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A sternal fracture is a fracture of the sternum (the breastbone), located in the center of the chest. The injury, which occurs in 5–8% of people who experience significant blunt chest trauma , may occur in vehicle accidents, when the still-moving chest strikes a steering wheel or dashboard [ 1 ] or is injured by a seatbelt.
For many, it is the driving force behind undergoing the Nuss procedure. The recovery from these psychological symptoms can also take some time, though many patients report improvements in confidence and self-esteem after only a few weeks, once the effects of the surgery can be noticed. Ultimately, almost all patients report a noticeable ...
For the condition to occur, generally there must be a significant force applied over a large surface of the thorax to create the multiple anterior and posterior rib fractures. Rollover and crushing injuries most commonly break ribs at only one point, whereas for flail chest to occur a significant impact is required, breaking the ribs in two or ...
After bone fracture, blood cells accumulate adjacent to the injury site. Soon after fracture, blood vessels constrict, stopping further bleeding. Within a few hours, the extravascular blood cells form a clot called a hematoma [ 5 ] that acts as a template for callus formation.
The sternal occipital mandibular immobilizer (SOMI) can also be used to provide support for cervical spine sprain, stable fracture, or postoperative support. [ 8 ] For thoracic and lumbar spine, support can be provided using custom-fit, hard-shell back braces , most commonly after surgery.
Fractures of the sternum are rather uncommon. They may result from trauma, such as when a driver's chest is forced into the steering column of a car in a car accident. A fracture of the sternum is usually a comminuted fracture. The most common site of sternal fractures is at the sternal angle. Some studies reveal that repeated punches or ...
Since bone healing is a natural process that will occur most often, fracture treatment aims to ensure the best possible function of the injured part after healing. Bone fractures typically are treated by restoring the fractured pieces of bone to their natural positions (if necessary), and maintaining those positions while the bone heals.
Early fracture immobilisation and fixation helps to prevent further soft tissue injury and promotes wound and bone healing. This is especially important in the treatment of intraarticular fractures where early fixation allows early joint motion to prevent joint stiffness. Fracture management depends on the person's overall well-being, fracture ...