Journal of Bone and Joint Surgery - British Volume (Impact Factor: 2.69). 12/1964; 46:602-7.
Source: PubMed
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    ABSTRACT: Background: Sternal fracture is uncommon injury following blunt chest trauma. They are usually caused by direct blunt trauma to the sternum, or most frequently car accident, including steering wheel direct blunt trauma to the sternum. Sternal fracture should be regarded as a hallmark of severe multiple injuries until proven otherwise. Purpose: To describe general features correlated with etiology, sex, age, associated with injury, and treatment of sternal fracture. Method: From June 1995 to June 2012, data of all patients suffering from sternal fracture were collected retrospectively. Result: Within fifteen years, ten patients with sternal fracture were treated. All of them were male with range of age 17 to 48 years old. In nine patients the fractures were caused by traffic accident, and in one patient it was due to falling from height. All of these cases were associated with other significant thoracic and extra thoracic injuries. The clinical manifestations of these cases mostly include anterior chest pain, tenderness, ecchymosis, swelling, and a palpable deformity and motion of the fracture fragments during respiration. The initial treatment of all these cases focused on the associated injuries. Later, in 10 cases, open reduction and internal fixation of the sternal fractures with wire were performed. After 6 month follow up, all the patients are alive and shows no complication. Conclusion: Surgical treatment in sternal fracture in 10 cases at Dr.Soetomo Hospital resulted in success outcomes.
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    ABSTRACT: Si bien el diagnóstico de la tortura en restos humanos se ha concentrado principalmente en el examen de victimas vivas y en cadáveres poco o nada ha sido hecho en restos esqueletizados. Este trabajo discute el rol de los traumatismos torácicos como un indicador de lesiones no accidentales causadas con el fin de incapacitar más no matar a la victima de violaciones a los Derechos Humanos. Para ilustrar el diagnóstico diferencial a lesiones atribuibles a "tortura" y a otros mecanismos se presentan tres casos, dos de los cuales podrían ser clasificados como tortura y uno que es excluido por mostrar un cuadro lesivo compatible con un accidente de tráfico.
    Cuadernos de Medicina Forense 01/2008;


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