{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:07:43Z","timestamp":1753877263071,"version":"3.41.2"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T00:00:00Z","timestamp":1747008000000},"content-version":"vor","delay-in-days":13,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,4,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Traumatic sternal fractures are rare injuries, typically caused by high-energy blunt chest trauma. While most cases are managed conservatively, the presence of congenital anomalies, such as a sternal foramen, can complicate diagnosis and treatment. This case report presents a 39-year-old male with severe retrosternal pain after a motorcycle collision. Imaging revealed a non-displaced oblique sternal fracture adjacent to a sternal foramen. Due to pain severity and fracture location, open reduction and internal fixation (ORIF) was performed with precautions to avoid mediastinal injury. This case highlights the importance of detailed imaging to identify anatomical variations that may influence management. ORIF provided effective stabilization, pain relief, and minimized the risk of complications in the presence of a sternal foramen.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf299","type":"journal-article","created":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T04:35:15Z","timestamp":1747024515000},"source":"Crossref","is-referenced-by-count":0,"title":["Incidental sternal foramen discovered during the evaluation of a traumatic fracture: a case report"],"prefix":"10.1093","volume":"2025","author":[{"given":"C\u00e9sar L","family":"Baute","sequence":"first","affiliation":[{"name":"Department of Medical Research, Universidad Francisco Marroqu\u00edn , 6a. Calle Final, Calle Manuel F. Ayau, Zona 10, Guatemala City 01010 ,","place":["Guatemala"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Saenz","sequence":"additional","affiliation":[{"name":"Department of Medical Research, Universidad Francisco Marroqu\u00edn , 6a. Calle Final, Calle Manuel F. Ayau, Zona 10, Guatemala City 01010 ,","place":["Guatemala"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,5,12]]},"reference":[{"key":"2025051200350564300_ref1","doi-asserted-by":"publisher","first-page":"1243","DOI":"10.1007\/s00268-002-6511-5","article-title":"Sternal fractures: retrospective analysis of 100 cases","volume":"26","author":"Athanassiadi","year":"2002","journal-title":"World J Surg"},{"key":"2025051200350564300_ref2","doi-asserted-by":"publisher","first-page":"34","DOI":"10.21037\/med-21-27","article-title":"Traumatic sternal fractures: a narrative review","volume":"5","author":"Doyle","year":"2021","journal-title":"Mediastinum"},{"key":"2025051200350564300_ref3","doi-asserted-by":"publisher","first-page":"934","DOI":"10.12688\/f1000research.133151.1","article-title":"Anatomical variations of the sternum: sternal foramen and variant xiphoid morphology in dried adult human sternum in Ethiopia","volume":"12","author":"Lema","year":"2023","journal-title":"F1000Research"},{"key":"2025051200350564300_ref4","doi-asserted-by":"publisher","first-page":"e1929","DOI":"10.7759\/cureus.1929","article-title":"A comprehensive review of the sternal foramina and its clinical significance","volume":"9","author":"Choi","year":"2017","journal-title":"Cureus"},{"key":"2025051200350564300_ref5","doi-asserted-by":"publisher","first-page":"1309","DOI":"10.1002\/wjs.12164","article-title":"Sternal fixation for traumatic sternal fractures demonstrates better long-term quality of life outcomes than nonoperative management: a survey analysis","volume":"48","author":"Bauman","year":"2024","journal-title":"World J Surg"},{"key":"2025051200350564300_ref6","doi-asserted-by":"publisher","first-page":"503","DOI":"10.7417\/CT.2023.5017","article-title":"Clinical relevance of sternal foramina: a morphometric study","volume":"174","author":"Sharma","year":"2023","journal-title":"Clin Ter"},{"key":"2025051200350564300_ref7","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1186\/s13019-017-0580-x","article-title":"Treatment of traumatic sternal fractures with titanium plate internal fixation: a retrospective study","volume":"12","author":"Zhao","year":"2017","journal-title":"J Cardiothorac Surg"},{"key":"2025051200350564300_ref8","first-page":"81","article-title":"Incidentally detected sternal foramen during an urgent surgical revascularization: a case report","volume":"15","author":"Co\u015fkun Sungur","year":"2020","journal-title":"J Teh Univ Heart Ctr"},{"key":"2025051200350564300_ref9","doi-asserted-by":"publisher","first-page":"1875","DOI":"10.1097\/TA.0b013e31823c46e8","article-title":"Fixation of sternal fractures: a systematic review","volume":"71","author":"Harston","year":"2011","journal-title":"J Trauma"},{"key":"2025051200350564300_ref10","doi-asserted-by":"publisher","first-page":"e52124","DOI":"10.3791\/52124","article-title":"Surgical fixation of sternal fractures: preoperative planning and a safe surgical technique using locked titanium plates and depth limited drilling","volume":"95","author":"Schulz-Drost","year":"2015","journal-title":"J Vis Exp"},{"key":"2025051200350564300_ref11","doi-asserted-by":"publisher","first-page":"1057","DOI":"10.5811\/westjem.2015.9.28645","article-title":"Ultrasound of sternal fracture","volume":"16","author":"Lahham","year":"2015","journal-title":"West J Emerg Med"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/5\/rjaf299\/63143307\/rjaf299.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/5\/rjaf299\/63143307\/rjaf299.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T04:35:16Z","timestamp":1747024516000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf299\/8128592"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,29]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,4,29]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf299","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2025,5]]},"published":{"date-parts":[[2025,4,29]]},"article-number":"rjaf299"}}