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[Segmental sternal dislocation in children. Apropos of a surgically treated case]
G Norotte1, E Peres, A Vanderweyen
1Service de chlrurgie orthopédique et traumatologique, Centre Hospitalier Général, Gap.
Summary
This case study details a traumatic sternal segmental dislocation in a teen, treated successfully with plate stabilization. The study proposes an indirect injury mechanism and highlights the effectiveness of surgical intervention for pain relief and recovery.
Area of Science:
- Orthopedics
- Pediatric Surgery
- Traumatology
Background:
- Traumatic sternal segmental dislocation is a rare injury.
- It typically presents with anterior chest pain and may cause respiratory distress.
- Previous literature suggests conservative or surgical management based on patient tolerance and age.
Observation:
- A 14-year-old boy presented with anterior chest pain after exercise without a fall.
- Radiography revealed traumatic dislocation of the upper sternal segment.
- The patient experienced significant pain, dyspnea, and dysphagia, indicating poor clinical tolerance.
Findings:
- Surgical reduction and plate stabilization (Senegas plate) were performed 12 hours post-injury.
- Immediate pain relief was achieved post-operatively.
- The patient returned to school within 10 days, with plate removal after 2 months showing good clinical and radiological results.
Implications:
- This case highlights an indirect mechanism for sternal dislocation in adolescents.
- Surgical stabilization offers a viable and effective treatment option for symptomatic cases in teenagers.
- Prompt surgical intervention can lead to rapid recovery and excellent functional outcomes.