Research Article
Management of Blunt Sternal Fractures in a Community-
Based Hospital
Fathima T. Kunhivalappil,
1
Taleb M. Almansoori,
2
Muhamed Salim AbdulRahman,
3
Mohamed A. Hefny,
4
Nirmin A. Mansour,
5
Taoufik Zoubeidi,
6
Moien A. B. Khan ,
7
and Ashraf F. Hefny
8
1
Department of Radiology, Al Rahba Hospital, Abu Dhabi, UAE
2
Department of Radiology, CMHS, UAEU, Al Ain, UAE
Department of Surgery, Al Rahba Hospital, Abu Dhabi, UAE
4
Department of Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt
5
Ambulatory Health Services, SEHA, Abu Dhabi, UAE
6
Department of Statistics, United Arab Emirates University, Al Ain, UAE
7
Department of Family Medicine, College of Medicine and Health Sciences, UAE University, Al Ain, UAE
8
Department of Surgery, College of Medicine and Health Sciences, UAE University, Al Ain, UAE
Correspondence should be addressed to Ashraf F. Hefny; ahefny@uaeu.ac.ae
Received 13 December 2022; Revised 19 February 2023; Accepted 1 March 2023; Published 13 March 2023
Academic Editor: Giuseppe Marulli
Copyright © 2023 Fathima T. Kunhivalappil et al. Tis is an open access article distributed under the Creative Commons
Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is
properly cited.
Background. Sternal fractures are not commonly observed in patients with blunt trauma. Te routine use of computed to•
mography (CT) in the evaluation of chest trauma helps identify these fractures. We studied the incidence, injury mechanism,
management, and outcome of sternal fractures in patients with blunt trauma treated at our community•based hospital. Methods.
We retrospectively reviewed the chest CT scans of all patients with blunt trauma who were presented to our community•based
hospital from October 2010 to March 2019. Te study variables included age at the time of injury, sex, mechanism of injury, type,
and site of fracture, associated injuries, Glasgow Coma Scale, Injury Severity Score, need for intensive care unit admission, hospital
stay, and long•term outcome. Results. In total, 5632 patients with blunt trauma presented to our hospital during the study period,
and chest CT scan was performed for 2578 patients. Sternal fractures were diagnosed in 63 patients. Te primary mechanism of
injury was a motor vehicle collision. Te most common site of fracture was the body of the sternum (47 patients; 74.6%). Twenty
(31.7%) patients had an isolated sternal fracture with no other injuries. Seven (11.1%) patients were discharged directly from the
emergency department. Two patients died (overall mortality rate, 3.2%) and two experienced long•term disability. Conclusions.
Te incidence of sternal fractures in our patient population was similar to that reported by tertiary hospitals. Patients with a sternal
fracture and normal cardiac enzyme levels and electrocardiogram may be safely discharged from the emergency department,
provided there are no other major injuries.
1. Introduction
A fracture of the sternum is an uncommon injury in patients
with blunt trauma. It occurs in about 3% to 8% of patients
with blunt trauma [1]. Motor vehicle collisions (MCs) are
the most common mechanism of blunt sternal fracture.
Injuries to the chest wall have increased with the widespread
use of seatbelts [2, 3]. Te routine use of a computed to•
mography (CT) scan in the evaluation of blunt chest trauma
helps identify sternal fractures [4]. Isolated sternal fractures
are primarily treated with conservative management;
however, a sternal fracture alone may be an indicator for
other life•threatening injuries [2]. Sternal fractures cause
direct injury to adjacent structures including the heart,
Hindawi
Surgery Research and Practice
Volume 2023, Article ID 8896989, 8 pages
https://doi.org/10.1155/2023/8896989