Sternal Fracture

This fellow had an airbag/steering wheel injury. His sternum was tender over the fracture seen on POCUS. These are amazingly easy to find. Using a linear probe in the longitudinal plane, slide it cephalad and caudad along the sternum. I doubt this would have been seen on X-ray, the displacement is around 1 mm. [Editor’s note: In patient’s where a sternal fracture is the only concern, imaging can be limited to POCUS. X-ray is not very useful in many cases. Click here and here for a couple of articles on the topic.]