title: Manubriosternal dislocation with spinal fracture: A rare cause for delayed haemothorax.
abstract: Type 2 manubriosternal dislocations with concomitant spinal fracture are rare and may be associated with thoracic visceral injuries. The complication of delayed haemothorax has not been reported yet. We report a case of a young male who suffered manubriosternal dislocation with chance type thoracic spine fracture due to fall of a tree branch over his back. The haemothorax presented late on day three. The possible injury mechanism is discussed along with review of literature. We conclude that a lateral chest radiograph is indicated in spinal fracture patients complaining of midsternal pain. Computerized axial tomography scan of chest with contrast is indicated to rule out visceral injuries and a chest radiograph should be repeated before the patient is discharged to look for delayed haemothorax.
authors.affiliation: Spine Room 1408, Hinduja Clinic, PD Hinduja National Hospital and MRC, Mahim, Mumbai, Maharashtra 400016, India.
authors.forename: Manish
authors.initials: M
authors.lastname: Kothari
authors.forename: Pramod
authors.initials: P
authors.lastname: Saini
authors.forename: Sunny
authors.initials: S
authors.lastname: Shethna
authors.forename: Samir
authors.initials: S
authors.lastname: Dalvie
mesh_terms: D000328:Adult; D006491:Hemothorax / Q000209:etiology*; D006801:Humans; D004204:Joint Dislocations / Q000150:complications* / Q000000981:diagnostic imaging; D008297:Male; D008371:Manubrium / Q000293:injuries*; D013902:Radiography, Thoracic; D016103:Spinal Fractures / Q000150:complications* / Q000000981:diagnostic imaging; D013249:Sternum / Q000293:injuries*; D013904:Thoracic Vertebrae / Q000293:injuries*