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- W2983014373 abstract "Purpose We sought to investigate the diagnosis, management, and outcomes of pediatric sternal fractures. Methods We used ICD codes to search our trauma registry and Hound Dog software to search the hospital data warehouse for all cases of radiologically confirmed sternal fracture in patients <21 years from January 1, 1997 to July 1, 2017. We extracted demographics, mechanism of injury, diagnostic modality, associated injuries, and clinical outcomes. Results We identified 65 children with sternal fractures. 46/65 (71%) were male, with median age 11 years. 34/65 (52%) presented to our emergency department (ED) and the remainder to outpatient clinics. 41/65 (63%) were diagnosed by chest X-ray, 11/65 (17%) by chest CT, 7/65 (11%) by sternal X-ray, and 5/65 (8%) by MRI. Mechanism of injury varied by age. The majority, 50/65 (77%), were isolated injuries and there were no cardiac injuries, aortic injuries or deaths. 18/33 (45%) of those who presented initially to the ED were admitted, and of these 7/18 (39%) had isolated sternal fractures. Conclusions In this series, most sternal fractures were isolated with low morbidity. Sternal fracture alone should not prompt aggressive workup for intrathoracic injuries and stable patients with isolated sternal fractures can be safely followed without admission. Level of evidence IV." @default.
- W2983014373 created "2019-11-22" @default.
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- W2983014373 date "2020-07-01" @default.
- W2983014373 modified "2023-09-27" @default.
- W2983014373 title "Pediatric sternal fractures: A single center retrospective review" @default.
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- W2983014373 doi "https://doi.org/10.1016/j.jpedsurg.2019.10.002" @default.
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