Sternum insufficiency fracture presenting as acute chest pain: a case report and review of the literature

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
Kuo Hung Lin, R Ponampalam

Abstract

The spine, pelvic bones and long bones of the lower extremities are common sites for insufficiency fractures. Cases of sternum insufficiency fractures have been rarely reported in an elderly patient. Insufficiency fracture tends to occur in bones with decreased mechanical strength. It tends to occur in elderly patients, especially in postmenopausal women, with underlying diseases. We describe a case of sternum insufficiency fracture in a patient with rheumatoid arthritis and systemic lupus erythematosus on long-term corticosteroid therapy diagnosed in an emergency setting. Sternum insufficiency fracture is a rare cause of chest pain. This case serves to remind the emergency physician to remain vigilant for other noncardiac and nontraumatic causes of chest pain. If diagnosed accurately, these patients can be discharged and treated as outpatients.

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Citations

Jan 5, 2007·The Tohoku Journal of Experimental Medicine·Akira HorikawaYoichi Shimada
Jul 15, 2015·International Journal of Critical Illness and Injury Science·Fred AleskerovRichard Miller
Mar 17, 2016·Skeletal Radiology·Jonathan C Baker, Jennifer L Demertzis
Mar 24, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Ju Hong LeeSung Il Wang
Mar 2, 2017·Drug Safety - Case Reports·Luis H Martín AriasVirginia Delgado Armas

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