Isolated sternal fracture after low-energy trauma in a geriatric patient: a case report Article Swipe
Joni J. Sairanen
,
Otso Arponen
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1186/s12245-022-00437-1
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1186/s12245-022-00437-1
Background Falls are a common cause of emergency department (ED) visits for the older population. If osteoporosis is present, even falls from standing height can lead to unusual fractures normally associated with high-energy trauma. In this report, we analyze a rare case of an isolated sternal fracture with an unusual mechanism of injury. Our discussion aims to improve care for older adults with fall-related fractures. Case presentation An 86-year-old female presented in the ED of our hospital with a complaint of chest pain. She recalled a fall at home the previous day and described how her fist was impacted between the floor and her chest. A physical examination revealed local tenderness in the mid-chest. A lateral chest x-ray indicated a sternal fracture, and a chest computed tomography scan ruled out concomitant injuries. There were no acute changes on her electrocardiogram (ECG). Conservative outpatient treatment was started, and referrals were made with a recommendation to initiate fall prevention measures and osteoporosis screening in primary health care. Conclusions Geriatric patients can present in the ED with a rare sternal fracture even after only a minor chest trauma. Appropriate imaging and an ECG are warranted to exclude life-threatening additional injuries. An in-depth physical examination and an understanding of the exact mechanism of injury are important to avoid missing fractures in unexpected locations. Modern ED physicians could have an important role in the secondary prevention of fall-related fractures for geriatric patients.
Related Topics
Concepts
Medicine
Emergency department
Physical examination
Osteoporosis
Geriatric trauma
Chest pain
Concomitant
Physical therapy
Poison control
Injury prevention
Emergency medicine
Surgery
Injury Severity Score
Internal medicine
Psychiatry
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1186/s12245-022-00437-1
- https://intjem.biomedcentral.com/counter/pdf/10.1186/s12245-022-00437-1
- OA Status
- gold
- Cited By
- 1
- References
- 15
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4288714696
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4288714696Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1186/s12245-022-00437-1Digital Object Identifier
- Title
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Isolated sternal fracture after low-energy trauma in a geriatric patient: a case reportWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2022Year of publication
- Publication date
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2022-07-29Full publication date if available
- Authors
-
Joni J. Sairanen, Otso ArponenList of authors in order
- Landing page
-
https://doi.org/10.1186/s12245-022-00437-1Publisher landing page
- PDF URL
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https://intjem.biomedcentral.com/counter/pdf/10.1186/s12245-022-00437-1Direct link to full text PDF
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
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https://intjem.biomedcentral.com/counter/pdf/10.1186/s12245-022-00437-1Direct OA link when available
- Concepts
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Medicine, Emergency department, Physical examination, Osteoporosis, Geriatric trauma, Chest pain, Concomitant, Physical therapy, Poison control, Injury prevention, Emergency medicine, Surgery, Injury Severity Score, Internal medicine, PsychiatryTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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15Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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