ArticleJournal of thoracic disease2018
Fractures of the manubrium sterni: treatment options and a possible classification of different types of fractures.
Article in Journal of thoracic disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- 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 · 2021Pooled it
- Operative management of unstable sternal fracture in polytrauma: a case report and literature review.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2026Review
- Spontaneous reduction of type I traumatic manubriosternal joint dislocation: A case report.The Journal of international medical research · 2026Article
- Surgical treatment of traumatic manubrio-sternal dislocation type I associated with chondrosternal joint rupture.Journal of surgical case reports · 2026Article
- Article
- 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 · 2025Article
- Article
- Using shape-memory alloy staples to treat comminuted manubrium sterni fractures: A case report.World journal of clinical cases · 2023Article
- Sternal fractures and thoracic injury: an analysis of 288 sternal fractures attending a major trauma centre.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Review
- Surgical fixation by mesh plate and intraoperative safe techniques for the manubrium sterni.Trauma case reports · 2021Article
- Surgical treatment of sternum comminuted fracture with memory alloy embracing fixator.Journal of thoracic disease · 2021Article
- No Need for Sternal Fixation in Traumatic Sternovertebral Fractures: Outcomes of a 10-Year Retrospective Cohort Study.Global spine journal · 2021Article
- [Lesions of the anterior chest wall-significance of additional fractures of the spine].Der Unfallchirurg · 2018Review
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSternum fractures are mostly located on the sternal corpus, seldom on the manubrium. Fractures of the sternal manubrium are, however, more frequently associated with severe concomitant injuries of thoracic organs, and therefore deserve special attention. In addition, in its function as a capstone in between the anterior chest wall and the shoulder girdle, it is exposed to a multiplicity of forces. Therefore the questions arise what types of fractures are observed in today's clinical practice, how to classify them and which treatment options are available. This study reports on different types of fractures which involve the manubrium sterni.
methodsBetween January 2012 and October 2014, data was collected from all severely injured patients (ISS ≥16), which received a CT scan of the thorax in our Level-I-Trauma Center and retrospectively analyzed concerning sternal fractures. Fracture type, collateral injuries, age, and information about the circumstances of the accident were noted.
resultsOf 890 evaluable patients, 154 (17.3%) had a fracture of the sternum and 23 (2.6%) of the manubrium. Fractures of the manubrium appeared in following types: A-type-transverse fracture (n=11) in 1st intercostal space by direct blunt trauma or flexion of the torso with sagittal instability; B-type-oblique fracture (n=9) by seat belt injury with rotatory instability; C-type-combined, more fragmentary fracture (n=3) by direct blunt trauma with simultaneous flexion of the torso and multi directional instability. Fractures only little dislocation were treated conservatively, and unstable fractures were surgically stabilized (n=10).
conclusionsIn summary, three main types of fractures could be found. A-type fractures were stabilized with a longitudinal plate osteosynthesis and B-type fractures with transverse positioned plates. To treat complex C-type fractures, plates with a T- or H-form could be a good solution. Level of evidence: Level III retrospective prognostic cohort study.
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