McMaster University

McMaster University

Sternal insufficiency fracture related to steroid-induced osteoporosis

We are delighted to share with you the most recent publication in Journal of the Canadian Chiropractic Association from the MacOrtho team. This publication is entitled “Sternal insufficiency fracture related to steroid-induced osteoporosis: A case report".

Find the abstract below and click here to access the full-version of the article.

Wong JJ, Drew B, Stern P. Sternal insufficiency fracture related to steroid-induced osteoporosis: A case report. J Can Chiropr Assoc. 2013 Mar;57(1):42-8.


Osteoporosis often results in fractures, deformity and disability. A rare but potentially challenging complication of osteoporosis is a sternal insufficiency fracture. This case report details a steroid-induced osteoporotic male who suffered a sternal insufficiency fracture after minimal trauma. Prompt diagnosis and appropriate management resulted in favourable outcome for the fracture, though a sequalae involving a myocardial infarction ensued with his osteoporosis and complex health history. The purpose of this case report is to heighten awareness around distinct characteristics of sternal fractures in osteoporotic patients. Discussion focuses on the incidence, mechanism, associated factors and diagnostic challenge of sternal insufficiency fractures. This case report highlights the role primary contact practitioners can play in recognition and management of sternal insufficiency fractures related to osteoporosis.

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