Evidence map›Paper›PMID 29700586›Full record

SynthesisInternational orthopaedics2019

Current treatment and outcomes of traumatic sternal fractures-a systematic review.

Dorine S Klei, Mirjam B de Jong, F Cumhur Öner, Luke P H Leenen, Karlijn J P van Wessem

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Current treatment and outcomes of traumatic sternovertebral fractures: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Epidemiology and outcomes of traumatic sternal fractures and associated blunt cardiac injury: a nationwide cohort study in the Netherlands.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Traumatic fractures of the sternum - typical distribution and need for subgroups within AO and OTA classification system?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  13. A Devastating Chest Injury: A Case Report.Journal of orthopaedic case reports · 2025
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Validation of the modified AO sternum classification system.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Dorine S KleiDepartment of Trauma Surgery, University Medical Centre Utrecht, Suite G04.232, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands. d.s.klei@umcutrecht.nl.
Mirjam B de JongDepartment of Trauma Surgery, University Medical Centre Utrecht, Suite G04.232, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.
F Cumhur ÖnerDepartment of Orthopaedic Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands.
Luke P H LeenenDepartment of Trauma Surgery, University Medical Centre Utrecht, Suite G04.232, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.
Karlijn J P van WessemDepartment of Trauma Surgery, University Medical Centre Utrecht, Suite G04.232, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.
University Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTraumatic sternal fractures are rare injuries. The most common mechanism of injury is direct blunt trauma to the anterior chest wall. Most (> 95%) sternal fractures are treated conservatively. Surgical fixation is indicated in case of fracture instability, displacement or non-union. However, limited research has been performed on treatment outcomes. This study aimed to provide an overview of the current treatment practices and outcomes of traumatic sternal fractures and dislocations.

methodsA systematic review of literature published from 1990 to June 2017 was conducted. Original studies on traumatic sternal fractures, reporting sternal healing or sternal stability were included. Studies on non-traumatic sternal fractures or not reporting sternal healing outcomes, as well as case reports (n = 1), were excluded.

resultsSixteen studies were included in this review, which reported treatment outcomes for 191 patients. Most included studies were case series of poor quality. All patients showed sternal healing and 98% reported pain relief. Treatment complications occurred in 2% of patients.

conclusionsTreatment of traumatic sternal fractures and dislocations is an underexposed topic. Although all patients in this review displayed sternal healing, results should be interpreted with caution since most included studies were of poor quality.

Indexed as

AdolescentAdultAgedAged, 80 and overFemaleFractures, BoneHumansJoint DislocationsMaleMiddle AgedSternumThoracic InjuriesTreatment OutcomeWounds, NonpenetratingYoung AdultOutcomesSystematic reviewTraumatic sternal fracturesTreatment

Identifiers

PMID29700586
PMCPMC6525114
OpenAlexW2799376933

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.