Email this article 
Osteosynthesis in isolated sternum fracture in a boy athlete
- Authors: Gavriluk V.P.1, Kostin S.V.1, Severinov D.A.1, Mashoshina L.O.1
-
Affiliations:
- Kursk State Medical University
- Issue: Vol 10, No 1 (2022)
- Pages: 79-84
- Section: Clinical cases
- URL: https://journals.eco-vector.com/turner/article/view/79732
- DOI: https://doi.org/10.17816/PTORS79732
- ID: 79732
Cite item
Open Access
Access granted
Abstract
BACKGROUND: Currently, the number of childhood patients with chest injuries is increasing – about 12% of peacetime injuries. This is primarily due to non-compliance with various safety measures and increased traffic accidents.
CLINICAL CASE: This article presents a rare clinical observation of a 9-year-old male with a sternal fracture with displacement of fragments. The presented clinical observation draws attention to the treatment option – open reposition of fragments with their further fixation with lavsan threads.
DISCUSSION: In cases of treating sternal fractures with fragment displacement, various versions of osteosynthesis can be used: external fixation (with a plate and screws), intraosseous (spoke osteosynthesis), transosseous (application of a serclay or lavsan suture), off-collar (external fixing devices, original author’s designs). The described method is easy to execute and accessible to almost every surgical or trauma hospital providing care to children.
CONCLUSIONS: One option for osteosynthesis in isolated sternal fractures in children between 10 and 12 years old is the application of lavsan sutures in the open reposition of fragments. An important advantage of this technique is the absence of the need to remove fixing structures, which is accompanied by tissue injuries and increased patient hospital stays, reducing the quality of life. In addition, the described method has low trauma and noteworthy cosmetic results.
Keywords
Full Text
About the authors
Vasily P. Gavriluk
Kursk State Medical University
Email: wvas@mail.ru
ORCID iD: 0000-0003-4792-1862
SPIN-code: 2730-4515
Scopus Author ID: 57219595437
ResearcherId: H-2186-2013
MD, PhD, Dr. Sci. (Med.), Associate Professor
Russian Federation, KurskStanislav V. Kostin
Kursk State Medical University
Email: drkostin@inbox.ru
ORCID iD: 0000-0003-0857-6437
SPIN-code: 7242-5368
MD, PhD, Cand. Sci. (Med.), Associate Professor
Russian Federation, KurskDmitry A. Severinov
Kursk State Medical University
Author for correspondence.
Email: dmitriy.severinov.93@mail.ru
ORCID iD: 0000-0003-4460-1353
SPIN-code: 1966-0239
Scopus Author ID: 57192996740
ResearcherId: G-4584-2017
MD, PhD, Cand. Sci. (Med.)
Russian Federation, KurskLada O. Mashoshina
Kursk State Medical University
Email: lada-mashoshina@yandex.ru
ORCID iD: 0000-0002-4402-5723
4th year student
Russian Federation, KurskReferences
- Dmitriev RV, Shinkarik IG, Rudakova EA. Closed breast injury in children. Perm Medical Journal. 2011;6(28):25–28. (In Russ.)
- Korneev IA, Akhadov TA, Semenova NA, et al. Multispiral computer tomography in diagnostics of acute skeletal injuries in children. Detskaya khirurgiya (Russian Journal of Pediatric Surgery). 2018;22(6):292–295. (In Russ.). doi: 10.18821/1560-9510-2018-22-6-292-295
- Vagner EA. Surgery of breast. Moscow: Meditsina; 1981. (In Russ.)
- Bühlmann KM, Castiglioni DA, Flores XO, et al. Clinical and radiological study of sternal fractures in paediatrics. Radiología (English Edition). 2019;3(61):234–238. doi: 10.1016/j.rxeng.2019.03.010
- Rosenfeld EH, Laua P, Shah SR, et al. Sternal fractures in children: an analysis of the national trauma data bank. J Pediatr Surg. 2019;5(4):980–983. doi: 10.1016/j.jpedsurg.2019.01.031
- Satyvaldayev MN, Akselrov MA. External stabilization of the thorax in complex treatment of children with severe chest injuries: description of clinical cases. Pediatric Traumatology, Orthopaedics and Reconstructive Surgery. 2018;2(6):73–78. (In Russ.). doi: 10.17816/PTORS6273-78
- Liman S. Chest injury due to blunt trauma. European Journal of Cardio-Thoracic Surgery. 2003;23(3):374–378. doi: 10.1016/s1010-7940(02)00813-8
- Tseymakh EA, Bombizo VA, Gontarev IN. Minimally invasive technologies in complex treatment of patients with polytrauma with dominant lesions of the breast. Barnaul; 2013. (In Russ.)
- Nishiumi N, Fujimori S, Katoh N, et al. Treatment with stabilization for anterior flail chest. Exp Clin Med. 2007;32(4):126–130.
- Kiraly L, Schreiber M. Management of the crushed chest. Crit Care Med. 2010;38:469–477. doi: 10.1097/CCM.0b013e3181ec6731
- Meinberg EG, Agel J, Roberts CS, et al. fracture and dislocation classification compendium-2018. J Orthop Trauma. 2018;1(32):1–170. doi: 10.1097/BOT.0000000000001063
- Kouritas VK, Zisis C, Vahlas K, et al. Isolated sternal fractures treated on an outpatient basis. Am J Emerg Med. 2013;31:227–230. doi: 10.1016/j.ajem.2012.05.027
- Hsiao V, Santillanes G, Malek D, Claudius I. Review of interventions and radiation exposure from chest computed tomography in children with blunt trauma. J Pediatr. 2018;198: 220–225. doi: 10.1016/j.jpeds.2018.02.075
- Soysal Ö, Akdemir OC, Ziyade S, Ugurlucan M. Management of sternal segment dislocation in a child with closed reduction. Case Rep Med. 2012;1–3. doi: 10.1155/2012/676873
- Sergio BS, Daniel MH, Gregor JK, Frank-Martin H. Treatment of isolated sternal fracture with a vacuum bell in an 8-year-old boy. Interact Cardiovasc Thorac Surg. 2018;5(26):888–889. doi: 10.1093/icvts/ivx421
Supplementary files
