Sternal fracture

Case contributed by Dr Jayanth Keshavamurthy

Presentation

25 yo M as Level 2 trauma front sided MVC at 55mph as restrained driver with LOC. Per EMS the patient was complaining of chest pain, and shortness of breath on scene. They noted minimal driver's side intrusion with no deformity of the dash or steering wheel. The patient states that he was drinking this evening and has a history of polysubstance abuse. He complains of sternal chest pain and chest wall tenderness.

Patient Data

Age: 25 years
Gender: Male
X-ray

There is a fracture involving the anterior cortex of the body of the sternum with 5 mm posterior displacement. 

Case Discussion

Sternal fracture is seen on lateral chest radiograph.

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