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Manubriosternal dislocation with spinal fracture: A rare cause for delayed haemothorax
Manish Kothari1, Pramod Saini, Sunny Shethna
1Spine Room 1408, Hinduja Clinic, PD Hinduja National Hospital and MRC, Mahim, Mumbai, Maharashtra 400016, India.
Abstract:
Type 2 manubriosternal dislocations with concomitant spinal fracture are rare and may be associated with thoracic visceral injuries. The complication of delayed haemothorax has not been reported yet. We report a case of a young male who suffered manubriosternal dislocation with chance type thoracic spine fracture due to fall of a tree branch over his back. The haemothorax presented late on day three. The possible injury mechanism is discussed along with review of literature. We conclude that a lateral chest radiograph is indicated in spinal fracture patients complaining of midsternal pain. Computerized axial tomography scan of chest with contrast is indicated to rule out visceral injuries and a chest radiograph should be repeated before the patient is discharged to look for delayed haemothorax.
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