{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:09:03Z","timestamp":1777907343983,"version":"3.51.4"},"reference-count":4,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,12,23]],"date-time":"2020-12-23T00:00:00Z","timestamp":1608681600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>The incidence of sternal fracture ranges from 3 to 8%. In more than half, they are associated with other organ trauma such as blunt cardiac injuries, rib, scapular or vertebral fractures. Hence, the presence of sternal fracture is considered a marker for significant transmission of energy. The management of isolated sternal fractures is usually non-operative with surgery reserved for displaced fractures or in cases of respiratory insufficiency. However, management may become challenging when they are associated with other significant trauma. We discuss a case of sternal fracture complicated by the presence of blunt cardiac injury, open pneumothorax, rib fractures, anterior flail chest and empyema.<\/jats:p>","DOI":"10.1177\/0049475520981264","type":"journal-article","created":{"date-parts":[[2020,12,23]],"date-time":"2020-12-23T23:47:13Z","timestamp":1608767233000},"page":"425-427","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Complex open sternal fracture with impingement of the pericardium"],"prefix":"10.1177","volume":"51","author":[{"given":"Sandeep","family":"Tiwari","sequence":"first","affiliation":[{"name":"Professor, Department of Trauma Surgery, KGMU, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anita","family":"Singh","sequence":"additional","affiliation":[{"name":"Assistant Professor, Department of Trauma Surgery, KGMU, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paras","family":"Bhandari","sequence":"additional","affiliation":[{"name":"Senior Resident, Department of Trauma Surgery KGMU, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debmoy","family":"Ghatak","sequence":"additional","affiliation":[{"name":"Junior Resident, Department of General Surgery KGMU, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6658-9626","authenticated-orcid":false,"given":"Harshit","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Trauma Surgeon, Department of Trauma Surgery KGMU, Lucknow, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,12,23]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/j.2205-0140.2011.tb00131.x"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2018.08.051"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e318270193a"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2013.08.025"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475520981264","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0049475520981264","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0049475520981264","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:33:02Z","timestamp":1777642382000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0049475520981264"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,23]]},"references-count":4,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1177\/0049475520981264"],"URL":"https:\/\/doi.org\/10.1177\/0049475520981264","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,23]]}}}