Skip to main content
SpringerLink
Log in

Sternumfraktur bei medikamenteninduzierter Osteopenie

Epilepsie und Sternumquerfraktur

Epilepsy and transverse sternum fractures

Sternum fractures in drug-induced osteopenia

  • Kasuistiken
  • Published:
Der Unfallchirurg Aims and scope Submit manuscript

Zusammenfassung

Frakturen des Sternums sind eine seltene Verletzung. Die Kombination aus indirektem Trauma und Sternumquerfraktur im Rahmen eines epileptischen Anfalles ist in der Literatur bisher nur in einem Fall beschrieben. Eine 32-jährige Patientin erlitt eine solche Sternumquerfraktur. Bei progredienter Schmerzsymptomatik wurde diese mittels Plattenosteosynthese versorgt. In der vorhandenen Literatur gibt es bis heute keine eindeutigen Empfehlungen zur Therapie dieser Frakturen. In dieser Darstellung wird eine Alternative zur konservativen Therapie einer derartigen Fraktur in Form einer Plattenosteosynthese dargestellt und diskutiert.

Abstract

Fractures of the sternum are a very rare injury. The combination of indirect trauma and transverse fracture in case of an epileptic seizure has been described only in one case. A sternal fracture in a 32-year-old woman was treated by plate osteosynthesis because of progressive pain. In the current literature, there are no clear recommendations for the treatment of such fractures. Plate osteosynthesis, as an alternative to conservative treatment of such fractures, is presented and discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3
Abb. 4

Literatur

  1. Brookes JG, Dunn RJ, Rogers IR (1993) Sternal fractures: a retrospective analysis of 272 cases. J Trauma 35(1):46–54

    Article  CAS  PubMed  Google Scholar 

  2. Ferguson LP, Wilkinson AG, Beattie TF (2003) Fracture of the sternum in children. Emerg Med J 20(6):518–520

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  3. Vukich JD, Thoracic MV (1998) Trauma, in emergency medicine concepts and clinical practice, 4th edn. Mosby Year Book, St. Louis, pp 515–516

  4. Flowler AW (1957) Flexion-compression injury of the sternum. J Bone Joint Surg 39:487–497

    Google Scholar 

  5. Dastgeer GM, Mikolich DJ (1987) Fracture-dislocation of manubriosternal joint: an unusual complication of seizures. J Trauma 27(1):91–93

    Article  CAS  PubMed  Google Scholar 

  6. Collins J (2000) Chest wall trauma. J Thorac Imaging 15(2):112–119

    Article  CAS  PubMed  Google Scholar 

  7. Berg EE (1993) The sternal-rib complex. A possible fourth column in thoracic spine fractures. Spine (Phila Pa 1976) 18(13):1916–1919

    Google Scholar 

  8. Denis F (1983) The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine (Phila Pa 1976) 8(8):817–831

    Google Scholar 

  9. Vioreanu MH, Quinlan JF, Robertson I, O’Byrne JM (2005) Vertebral fractures and concomitant fractures of the sternum. Int Orthop 29(6):339–342

    Article  PubMed Central  PubMed  Google Scholar 

  10. Hills MW, Delprado AM, Deane SA (1993) Sternal fractures: associated injuries and management. J Trauma 35(1):55–60

    Article  CAS  PubMed  Google Scholar 

  11. Sadaba JR, Oswal D, Munsch CM (2000) Management of isolated sternal fractures: determining the risk of blunt cardiac injury. Ann R Coll Surg Engl 82(3):162–166

    CAS  PubMed Central  PubMed  Google Scholar 

  12. Sybrandy KC, Cramer MJ, Burgersdijk C (2003) Diagnosing cardiac contusion: old wisdom and new insights. Heart 89(5):485–489

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  13. Harston A, Roberts C (2011) Fixation of sternal fractures: a systematic review. J Trauma 71(6):1875–1879

    Article  PubMed  Google Scholar 

  14. Ozaki W, Buchman S, Iannettoni M (1998) Biomechanical study of sternal closure using rigid fixation techniques in human cadavers. Ann Thorac Surg 65(6):1660–1665

    Article  CAS  PubMed  Google Scholar 

  15. Fawzy H, Alhodaib N, Mazer CD et al (2009) Sternal plating for primary and secondary sternal closure; can it improve sternal stability? J Cardiothorac Surg 4:19

    Article  PubMed Central  PubMed  Google Scholar 

  16. Mayberry JC, Ham LB, Schipper PHet al (2009) Surveyed opinion of American trauma, orthopedic, and thoracic surgeons on rib and sternal fracture repair. J Trauma 66(3):875–879

    Article  PubMed  Google Scholar 

  17. Bolton JM, Targownik LE, Leung S et al (2011) Risk of low bone mineral density associated with psychotropic medications and mental disorders in postmenopausal women. J Clin Psychopharmacol 31(1):56–60

    Article  PubMed  Google Scholar 

  18. Rosenow F, Hamer H, Bauer S (2005) Valproic acid and bone metabolism. Z Epileptol 18:170–173

    Article  Google Scholar 

  19. Regauer M, Huber-Wagner S, Oedekoven T et al (2010) Flexible intramedullary nailing of a displaced transverse sternal fracture associated with a flexion-compression injury of the thoracic spine. Spine (Phila Pa 1976) 35(12):553–558

    Google Scholar 

  20. Bertin KC, Rice RS, Doty DB et al (2002) Repair of transverse sternal nonunions using metal plates and autogenous bone graft. Ann Thorac Surg 73(5):1661–1662

    Article  PubMed  Google Scholar 

  21. Mayba II (1985) Non-union of fractures of the sternum. J Bone Joint Surg Am 67(7):1091–1093

    CAS  PubMed  Google Scholar 

Download references

Einhaltung ethischer Richtlinien

Interessenkonflikt. D. Merschin, F. Kerling, M. Winterholler und R. Stangl geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren. Alle Patienten, die über Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts zu identifizieren sind, haben hierzu ihre schriftliche Einwilligung gegeben. Im Falle von nicht mündigen Patienten liegt die Einwilligung eines Erziehungsberechtigen oder des gesetzlich bestellten Betreuers vor.

Author information

Authors and Affiliations

  1. Klinik für Unfall-, Schulter- und Wiederherstellungschirurgie, Sportmedizin und Sporttraumatologie, Krankenhaus Rummelsberg gGmbH, Rummelsberg 71, 90592, Schwarzenbruck, Deutschland

    D. Merschin &  R. Stangl

  2. Neurologische Klinik, Krankenhaus Rummelsberg gGmbH, Schwarzenbruck, Deutschland

    F. Kerling & M. Winterholler

Authors
  1. D. Merschin
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. F. Kerling
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M. Winterholler
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. R. Stangl
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to R. Stangl.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Merschin, D., Kerling, F., Winterholler, M. et al. Sternumfraktur bei medikamenteninduzierter Osteopenie. Unfallchirurg 117, 1152–1156 (2014). https://doi.org/10.1007/s00113-013-2553-4

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00113-013-2553-4

Schlüsselwörter

Keywords

Search

Navigation