von Garrel Thomas, Ince Adnan, Junge Andreas, Schnabel Michael, Bahrs Christian
Klinik für Unfall, Wiederherstellungs-, and Handchirurgie, Phillipps-Universität Marburg, Marburg, Germany.
J Trauma. 2004 Oct;57(4):837-44. doi: 10.1097/01.ta.0000091112.02703.d8.
The assessment of the sternal fracture and concomitant injuries is discussed.
Two hundred sternal fractures were analyzed with respect to accident circumstances, fracture morphology and topography, and associated injuries.
Traffic accidents were frequent; 89.2% of them were motor vehicle crashes of restrained passengers, 76.5% of fractures were localized in the corpus sterni, and 8.5% of the injuries resulted in fractures or complete disruptions of the synchondrosis manubriosternalis. Nondisplaced or slightly displaced fractures (75.5%) occurred more frequently compared with moderately and severely displaced fractures (24.5%). In 29.5% of the patients, concomitant thoracic injuries were diagnosed. Spinal fractures were evaluated in 13%. In displaced fractures of the corpus, thoracic and cardiac injuries were observed frequently. In fractures or disruptions of the synchondrosis manubriosternalis, concurrence of spinal fractures clearly increased.
The observation of fracture morphology and topography, with reference to displacement, gives important information about the existence of serious concomitant injuries and can determine further diagnostic and therapeutic options in sternal fractures.
讨论了胸骨骨折及合并伤的评估。
分析了200例胸骨骨折的事故情况、骨折形态和部位以及相关损伤。
交通事故频发；其中89.2%为系安全带乘客的机动车碰撞事故，76.5%的骨折位于胸骨体，8.5%的损伤导致胸骨柄胸骨关节骨折或完全断裂。无移位或轻度移位骨折（75.5%）比中度和重度移位骨折（24.5%）更常见。29.5%的患者被诊断为合并胸部损伤。13%的患者评估有脊柱骨折。在胸骨体移位骨折中，常观察到胸部和心脏损伤。在胸骨柄胸骨关节骨折或断裂中，脊柱骨折的并发率明显增加。
观察骨折形态和部位，参考移位情况，可为严重合并伤的存在提供重要信息，并可确定胸骨骨折的进一步诊断和治疗方案。
