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Related Concept Videos

The Thoracic Cage: Sternum01:17

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Related Experiment Video

Updated: Jul 9, 2026

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
15:11

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Does sternal fracture increase the risk for aortic rupture?

J T Sturm1, M G Luxenberg, B M Moudry

  • 1Department of Emergency Medicine, St. Paul-Ramsey Medical Center, Minnesota.

The Annals of Thoracic Surgery
|November 1, 1989
PubMed
Summary

Sternal fractures, often from car accidents, were studied in 99 patients. Traumatic aortic rupture occurred in 2% of these patients, a rate not significantly higher than in patients without sternal fractures.

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Area of Science:

  • Trauma Surgery
  • Cardiovascular Surgery
  • Emergency Medicine

Background:

  • Sternal fractures are a significant indicator of blunt chest trauma.
  • The association between sternal fractures and associated injuries, particularly traumatic aortic rupture, requires further investigation.
  • Motor vehicle accidents are a leading cause of sternal fractures.

Purpose of the Study:

  • To determine if sternal fractures increase the risk of traumatic aortic rupture.
  • To compare the incidence of traumatic aortic rupture in patients with and without sternal fractures.

Main Methods:

  • Retrospective review of 99 patients with sternal fractures (1968-1987).
  • Comparison with 2,106 concurrent patients with chest injuries but no sternal fractures.
  • Statistical analysis using Fisher exact test to compare rupture incidence.

Main Results:

  • Traumatic aortic rupture occurred in 2% of patients with sternal fractures.
  • Traumatic aortic rupture occurred in 3.6% of patients without sternal fractures.
  • The difference in incidence was not statistically significant (p = 0.326).

Conclusions:

  • Sternal fractures do not appear to be an independent risk factor for traumatic aortic rupture.
  • Patients with blunt chest trauma and sternal fractures have a similar risk of aortic injury as those without sternal fractures.
  • Further research may explore specific injury mechanisms and patient factors.