Fractures of the upper transthoracic cage
| Autor: | O. Peres, F. Jourdel, R. Goulon, O. Leclair, P. Scemama, J. L. Labbe |
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| Rok vydání: | 2008 |
| Předmět: |
Thorax
Adult Male Sternal fracture medicine.medical_specialty Sternum Rib Fractures medicine.medical_treatment Thoracic Vertebrae Fracture Fixation Internal Young Adult Postoperative Complications Fracture fixation Medicine Humans Orthopedics and Sports Medicine Fracture Healing Neurologic Examination Paraplegia Rib cage business.industry Multiple Trauma Middle Aged medicine.disease Surgery Radiography medicine.anatomical_structure Spinal Fusion Treatment Outcome Spinal fusion Thoracic vertebrae Spinal Fractures Female business |
| Zdroj: | The Journal of bone and joint surgery. British volume. 91(1) |
| ISSN: | 2044-5377 |
| Popis: | We have reviewed our experience in managing 11 patients who sustained an indirect sternal fracture in combination with an upper thoracic spinal injury between 2003 and 2006. These fractures have previously been described as ‘associated’ fractures, but since the upper thorax is an anatomical entity composed of the upper thoracic spine, ribs and sternum joined together, we feel that the term ‘fractures of the upper transthoracic cage’ is a better description. These injuries are a challenge because they are unusual and easily overlooked. They require a systematic clinical and radiological examination to identify both lesions. This high-energy trauma gives severe devastating concomitant injuries and CT with contrast and reconstruction is essential after resuscitation to confirm the presence of all the lesions. The injury level occurs principally at T4–T5 and at the manubriosternal joint. These unstable fractures need early posterior stabilisation and fusion or, if treated conservatively, a very close follow-up. |
| Databáze: | OpenAIRE |
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