Management of rib and sternal fractures

Author:

Howell NJ1,Ranasinghe AM1,Graham TR1

Affiliation:

1. Department of Cardiothoracic Surgery, University Hospital NHS Trust, Birmingham, UK

Abstract

The majority of thoracic injuries encountered in the UK are secondary to blunt trauma following motor vehicle accidents. Rib fractures account for more than half of these injuries. Sternal fractures, although less common, have an increased incidence following the implementation of seat belt legislation. Both rib and sternal fractures may compromise ventilation by a variety of mechanisms. Pain leads to a reduction in lung expansion and sputum retention. Fractured ribs may cause penetrating injury resulting in a haemopneumothorax. There may also be asso ciated pulmonary contusion and flail chest, which further compromises ventilation. Sternal and rib fractures are managed by a number of specialties including accident and emergency staff, cardiothoracic and trauma surgeons, as well as anaesthetists and intensivists. The management of rib and sternal fractures principally consists of the identification and treatment of associated injuries, appropriate respiratory care and symptomatic relief. This article reviews the literature on the investigations and management of the patient with rib and sternal fractures.

Publisher

SAGE Publications

Subject

Critical Care and Intensive Care Medicine,Emergency Medicine,Surgery

Cited by 3 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Retrospective analysis of patients with sternal fracture;Turkish Journal of Emergency Medicine;2021

2. Trauma and Blast Injuries;Murray and Nadel's Textbook of Respiratory Medicine;2016

3. Where We Have Been, Where We Are Now, and Where We Are Going;Journal of Trauma Nursing;2011-01

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