Hechter Sloane, Huyer Dirk, Manson David
Department of Diagnostic Imaging, Hospital for Sick Children, 555 University Ave, Toronto, Ontario, M5G 1X8, Canada.
Pediatr Radiol. 2002 Dec;32(12):902-6. doi: 10.1007/s00247-002-0807-3. Epub 2002 Sep 25.
Sternal fractures are rare injuries in children. The rarity of this injury is likely due to both the relative plasticity of the pediatric thorax and to the difficulty in establishing a radiographic diagnosis without dedicated views. Current literature suggests that this injury in young children is highly specific for abusive injury.
Sternal fractures are not highly specific for abusive injury.
This was a retrospective radiographic and clinical chart review of all documented sternal fractures over an 11-year period at a large pediatric hospital.
Of 12 children with sternal fractures identified, four were < or = 2 years of age and eight were > or = 3 years of age. The mechanism of injury was suspicious for child abuse in two children. Both of these children were < or = 2 years of age. In one toddler, an unwitnessed injury resulted in extensive initial familial anxiety until abusive injury was excluded.
Sternal fractures are unusual injuries, yet they, in themselves, are not highly specific for abusive injury.
儿童胸骨骨折是罕见的损伤。这种损伤的罕见性可能是由于小儿胸廓相对具有可塑性，以及在没有专门视图的情况下难以做出影像学诊断。当前文献表明，幼儿的这种损伤高度提示虐待性损伤。
胸骨骨折并非高度提示虐待性损伤。
这是一项对一家大型儿科医院11年间所有记录在案的胸骨骨折进行的回顾性影像学和临床病历审查。
在确诊的12例胸骨骨折患儿中，4例年龄≤2岁，8例年龄≥3岁。两名儿童的损伤机制怀疑为虐待。这两名儿童均≤2岁。在一名幼儿中，一次无人目睹的损伤导致最初家人极度焦虑，直到排除虐待性损伤。
胸骨骨折是不常见的损伤，但骨折本身并非高度提示虐待性损伤。
