The pain above the sternum may be related to fracture, sternal osteochondritis, angina pectoris, gastric reflux esophagitis and so on. 1. Fracture: Sternum fracture caused by external impact, causing pain around the sternum. 2. Osteochondritis Dissecans: Osteochondritis Dissecans usually occurs after trauma to the sternum, such as sternum fracture, osteophytes may appear at the place of fracture, and the periosteum will be pulled, which can show pain above the sternum. 3. Angina pectoris: angina pectoris is usually caused by coronary heart disease, which will cause pain in the anterior region of the heart during the attack, and will also be manifested as pain above the sternum. 4. Gastric reflux esophagitis: the position above the sternum is also the position of the esophagus, when gastric reflux esophagitis occurs, the stimulation of the esophagus by gastric acid will cause pain. There are many possible reasons for the pain above the sternum, you can go to the hospital to do the relevant examination, identify the cause and then under the guidance of the doctor treatment.