This brief report discusses the diagnosis, management and surgical intervention of a man in his 30s presenting with a rare traumatic sternal manubrium dislocation following a motorcycle crash, accompanied by multiple concomitant rib fractures. The severity and complexity of the patient's injuries necessitated an operative approach for his sternomanubrial dislocation, emphasising the importance of multidisciplinary coordination, accurate diagnosis and prompt surgical intervention. The report provides valuable insights into the successful application of open reduction and internal fixation with plating in a real-world setting, which resulted in positive patient outcomes, despite the rarity and severity of this type of trauma. It further underscores the need for additional research to advance best practices for managing traumatic sternal manubrium dislocations in the context of high-impact injuries.
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http://dx.doi.org/10.1136/bcr-2023-258312 | DOI Listing |
Eur J Trauma Emerg Surg
January 2025
Department of Trauma and Orthopedic Surgery, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Background: Rib and sternum fractures are common injuries associated with cardiopulmonary resuscitation (CPR). The fracture mechanism is either direct by application of force on sternum and anterior ribs or indirect by bending through compression of the thorax. The aim of this study was to determine morphologies of rib fractures after CPR and to reevaluate prior findings on fracture localisation, type and degree of dislocation.
View Article and Find Full Text PDFJBJS Case Connect
October 2024
North American Spine and Pain; Hainesport, New Jersey.
Case: We report a case of a 29-year-old woman who sustained a left lateral sternoclavicular joint (SCJ) dislocation. Imaging demonstrated a 30-mm gap between the sternum and medial clavicle. Given well-preserved shoulder range of motion and well-controlled pain, she was ultimately treated nonoperatively.
View Article and Find Full Text PDFClin Pract Cases Emerg Med
November 2024
Sher-i-Kashmir Institute of Medical Sciences Soura, Department of Anesthesia, Srinagar, Jammu and Kashmir, India.
Introduction: Although myocardial injury is common after blunt chest trauma, tricuspid valve injury associated with traumatic atrial septal defect resulting in acute hypoxia is an infrequent event. We report an unusual case of blunt chest trauma referred to us for unexplained hypoxemia, emphasizing the unusual nature of injury and the importance of comprehensive cardiac evaluation in such cases.
Case Report: A 35-year-old male presented to the emergency department after falling from a tree from an approximate height of 15 feet.
Cureus
November 2024
Department of Surgery, Nassau University Medical Center, East Meadow, USA.
A 67-year-old female presented to the emergency department after falling on her chest. On initial presentation, her chest wall was tender to palpation with mild overlying ecchymosis. Initial imaging demonstrated a sternal body fracture with minimal retrosternal hematoma.
View Article and Find Full Text PDFJ Trauma Acute Care Surg
December 2024
From the Division of General Surgery, Department of Surgery (J.D.F., J.T.), Stanford University, Stanford, California; Department of Surgery (M.S.C.), Dow University of Health Sciences, Karachi, Pakistan; Division of Trauma, Acute and Critical Care Surgery, Department of Surgery (J.F.-M.), Duke University, Durham, North Carolina; Department of Surgery (J.K.), Detroit Medical Center, Wayne State University, Detroit, Michigan; Princess Alexandra Hospital (B.P.), Gold Coast University, Queensland, Australia; and Center for Trauma and Critical Care, Department of Surgery (S.K.), George Washington University School of Medicine and Health Sciences, Washington, DC.
Therapeutic/Care Management; Level IV.
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