Wong Jessica J, Drew Brian, Stern Paula
Department of Graduate Studies, Canadian Memorial Chiropractic College, Toronto, Ontario, Canada.
J Can Chiropr Assoc. 2013 Mar;57(1):42-8.
Osteoporosis often results in fractures, deformity and disability. A rare but potentially challenging complication of osteoporosis is a sternal insufficiency fracture. This case report details a steroid-induced osteoporotic male who suffered a sternal insufficiency fracture after minimal trauma. Prompt diagnosis and appropriate management resulted in favourable outcome for the fracture, though a sequalae involving a myocardial infarction ensued with his osteoporosis and complex health history. The purpose of this case report is to heighten awareness around distinct characteristics of sternal fractures in osteoporotic patients. Discussion focuses on the incidence, mechanism, associated factors and diagnostic challenge of sternal insufficiency fractures. This case report highlights the role primary contact practitioners can play in recognition and management of sternal insufficiency fractures related to osteoporosis.
骨质疏松症常导致骨折、畸形和残疾。骨质疏松症一种罕见但颇具挑战性的并发症是胸骨不全骨折。本病例报告详细介绍了一名因使用类固醇导致骨质疏松的男性,该患者在遭受轻微创伤后发生了胸骨不全骨折。尽管由于其骨质疏松症和复杂的健康史随后出现了心肌梗死这一后遗症,但及时诊断和适当治疗使骨折获得了良好的预后。本病例报告的目的是提高对骨质疏松症患者胸骨骨折独特特征的认识。讨论聚焦于胸骨不全骨折的发病率、机制、相关因素及诊断挑战。本病例报告强调了基层医疗从业者在识别和处理与骨质疏松症相关的胸骨不全骨折中所能发挥的作用。