture-a modern review. Arch Emerg Med 1993;10:24–8. [CrossRef ]
- Wiener Y, Achildiev B, Karni T, Halevi A. Echocardiogram in sternal fracture. Am J Emerg Med 2001;19:403–5. [CrossRef ]
- Sadaba JR, Oswal D, Munsch CM. Management of isolated sternal fractures: determining the risk of blunt cardiac injury. Ann R Coll Surg Engl 2000;82:162–6.
- Wedde TB, Quinlan JF, Khan A, Khan HJ, Cunningham FO, McGrath JP. Fractures of the sternum: the influence of non-invasive cardiac monitoring on management. Arch Orthop Trauma Surg 2007;127:121–3.
- 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;57:837–44. [CrossRef ]
| APA | Ulusan A, KARAKURT Ö (2018). Cardiac findings of sternal fractures due to thoracic trauma: A five-year retrospective study. , 249 - 254. 10.5505/tjtes.2017.01336 |
| Chicago | Ulusan Ahmet,KARAKURT Özgür Cardiac findings of sternal fractures due to thoracic trauma: A five-year retrospective study. (2018): 249 - 254. 10.5505/tjtes.2017.01336 |
| MLA | Ulusan Ahmet,KARAKURT Özgür Cardiac findings of sternal fractures due to thoracic trauma: A five-year retrospective study. , 2018, ss.249 - 254. 10.5505/tjtes.2017.01336 |
| AMA | Ulusan A,KARAKURT Ö Cardiac findings of sternal fractures due to thoracic trauma: A five-year retrospective study. . 2018; 249 - 254. 10.5505/tjtes.2017.01336 |
| Vancouver | Ulusan A,KARAKURT Ö Cardiac findings of sternal fractures due to thoracic trauma: A five-year retrospective study. . 2018; 249 - 254. 10.5505/tjtes.2017.01336 |
| IEEE | Ulusan A,KARAKURT Ö "Cardiac findings of sternal fractures due to thoracic trauma: A five-year retrospective study." , ss.249 - 254, 2018. 10.5505/tjtes.2017.01336 |
| ISNAD | Ulusan, Ahmet - KARAKURT, Özgür. "Cardiac findings of sternal fractures due to thoracic trauma: A five-year retrospective study". (2018), 249-254. https://doi.org/10.5505/tjtes.2017.01336 |
| APA | Ulusan A, KARAKURT Ö (2018). Cardiac findings of sternal fractures due to thoracic trauma: A five-year retrospective study. Ulusal Travma ve Acil Cerrahi Dergisi, 24(3), 249 - 254. 10.5505/tjtes.2017.01336 |
| Chicago | Ulusan Ahmet,KARAKURT Özgür Cardiac findings of sternal fractures due to thoracic trauma: A five-year retrospective study. Ulusal Travma ve Acil Cerrahi Dergisi 24, no.3 (2018): 249 - 254. 10.5505/tjtes.2017.01336 |
| MLA | Ulusan Ahmet,KARAKURT Özgür Cardiac findings of sternal fractures due to thoracic trauma: A five-year retrospective study. Ulusal Travma ve Acil Cerrahi Dergisi, vol.24, no.3, 2018, ss.249 - 254. 10.5505/tjtes.2017.01336 |
| AMA | Ulusan A,KARAKURT Ö Cardiac findings of sternal fractures due to thoracic trauma: A five-year retrospective study. Ulusal Travma ve Acil Cerrahi Dergisi. 2018; 24(3): 249 - 254. 10.5505/tjtes.2017.01336 |
| Vancouver | Ulusan A,KARAKURT Ö Cardiac findings of sternal fractures due to thoracic trauma: A five-year retrospective study. Ulusal Travma ve Acil Cerrahi Dergisi. 2018; 24(3): 249 - 254. 10.5505/tjtes.2017.01336 |
| IEEE | Ulusan A,KARAKURT Ö "Cardiac findings of sternal fractures due to thoracic trauma: A five-year retrospective study." Ulusal Travma ve Acil Cerrahi Dergisi, 24, ss.249 - 254, 2018. 10.5505/tjtes.2017.01336 |
| ISNAD | Ulusan, Ahmet - KARAKURT, Özgür. "Cardiac findings of sternal fractures due to thoracic trauma: A five-year retrospective study". Ulusal Travma ve Acil Cerrahi Dergisi 24/3 (2018), 249-254. https://doi.org/10.5505/tjtes.2017.01336 |
