PubMed Health⌕ Search

Biomedical subjects

I I Mayba

Publications and source records attributed to I I Mayba.

8 recordsLinked to original sources

Sternal injuries.

Trauma cases admitted to hospitals are often associated with chest-cage injuries. Sternal injuries may be overlooked and may cause persistent pain. Sternal injuries were reviewed at the Health Sciences Center General Hospital from 1963 to 1983 to ascertain the severity of chest-cage trauma and complications from this type of injury, including long-term sequelae. Mechanisms of injury to the chest cage and sternum are discussed. Osteoporosis was noted to be a predisposing factor. Chylothorax and nonunion of the sternum were rare sequelae. Stabilization of the sternum and chest cage is often necessary early treatment. Motor vehicle accidents were by far the most common cause of trauma producing these injuries. Thirty-six cases of injury to the sternum form the basis for this review.

Accidents, Traffic↗

Non-union of fractures of the sternum.

Injuries to the sternum and thoracic cage are relatively frequent in this age of motor-vehicle accidents, high-speed sports activities, and industrial injuries, yet non-union of a fracture of the sternum is exceptionally rare. Sternotomy is commonly performed in cardiothoracic surgery, and the sternum is usually divided vertically or transversely, but non-union of the sternal cut is rare. Fracture of the sternum in a child is especially rare.

Adult↗

Hay balers' fractures.

Two cases of fractures of the sternum and T12 vertebra are presented, which appear to be a characteristic combination of injuries to farmers when hay bales fall on them. The mechanism of injury proposed is a severe forward flexion, producing vertebral collapse at the dorsolumbar junction, and fracture of the sternum from direct trauma against the steering wheel. These fractures should always be suspected in persons injured while baling hay. It is proposed to call this complex of injuries hay balers' fractures. Preventive measures suggested are: operator caution when hay bales are lifted; addition of locks to the loader forks; increasing the size of the loader, or placing a screen or cage over the operators to keep hay bales from falling on them.

Aged↗