Three-dimensional mapping of sternum fractures from high-energy trauma.
Background: Sternum fractures are relatively uncommon injuries, which generally occur as a result of a high-energy mechanism and are often associated with significant concomitant injuries. These injuries may result in decreased quality of life if not properly addressed and yet are rarely operated on...
| Publicado en: | Journal of Trauma & Acute Care Surgery Vol. 93; no. 6; pp. 750 - 757 |
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| Autores principales: | , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Dec2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=160329312&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 160329312 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 21630755 EUMW jtl: Journal of Trauma & Acute Care Surgery issn: 21630755 maglogo: N pubinfo: dt: Dec2022 vid: 93 iid: 6 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 160329312 160329312 NLM36121222 160329312 10.1097/TA.0000000000003763 NLM36121222 160329312 ppf: 750 ppct: 7 formats: tig: atl: Three-dimensional mapping of sternum fractures from high-energy trauma. aug: au: LaRoque, Michael C. Obermeier, Michael C. Cole, Peter A. affil: From the Department of Orthopaedic Surgery (M.C.L.R., M.C.O., P.A.C.), University of Minnesota, Minneapolis, Minnesota sug: subj: Thoracic Injuries Complications Thoracic Injuries Thoracic Injuries Surgery Fractures Fractures Surgery Fractures Complications Rib Fractures Complications Sternum Surgery Quality of Life Accidents, Traffic Sternum Injuries Male Sternum Female Ferrans and Powers Quality of Life Index Male Female ab: Background: Sternum fractures are relatively uncommon injuries, which generally occur as a result of a high-energy mechanism and are often associated with significant concomitant injuries. These injuries may result in decreased quality of life if not properly addressed and yet are rarely operated on. The purpose of this project is to evaluate high-energy sternum fracture patterns using a previously published three-dimensional (3D) computed tomography (CT) reconstruction process to produce fracture frequency maps.Methods: Patients 18 years and older presenting to a Level I trauma center with sternum fractures due to high-energy trauma between October 2013 and January 2022 were included. A 3D reconstruction and reduction was performed for each sternum using medical image processing software (Materialize NV, Leuven, Belgium). The reconstructions were subsequently overlaid onto a template sternum and normalized using bony landmarks. Fracture lines for each injured sternum were transferred onto the template, creating 3D frequency maps.Results: A total of 120 patients met inclusion criteria. The study population had a uniform age distribution and 57.5% were male. The most common mechanism of injury was motor vehicle collision (64.2%). The breakdown of sternum fractures were isolated sternal body (55.8%), isolated manubrium (31.7%), and combined sternal body and manubrium fractures (12.5%). No xiphoid fractures were observed. Sternal body fractures were a near even mix of transverse (31.7%), oblique (32.9%), and comminuted (35.4%), while 75.5% of manubrium fractures were oblique. The most common associated injuries included rib fractures (80.8%) and traumatic brain injury (61.7%).Conclusion: This study presents the fractures from sternum injuries in 3D, and provides insight into reproducible sternum injury patterns that have not previously been analyzed in this format. This fracture mapping technique presents numerous injury patterns simultaneously, such that more frequent morphologies can be appreciated for different patient groups.Level Of Evidence: Diagnostic Tests or Criteria; Level V. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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