<p>Objective: Sternal fractures due to blunt chest trauma become more common with increasing road traffic accidents. The outcomes of patients with isolated sternal fracture are promising. However, complicated sternal fractures are associated with injuries of the thorax and other organs, and the diagnosis and treatment are challenging. This article reviews the clinical features of sternal fractures due to blunt chest trauma and sum up a management diagram. Methods: Literature was retrieved in the PubMed, Google Scholar and &ldquo;Baidu&rdquo; Scholar for English articles published since 2011. The recruited articles were taken as study materials of this review. Results: The misdiagnosed rate was 5.53% for chest roentgenograph and was 6.25% for sonography in diagnosing sternal fractures. Sternal fractures were a complicated type with associated injuries of other organs in an absolute majority, while they were an isolated type in only 1.17% of patients. Only small portions of patients have an abnormal electrocardiographic finding and (or) an elevated cardiac enzyme level. Surgical treatment was necessary in almost 60% of patients and conservative in about 40%. The outcomes of patients were promising and patients with a poor prognosis were usually not due to the sternal fracture but due to the associated injuries instead. Conclusions: Isolated sternal fractures do not need routine admission but a pain relief. Patients with an abnormal finding of electrocardiogram and (or) an elevated cardiac enzyme level are recommend admitted for monitoring to exclude heart injury and for necessary conservative treatment. A surgical treatment of sternal fixation of sternal fractures are warranted for majority of patients with complicated/displaced sternal fractures. The outcomes of patients are generally promising.</p> <p>&nbsp;</p>