Sternum fracture

Case contributed by Roberto Schubert
Diagnosis certain

Presentation

The patient fell on the handlebar of his bike in a crash.

Patient Data

Age: 65 years
Gender: Male
x-ray

Minimally displaced fracture of the sternal body.

ct

Minimally displaced fracture of the sternal body.

Case Discussion

Sternal fractures occur in ~5% of blunt chest trauma. It presents as acute, severe sternal pain that is worse with respiration with localized tenderness.

CT is the modality of choice; sagittal reformats are the most sensitive. It can assess for anterior cortical breach and posterior cortical breach, with the latter being associated with more severe neurovascular injuries.

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