2013, Number 4
Sternal fracture caused by ox horns
Language: Spanish
References: 11
Page: 315-323
PDF size: 83.67 Kb.
ABSTRACT
Introduction: Sternal fractures are infrequent because they are reported in very few cases in medical literature, which arouses great interest of knowing the correct behavior to be adopted with these patients.Objective: To present a treated case and to review literature about this type of disease.
Methods: An extensive literature review was made and the description of diagnosis and treatment of a patient with sternal fracture was presented.
Case presentation: A patient with sternal fracture secondary to close chest trauma after the patient being gored in the thorax by an ox. After 4 hours of diagnosing process, it was decided to operate him to reduce fracture and to apply osteosynthesis with no.5 wire and no.20 medium fragment tubular plate with 6 screws. The mechanical ventilation was the supplementary therapy during the postoperative phase. The progression was satisfactory till the hospital discharge and the patient remained asymptomatic during the follow-up period.
Conclusions: It is feasible to use osteosynthesis in the sternum by using plate and screws to give stability and consolidation of the fracture focus adequately without any sequelae.
REFERENCES
Castellanos González JA, Leal Mursulí A, Adefna Pérez R, Izquierdo Lara F, Ramos Díaz N. Comportamiento de la atención integral de los traumatismos torácicos en el Hospital "Dr. Miguel Enríquez" (2006-2008). Rev Cubana Cir 2011; [Consultado 5 noviembre 2012];50 (2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932011000200003&lng=es&nrm=iso&tlng=es
Llerena Rodríguez M, Reyes Segura SM, Martínez Versonic N, Vignier Figueredo D, Fernández Gutiérrez M. Caracterización de la evaluación del traumatismo torácico. Revista Cubana de Medicina Intensiva y Emergencias 2007; [Consultado 10 noviembre 2012]6(4). Disponible en: http://bvs.sld.cu/revistas/mie/vol6_4_07/mie05407.htm