Abstract

Sternal fractures are common in blunt chest trauma, often associated with significant morbidity and mortality. The sternum serves as a protective barrier for vital organs, including the heart. Sternal fractures can cause injury to the underlying and adjacent vital organs like heart, lungs and the great vessels. Myocardial injury associated with sternal fractures occurs when the force of the impact is transmitted through the sternum to the heart, causing direct trauma to the myocardium. The severity of myocardial injury can vary depending on factors such as the magnitude of the force, the angle of impact, and the presence of underlying cardiac conditions. Severe pain associated with sternal fractures can lead to impaired ventilation, low partial pressure of arterial oxygen, need for non-invasive or invasive ventilation. Myocardial injury can result in symptoms such as chest pain, arrhythmias, or even cardiac dysfunction. It’s important for individuals with sternal fractures to undergo thorough evaluation to assess for any potential cardiac involvement and to receive appropriate treatment if myocardial injury is suspected. Early recognition and intervention can help mitigate the risk of complications and improve outcomes for affected individuals. This report explores the intricate relationship between sternal fractures and myocardial injury, shedding light on diagnostic challenges, clinical implications, and management strategies.