Troxler David, Mayr Johannes
Pediatric Emergency Unit, University Children's Hospital Basel, CH-4031 Basel, Switzerland.
Pediatric Surgery Department, University Children's Hospital Basel, CH-4031 Basel, Switzerland.
Children (Basel). 2022 Nov 3;9(11):1691. doi: 10.3390/children9111691.
Sternal fractures in children are rare and tend to be caused by high-energy injury. However, sternal fractures may also be caused by minor and indirect trauma and might therefore not be as rare as previously stated. Ultrasound examination is the method of choice for the diagnosis of sternal fractures. We present three cases of sternal fractures not caused by direct trauma that were presented to our A&E department within a period of only 62 days. All of them exhibited localized tenderness, but none had an associated injury. Children presenting to the A&E unit with musculoskeletal thorax pain should be screened by POCUS for sternal fractures, even if they do not report any direct trauma to the thorax.
儿童胸骨骨折较为罕见，往往由高能量损伤所致。然而，胸骨骨折也可能由轻微的间接创伤引起，因此可能并不像之前所说的那么罕见。超声检查是诊断胸骨骨折的首选方法。我们报告了3例非直接创伤导致的胸骨骨折病例，这些病例在短短62天内被送至我们的急诊科。所有病例均表现为局部压痛，但均无合并伤。因胸壁肌肉骨骼疼痛就诊于急诊科的儿童，即使未报告有胸部直接创伤，也应通过床旁超声检查筛查胸骨骨折。
