Related Experiment Video

Updated: Oct 5, 2025

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

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

Published on: January 5, 2015

64.2K

Analysis of pediatric sternal fractures using the Kid's Inpatient Database (KID)

Marjorie N Odegard1, Frederick W Endorf1, Chad J Richardson1

  • 1Hennepin County Medical Center, 701 Park Avenue, Minneapolis, MN, 55416, USA.

Injury
|January 26, 2022
PubMed

Insights

Sternal fractures in pediatric blunt trauma are severe but not independent predictors of mortality or need for additional care. This finding impacts trauma care and patient outcomes.

Area of Science:

  • Pediatric Trauma Surgery
  • Injury Epidemiology
  • Critical Care Medicine

Background:

  • Sternal fractures are uncommon in pediatric blunt trauma.
  • Understanding their association with patient outcomes is crucial for trauma management.

Purpose of the Study:

  • To determine if sternal fracture predicts discharge requiring additional care and mortality in pediatric blunt trauma patients.
  • To identify factors associated with adverse outcomes in this population.

Main Methods:

  • Analysis of pediatric blunt trauma admissions (<18 years) from the 2016 Kid's Inpatient Database.
  • Calculation of weighted incidence of sternal fracture using survey data.
  • Regression analysis to identify predictors of poor outcomes.

Main Results:

  • Annual incidence of pediatric sternal fracture was 0.43 per 100,000.
  • Sternal fracture patients were older, more likely to have motor vehicle accidents, and sustained associated injuries (e.g., clavicle, abdominal, spinal, lung, rib fractures).
  • Despite higher rates of discharge to care (22% vs 5%) and mortality (3.8% vs 0.9%), sternal fracture was not an independent predictor of these outcomes after adjustment.

Conclusions:

  • Sternal fracture in pediatric blunt trauma is a marker of severe injury.
  • It is not an independent predictor of mortality or the need for a higher level of care post-discharge.
  • Focus should remain on managing associated injuries and overall patient condition.
Abstract

More Related Videos

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

626
Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects07:35

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Published on: April 11, 2012

18.4K

Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
274
Fractures: Bone Repair01:27

Fractures: Bone Repair

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...
3.9K
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
10