Pediatric sternal fractures from a Level 1 trauma center
Sriram Ramgopal1, Shahab A Shaffiey2, Kavitha A Conti1
1Division of Pediatric Emergency Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine; Children's Hospital of Pittsburgh, Pittsburgh, PA, United States.
Journal of Pediatric Surgery
|October 3, 2018
Summary
Pediatric sternal fractures are rare, often resulting from high-velocity trauma like motor vehicle accidents. Thorough evaluation is crucial to detect associated injuries in children with these fractures.
Area of Science:
- Pediatric Traumatology
- Orthopedic Surgery
- Emergency Medicine
Background:
- Sternal fractures are uncommon in pediatric populations.
- This study focuses on traumatic findings in children with sternal fractures.
Purpose of the Study:
- To document traumatic findings in pediatric patients with sternal fractures.
- To analyze mechanisms of injury, associated injuries, and outcomes.
Main Methods:
- Retrospective review of pediatric patients with radiologically confirmed sternal fractures.
- Data collected from January 2000 to December 2015 at a Level 1 trauma center.
- Analysis of injury mechanisms, comorbidities, and patient outcomes.
Main Results:
- Sternal fractures occurred in 0.07% of admitted pediatric patients over 16 years.
- Motor vehicle accidents were a common cause (36.8%).
- Frequent associated injuries included substernal hematoma, pulmonary contusion, and vertebral injuries.
Conclusions:
- Pediatric sternal fractures result from high-velocity trauma and are associated with significant comorbidities.
- A comprehensive evaluation is necessary to identify concurrent injuries in pediatric patients with sternal fractures.
- While isolated cases might be discharged, a thorough assessment is vital.
Related Concept Videos
02:33Lattice Centering and Coordination Number
11.6K
The structure of a crystalline solid, whether a metal or not, is best described by considering its simplest repeating unit, which is referred to as its unit cell. The unit cell consists of lattice points that represent the locations of atoms or ions. The entire structure then consists of this unit cell repeating in three dimensions. The three different types of unit cells present in the cubic lattice are illustrated in Figure 1.
Types of Unit Cells
Imagine taking a large number of identical...
Types of Unit Cells
Imagine taking a large number of identical...
11.6K
00:58Center of Gravity
6.7K
The center of gravity (COG) of an object is the point where the object's total weight is considered to be concentrated. Knowing the location of the center of gravity is useful when predicting the behavior of a moving object or designing static structures. In a uniform gravitational field, the center of gravity is similar to the center of mass (COM); yet, these two points can be positioned differently. For example, the Moon's center of mass lies very close to its geometric center, but...
6.7K
01:15Center of Gravity
2.2K
The center of gravity is the point at which an object's weight appears to be concentrated and can be used to balance the object perfectly. This point is essential in mechanics as it provides information regarding a body's stability and moments of inertia. The center of gravity does not always have to fall within the shape or boundaries of the body; it may also lie outside the body in certain cases.
To determine its location, the principle of moments can be utilized by dividing the object into...
To determine its location, the principle of moments can be utilized by dividing the object into...
2.2K
00:59Center of Mass
2.0K
The center of mass is the point at which the total mass of an object can be said to be concentrated. It is a fundamental principle in mechanics and physics that applies to all objects regardless of their shape or size. The center of gravity is the point at which an object’s weight appears to be concentrated and can be used to balance the object perfectly.
The knowledge of the center of mass can also help us to describe and predict the motion of objects. For example, when a ball is thrown...
The knowledge of the center of mass can also help us to describe and predict the motion of objects. For example, when a ball is thrown...
2.0K
01:27Fractures: Bone Repair
5.4K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
5.4K
01:29Leveling Effect
1.4K
In acid-base chemistry, the leveling effect refers to the limitation imposed by the solvent on the strength of acids and bases in solution. When a base stronger than the solvent's conjugate base is used, it deprotonates the solvent until the base is entirely consumed, making it ineffective against weaker acids. Conversely, an acid stronger than the solvent's conjugate acid protonates the solvent until the acid is depleted, rendering it ineffective against weaker bases. Essentially, the...
1.4K