Management of Post-Traumatic Sternal Fractures in a West African Country: the Case of Niger
PDF

Keywords

Fracture
post traumatic
sternum
Niamey

How to Cite

1.
Sani R, Dalatou MH, Alzouma Ibrahim I, Akoke Farid A, Mohamed A. Management of Post-Traumatic Sternal Fractures in a West African Country: the Case of Niger. ATD [Internet]. 2023 Apr. 2 [cited 2024 Dec. 10];2023. Available from: https://mbmj.org/index.php/atd/article/view/704

Abstract

Introduction: Traumatic fractures of the sternum are relatively rare injuries and occur against the backdrop of high-energy chest trauma. The severity of these lesions is mainly related to their association with life-threatening cardiovascular lesions. Their treatment is mostly conservative. The aim of this work is to report the results of the management of post-traumatic fractures of the sternum in Niger. Patients and methods: a 27-month retrospective study involving 9 patients with a post-traumatic fracture of the sternum treated at the thoracic surgery department of the General

Reference Hospital of Niamey. 8 of these patients were treated with conservative methods and 1 benefited from osteosynthesis by a screwed ankle plate adapted to the sternum. Results: The mean age of patients was 41.78 years (14 to 60 years). The male sex was predominant with 7 cases or 77.77%. Public road traffic is the most common occurrence circumstance found in 88.9% of cases. Symptomatology was dominated by presternal chest pain. The site of the fracture was at the level of the manubrium in 66.6% of cases and the most common type of fracture was the simple fracture in 55,56 of cases. Pulmonary contusion and hemothorax were the most associated lesions with respectively 44.4% each. There was 1 case of death in the context of polytrauma. Conclusion:  Post-traumatic fractures of the sternum are rare and potentially serious, requiring multidisciplinary management.

https://doi.org/10.15342/atd.2023.704
PDF

References

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;82:444-50.

Brookes JG, Dunn RJ, Rogers IR. Sternal fractures : a retrospective analysis of 272 cases. J Trauma 1993;35:46-54.

Zhao Y, Yang Y, Gao Z, Wu W, He W, Zhao T. Treatment of traumatic sternal fractures with titanium plate internal fixation: a retrospective study. J Cardiothorac Surg 2017 ;12:22.

Johnson I, Branfoot T. Sternal fracture- a modern review. Arch Emerg Med. 1993;10(1):24-8.

Schulz-Drost S, Oppel P, Grupp S, Taylor D, Krinner S, Langenbach A, Hennig F, Mauerer A. The oblique fracture of the manubrium sterni caused by a seatbelt-a rare injury? Treatment options based on the experiences gained in a level I trauma centre. Int Orthop 2016; 40:791-798.

Potaris K, Gakidis J, Mihos P, Voutsinas V, Deligeorgis A, Petsinis V. Management of Sternal Fractures : 239 Cases. Asian Cardiovascular and Thoracic Annals 2002; 10(2) : 145-49.

Doyle JE, Diaz-Gutierrez I. Traumatic sternal fractures : a narrative review. Mediastinum 2021;5:34.

Bentley TP, Ponnarasu S, Journey JD. Sternal Fracture. In: StatPearls. StatPearls Publishing, Treasure Island (FL) 2022. PMID: 29939567.

Yakar S, Baykan N, Önal Ö, Durukan P. Retrospective analysis of patients with sternal fracture. Turk J Emerg Med 2020 ; 21(1):20-23.

Çelik B, Sahin E, Nadir A, Kaptanoglu M. Sternum Fractures and Effects of Associated Injuries. Thorac Cardiovasc Surg 2009;57(8):468 71.

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. oct 2004;57(4):837-44.

Perez MR, Rodriguez RM, Baumann BM, Langdorf MI, Anglin D, Brandley RN et al. Sternal fracture in the age of pan-scan. Injury 2015 ;46:1324-7.

Uluşan A. Cardiac findings of sternal fractures due to the thoracic trauma: A five year retrospective study. Ulus Travma Acil Cerrahi Derg. 2018; 24(3): 249-254.

Velissaris T, Tang AT, Patel A, et al. Traumatic sternal fracture: outcome following admission to a Thoracic Surgical Unit. Injury 2003;34:924-7.

Klei DS, de Jong MB, Öner FC, Leenen LP, van Wessem KJ. Current treatment and outcomes of traumatic sternal fractures‑a systematic review. Int Orthop 2019 ;43:1455‑64.

Andrew H, Craig R. Fixation des fractures sternales : une revue systématique Int Orthop. 2014 ;38(1):133-9.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2023 Mahamadou Habibou DALATOU, Rabiou Sani

Metrics

Metrics Loading ...