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Adel I. Irani
Taek-Yeon Lee
Anthony L. Estrera
Hazim J. Safi
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J Thorac Cardiovasc Surg 2008;136:1371-1372
© 2008 The American Association for Thoracic Surgery

Brief Communication

Repair of a traumatic sternal deformity

Adel I. Irani, MD*, Taek-Yeon Lee, MD, Anthony L. Estrera, MD, Hazim J. Safi, MD

Department of Cardiothoracic and Vascular Surgery, University of Texas Health Science Center, Memorial Hermann Heart and Vascular Institute, Houston, Tex

Received for publication November 1, 2007; accepted for publication December 4, 2007.

* Address for reprints: Adel I. Irani, MD, Assistant Professor, 6410 Fannin, Suite 450, Houston, TX 77030. (Email: Adel.I.Irani@uth.tmc.edu).

The first 20% of the full text of this article appears below.

Acquired deformities of the anterior chest wall have been classified into groups.1Go There are reports in the literature on the treatment of sternal dehiscence and nonunion after median sternotomy. A review of the English-language literature, however, found little about the treatment of sternal fractures after blunt trauma, because most such fractures are managed nonoperatively with low morbidity and mortality. We report a case of a chronic sternal fracture that healed in a severely angulated fashion, was associated with pain, and was treated with open reduction and fixation.

Clinical Summary

Our patient was a 44-year-old woman involved in a rollover motor vehicle accident as the restrained driver on March 26, 2007. At presentation, she reported severe back pain. Radiologic examination revealed two nondisplaced sternal fractures, a third thoracic vertebral chip fracture, and a fourth thoracic vertebral burst fracture. The patient subsequently underwent open reduction and internal fixation of the second through sixth thoracic . . . [Full Text of this Article]


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J. Thorac. Cardiovasc. Surg. 2009 138: 517-518. [Extract] [Full Text] [PDF]



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J. S. K. Murala and G. Nunn
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J. Thorac. Cardiovasc. Surg., August 1, 2009; 138(2): 517 - 518.
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