Korean J Intern Med.
1999 Jul;14(2):94-97.
A case of sternal insufficiency fracture
- Affiliations
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- 1Department of Internal Medicine, Division of Rheumatology, Holy Family Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- 2Department of Internal Medicine, Division of Infectious Diseases, Holy Family Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- 3Department of Radiology, Holy Family Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Abstract
- We report a case of insufficiency fracture of the sternum in a 70-year-old female patient with a review of the literature. She complained of sudden onset chest pain and aggravating dyspnea. She has been managed with corticosteroid due to chronic obstructive pulmonary disease for 15 years. Diagnosis of sternal insufficiency fracture presented with thoracic kyphosis was made on the basis of absence of trauma history, radiologic findings of lateral chest radiograph, bone scintigraphy and chest computed tomography. Thoracic kyphosis and osteoporosis secondary to menopause, corticosteroid therapy and limited mobility due to chronic obstructive pulmonary disease were considered as predisposing factors of the sternal insufficiency fracture in this patient.
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