The sternum was hit by the knee?
Hello, Doctor: A few days ago, while playing with friends, I accidentally hit my sternum hard against someone's knee.
Initially, it was very painful, but it has improved a lot recently.
However, I still experience pain when I perform upper body stretches or larger movements.
Should I go to the hospital for an examination? Which specialty should I see, and what kind of tests should I undergo? Thank you for your guidance!
wjc, 20~29 year old female. Ask Date: 2005/03/30
Dr. Shi Guozheng reply Orthopedics
When a bone is struck, it usually results in pain.
If a fracture occurs, the level of pain is significantly greater.
Simple impacts typically improve within a few days, gradually getting better.
However, if it is a fracture, it may take several weeks to heal.
Based on your description, it is unlikely that a fracture has occurred.
To confirm the diagnosis, you can visit a hospital and see an orthopedic specialist, who can determine the condition with an X-ray.
Reply Date: 2005/03/30
More Info
When it comes to chest bone injuries, especially after an impact like the one you described, it’s crucial to assess the situation carefully. Given that you experienced immediate pain upon impact, followed by a gradual improvement, it suggests that the injury may not be severe. However, persistent pain during certain movements, especially when stretching or performing larger motions, indicates that further evaluation might be necessary.
When to Seek Medical Attention
You should consider seeking medical attention if you experience any of the following symptoms:
1. Persistent Pain: If the pain continues or worsens over time, especially during specific movements, it’s a sign that the injury may require further investigation.
2. Difficulty Breathing: Any trouble with breathing or shortness of breath could indicate a more serious injury, such as a rib fracture or damage to the lungs.
3. Swelling or Bruising: Significant swelling or bruising in the chest area can also be a sign of a more serious injury.
4. Pain Radiating: If the pain radiates to other areas, such as your arms, neck, or back, it could indicate a more serious condition that needs immediate attention.
Recommended Medical Evaluation
If you decide to seek medical attention, you should visit a healthcare provider who specializes in musculoskeletal injuries, such as an orthopedic doctor or a sports medicine specialist. They will be able to evaluate your injury more thoroughly.
Diagnostic Tests
1. X-ray: This is often the first step in assessing chest injuries. An X-ray can help identify any fractures in the ribs or sternum.
2. CT Scan: If the X-ray results are inconclusive, or if there is a suspicion of more complex injuries, a CT scan may be recommended. This imaging technique provides a more detailed view of the bones and surrounding tissues.
3. Physical Examination: The doctor will likely perform a physical examination to assess your range of motion, tenderness, and any signs of swelling or deformity.
Treatment Options
If a fracture is confirmed, treatment will depend on the severity of the injury. Most rib fractures are managed conservatively with rest, pain management (using NSAIDs like ibuprofen), and avoiding activities that exacerbate the pain. In some cases, a rib belt may be recommended, but this is less common due to the risk of restricting breathing.
For sternum injuries, treatment may also involve rest and pain management, but more severe cases could require surgical intervention.
Conclusion
In summary, while your initial pain has improved, the ongoing discomfort during specific movements warrants further evaluation. It’s advisable to consult an orthopedic specialist who can perform the necessary diagnostic tests and provide appropriate treatment recommendations. Early intervention can help prevent complications and ensure a smoother recovery process. Remember to listen to your body and prioritize your health; if in doubt, seeking medical advice is always a prudent choice.
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