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    Are sternum fractures really indicative of severe trauma?
    (2019) Kuru, Murat; Sahinoglu, Tuba
    Aim: To investigate the need for echocardiography in cases of sternum fracture through a retrospective analysis of the data of patients treated for post-traumatic sternal fracture. Although sternum fractures are known to be an indicator of the severity of trauma and cardiac injury, it should be evaluated whether this is always the case or whether sternum fractures could be considered benign traumas.Material and Methods: Data of 63 patients admitted to the emergency department after trauma and treated for sternum fracture between August 2014 and October 2016 were retrospectively analyzed.Results: Of the patients, 29 (46%) were female and 34 (54%) male. The mean age was 54.4±21.9 (14-89) years. Chest pain was the most common complaint among these patients admitted to the emergency department. All patients had blunt thoracic trauma. The most common injuries concomitant of sternum fractures were rib fractures. While electrocardiography and echocardiography were performed in all patients on admission to the emergency department, pericardial effusion was detected in only 1 patient by Echo. There was no significant relationship between the type of trauma exposure and the region of fracture in the sternum. All patients were treated conservatively with close follow-up for sternal fracture.Conclusion: We suggest that routine echocardiography may be unnecessary if there are no anomalies in electrocardiography findings, no cardiac marker positivity is detected and no displaced fractures are present in the computed tomography of the thorax in patients admitted to the emergency department after traum.
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    Thoracic trauma in children; A retrospective study for causes, diagnosis and treatments
    (2020) Kuru, Murat; Apiliogullari, Burhan; Altinok, Tamer; Cerann, Sami
    Aim: To evaluate pediatric patients subjected to thoracic trauma in terms of prognosis, diagnosis and treatment. Although studies on trauma in adults are aplenty, those on the pediatric population are rarely available.Material and Methods: 261 patients who were exposed to thoracic trauma for any reason in the last 24 hours of hospital admission were included. The patients’ demographic data, etiology, treatments and results were retrospectively evaluated.Results: Our sample consisted of 85 girls and 176 boys with a mean age of 9.73±5.71 (range: 1-18 years). 228 of the patients (87%) had blunt trauma, 26 (10%) had penetrating trauma, and 7 (3%) had both penetrating and blunt trauma. Rate of penetrating trauma was about 4 times higher in boys. Traffic accidents were the most common reason for traumas. The most commonly fractured ribs were the 6th-9th ribs. 75 patients (28.7%) required tube thoracostomy, and 12 required open surgery. Rigid bronchoscopy was performed in 12 patients.Conclusion: None of the 33 patients with penetrating trauma died, contrary to the information in the literature. We found boys to be exposed to trauma more than girls (B/G: 2.07/1), albeit at different rates compared to the findings of other research. The development of rib fractures was found to be a predisposing factor for hemothorax. Hemothorax was observed in the 6th-9th ribs and in ≥4 rib fractures