Isolated sternal @entity174 are seen with an increasing frequency in traffic road accidents especially after the introduction of the seatbelt legislation. In most cases, the victims are young, otherwise healthy individuals. The medical records of all @entity1 who were treated with a diagnosis of sternal @entity174 over the past 10 years were retrospectively reviewed. All @entity1 with a radiologic diagnosis of sternal @entity174 were admitted for cardiac monitoring for at least 24 hours. ECG, determinations of cardiac enzyme levels CK (creatinephosphokinase) and CK-MB and evaluation by a cardiologist were routinely performed. An echocardiography was performed when indicated by the cardiologist. A total of 86 @entity1 had sustained a sternal @entity174 during the 10-year study period. There were 39 males and 47 females with a mean age of 50 years (range 15-97 years). Serial 12-lead electrocardiograms, which were performed in 83 (97%) @entity1 , revealed no information about @entity296 or @entity943 with consequent therapy. In eight @entity1 , a significant elevation in cardiac enzyme levels (elevation of CK-MB fraction above 10% of CK) was observed. All were normalized within 24 hours without development of any @entity943 . Echocardiography was performed in 31 @entity1 . In two @entity1 , @entity910 of the right ventricle (without enzyme elevations or @entity943 ) was observed. Within 24 hours these @entity854 resolved. The cardiac rhythm was monitored in 61 (71%) @entity1 for a total of 1550 hours. No @entity943 were observed. The cardiac enzyme studies, ECG and echocardiography revealed no consequent information about @entity943 . In case of a sternal @entity174 , we recommend a chest X-ray to exclude other associated @entity130 . If no @entity854 are identified, admission to hospital is not necessary.

XXXX as a result of isolated sternal @entity174 : a fact or a myth?

@entity1 :: ('9606', 'Species') :: ['patients'] @entity296 :: ('MESH:D009202', 'Disease') :: ['myocardial contusion'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures', 'fracture'] @entity910 :: ('MESH:D004409', 'Disease') :: ['dyskinesia'] @entity854 :: ('MESH:D018376', 'Disease') :: ['abnormalities'] @entity943 :: ('MESH:D001145', 'Disease') :: ['cardiac arrhythmias', 'arrhythmias'] @entity130 :: ('MESH:D014947', 'Disease') :: ['intrathoracic injuries']
@entity296 :: (MESH:D009202,Disease) :: ['Myocardial contusion']
