MDCT evaluation of sternal development

Gümeler, Ekim; Akpınar, Erhan; Arıyürek, Orhan Macit

doi:10.1007/s00276-019-02189-9

Cited by 10 publications

(12 citation statements)

References 17 publications

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“…CT examination of developing sterna in clinical contexts has found that accessory ossification centres are frequent in the manubrium and mesosternum [1,7]. A review of 49 developing sternum reported bifurcated or accessory ossification centres among 20% of the individuals [10].…”

Section: Discussionmentioning

confidence: 99%

“…There are usually six ossification centres present in the sternum: one for the manubrium, four in the mesosternum, and one for the xiphoid process, though these numbers do vary somewhat ( Fig. 1) [7,17].…”

Section: Introductionmentioning

confidence: 99%

“…The mesosternum sternebrae are typically comprised of a single midline ossification centre. However, depending on the sternebra, it is not uncommon for more than one point of ossification to be present, an occurrence described as bifurcated ossification centres [7,17]. The bifurcated centres in a single sternebra are usually arranged evenly and bilaterally across the midline, though they may also be somewhat displaced superiorly or inferiorly relative to one another [17].…”

Section: Introductionmentioning

confidence: 99%

“…When bifurcated (or multiple) ossification centres are present, the sternebrae initially exhibit osseous discontinuity, altered morphology of the adjacent margins, and/or asymmetrical forms. These ossification patterns are visible from the last month in utero until around 4 years of age when the separate sections of the sternum start to fuse [7]. Normally, these segments fuse during growth and it is often not possible to identify ossification patterns in adult individuals [1,7].…”

Section: Introductionmentioning

confidence: 99%

“…These ossification patterns are visible from the last month in utero until around 4 years of age when the separate sections of the sternum start to fuse [7]. Normally, these segments fuse during growth and it is often not possible to identify ossification patterns in adult individuals [1,7].…”

Section: Introductionmentioning

confidence: 99%

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Honeycomb sterna: an unusual case of a developmental abnormality in the sternum

et al. 2019

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This report details an unusual case of a human sternal developmental abnormality of an anatomical specimen part of the skeletal collection curated by University College London, Anthropology Department skeletal collection. This rarely reported developmental abnormality is caused by the non-fusion of lateral ossification centres in the sternebrae, resulting in the mesosternum having a honeycomb-like appearance. Sternal defects are typically underreported in the clinical literature as many cases being asymptomatic that they are typically diagnosed incidentally, as such there is a dearth in our current understanding of the development and anatomical variants of the sternum. Although in recent years, large-scale CT studies have investigated the prevalence of sternal developmental abnormalities, these studies have not reported sternal defects similar to the individual presented in this report. While most sternal defects are clinically uneventful, the lack of awareness of these variants can result in misinterpretation of radiological and pathological findings as such an understanding of anatomical variants even when asymptomatic is vital.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Honeycomb sterna: an unusual case of a developmental abnormality in the sternum

et al. 2019

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A safe area for sternal puncture in children: an MSCT study based on sternal development

Cui

2021

Surg Radiol Anat

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High prevalence of sternal foramina in indigenous Bolivians compared to Midwest Americans and indigenous North Americans (sternal foramina in indigenous Bolivians)

et al. 2021

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human subject review committees and by the Institutional Review Board of St. Luke's Hospital of Kansas City.Consent to participate Written informed consent was obtained from all Tsimane and Moseten participants after the procedure and risks were explained to them in their respective native language, as well as from each village, and by the tribal governments (Gran Consejo Tsimane; Gran Consejo Regional Moseten). Radiation dose was low (≈ 2 mSv), and all participants were mature adults (≥ 40 years). Informed consent for the US patients was waived by the St. Luke's Hospital IRB as the study was conducted by a retrospective chart review of existing medical records.

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MDCT evaluation of sternal development

Cited by 10 publications

References 17 publications

Honeycomb sterna: an unusual case of a developmental abnormality in the sternum

Honeycomb sterna: an unusual case of a developmental abnormality in the sternum

A safe area for sternal puncture in children: an MSCT study based on sternal development

High prevalence of sternal foramina in indigenous Bolivians compared to Midwest Americans and indigenous North Americans (sternal foramina in indigenous Bolivians)

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