Results from direct force applied to the sternum, most often from a blow to the body of the sternum in the lower part
Fracture typically occurs near manubrium.
Mechanism of injury: direct blow to chest wall
Forced flexion of cervical spine (heavy blow to back of head or fall onto head or upper back)
Pain with inspiration
Crepitus with respirato...
Evaluate and treat any associated life-threatening injuries.
Most nondisplaced fractures are treated conservatively with rest and analgesia until symptoms subside.
Consider hematoma block usin...
Usually heals without any sequelae
Consider early orthopedic referral if displaced fracture, open fracture, or flail chest.
Early consultation as appropriate if the...
Athanassiadi K, Gerazounis M, Moustardas M, et al. Sternal fractures: retrospective analysis of 100 cases. World J Surg. 2002;26(10):1243–1246.
Baker JC, Demertzis JL. Manubria...
Contact sports should be avoided until symptoms subside, typically 6 to 12 wk.
General conditioning or training program permitted within the limits of discomfort posed by the injury
Sign up for a 10-day FREE Trial now and receive full access to all content.