Toraks travmasýna baðlý sternal kýrýklarýn kardiyak bulgularý: Beþ yýllýk geriye dönük bir çalýþma

AMAÇ: Bu çalýþmanýn temel amacý; torasik travmalý hastalarda sternal kýrýk sýklýðýný, farklý sternal zonlarda kýrýðý olan ve deplase ve non-deplase sternal kýrýklý hastalardaki, cerrahi gereksinim, kardiyak bulgular ve tedavi sürecindeki farklýlýklarý belirlemektir.
GEREÇ VE YÖNTEM: Ocak 2011–Aralýk 2015 tarihleri arasýnda bir devlet hastanesine baþvuran torasik travmaya baðlý sternal kýrýklý olgularýn verileri analiz edildi. Hastalarýn verileri, demografik özellikler, travma özellikleri, klinik bulgularý ve tedavi yöntemlerini içermektedir.
BULGULAR: Çalýþma süresince baþvuran 2764 torasik travmalý hastanýn 72’sinde (%2.6) sternal kýrýk saptandý. Hastalarýn medyan yaþlarý 52 (ÇAA: 61–38) iken, aðýrlýðý erkekler oluþturdu (kadýn/erkek: 18/54). Sternal kýrýk olgularýnýn en sýk üç nedeni motorlu taþýt kazasý, düþme ve iþ kazasýydý. Olgularýn 15’inde deplase kýrýk olduðu bulundu. Anormal ekokardiyografi bulgularý, manubrium kýrýklý olgularda, korpus kýrýklý olgulara göre istatistiksel olarak anlamlý þekilde daha fazla idi. Korpus kýrýklý hastalarda, manubrium kýrýklýlara oranla istatistiksel olarak daha az sýklýkta cerrahi ihtiyacý geliþti. Ayrýca, deplase kýrýðý olan ve olmayan hastalar arasýnda cerrahi giriþim gereksinimlerine göre istatistiksel olarak anlamlý farklýlýk vardý (p<0.005).
TARTIÞMA: Manubriumda görülen ve deplase sternal kýrýklarda anormal ekokardiyografi bulgularý daha fazla sýklýkta görülmektedir.

Cardiac findings of sternal fractures due to thoracic trauma: A five-year retrospective study

BACKGROUND: This study mainly aimed to determine the frequency of sternal fractures in thoracic trauma patients and to assess the differences in surgical need, cardiac findings, and treatment processes between patients with fracture on different sternal zones and displaced and non-displaced sternal fractures.
METHODS: We analyzed the data of patients with sternal fracture due to thoracic trauma admitted to a state hospital between January 2011 and December 2015. Patient data comprised demographics, trauma characteristics, clinical findings, and treatment process.
RESULTS: Of the 2764 thoracic trauma patients admitted during the study period, 72 (2.6%) had sternal fracture. The median age was 52 (inter quartile range: 61–38) years; the patients were predominantly male (F/M: 18/54). The most common causes of sternal fractures were motor vehicle accident, fall, and work accident. Of all the patients, 15 had displaced fracture. Abnormal echocardiogram findings were significantly more frequent in patients having fractures on the manubrium than in those having fractures on the corpus of the sternum. Patients who had fracture on the corpus had significantly lesser surgery need than those who had fracture on the manubrium of the sternum. Also, there was statistically significant difference between displaced and non-displaced sternal fracture cases in terms of surgery need (p<0.005).
CONCLUSION: Abnormal echocardiography findings were more frequent in patients with sternal fracture on the manubrium and displaced fracture.