Work

Surgical treatment of traumatic manubrio-sternal dislocation type I associated with chondrosternal joint rupture

Year: 2025

Type: article

Abstract: Manubrio-sternal dislocations (MSDs) are a rare entity that requires high-intensity energy trauma. It can be associated with complex fractures that can be challenging to manage. We aim to present our surgical approach to an MSD associated with multiple chondrosternal joint fractures and underline the mechanism of these rare traumatic chest wall damages. A 39-year-old male suffered from a forklift truck mishap. He arrived at our tertiary center with posterior MSD and chondrosternal joint fracture, lung contusion, pneumothorax, and right humerus fracture. He underwent an open reduction of the sternum and fixation by a sternal plate, bilateral costal osteosynthesis, and humerus fixation. Thoracic cage fracture associated with MSD leads to instability and higher morbi-mortality. Therefore, the surgical approach must be based on the surgeon's experience and procedures to optimize thoracic cage stability, which must remain the primary objective. We herein report our surgical approach regarding a complex MSD.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjaf392

Authors: Vincent De Pauw, Ellen Van Asbroeck, Guy Verfaillie, Dirk Smets

Institution: Universitair Ziekenhuis Brussel

Language: English

Topic: Trauma Management and Diagnosis

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000