Sternal Abnormalities in Patients With Congenital Heart Disease

Kc, Fischer; Ri, White; Ce, Jordan; Jp, Dorst; Ca, Neil

doi:10.2214/ajr.119.3.530

Cited by 21 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although several reports have stressed that the xiphisternal centre seldom ossifies before 3 years [6,10], the 5% incidence of ossification observed in this series is similar to that of Paterson [12]. Xiphisternal ossification unlike the other segments is not related to gestational age and birth weight.…”

Section: Discussionsupporting

confidence: 81%

Sternal ossification in normal newborn infants

1985

View full text Add to dashboard Cite

The lateral chest radiographs of 200 Nigerian newborn infants, whose gestational age was estimated by the Dubowitz examination, were analysed for the pattern of ossification of sternal segments. The length of each visible centre was also measured. The manubrium was ossified in all infants over 35 weeks. All infants 37 weeks and above demonstrated ossification of the first and second mesosternal segments. Ten infants had ossification of the xiphisternum. The average number of ossified segments seen in this study is more than previously reported amongst Caucasian infants. The length of each segment correlated better with birth weight than gestational age. Our findings indicate that any infant with two ossified sternal segments, including the manubrium, is at least 30 weeks and those with 3 and 4 segments 34 and 37 weeks gestation, respectively. There is no difference in the pattern of sternal ossification between the sexes.

show abstract

Section: Discussionsupporting

confidence: 81%

Sternal ossification in normal newborn infants

1985

View full text Add to dashboard Cite

show abstract

“…Anatomopathology and embryological formation of the sternum and costal arches – Many authors have used the term “suture” in defining the radiolucent lines in the growing sternum 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , but it is important to note that sutures exist only in the skull and that the formation and growth of the anterior chest wall are endochondral bone 14 , 15 , 16 . Cartilaginous growth plates are present between the growing segments of the sternum and the costochondral junctions 17 , 18 , 19 , 20 , 21 , 22 .…”

Section: Introductionmentioning

confidence: 99%

Orthopedic Approach to Pectus Deformities: 32 Years of Studies

Haje¹,

Haje²

2009

Revista Brasileira de Ortopedia (English Edition)

View full text Add to dashboard Cite

The authors summarize a 32-year experience in the study and in the non-operative approach of pectus carinatum and pectus excavatum. Data of 4,012 patients with pectus deformities were collected from 1977 to January 2009, allowing evaluation on the etiology, pathogenesis and treatment of these deformities. Growth disturbances of anterior chest wall bones and cartilages were detected in imaging studies. Heredity, and biomechanical factors, like respiratory disturbances and scoliosis were noticed in more than 40% of the patients. The method of dynamic remodeling of the thorax – compressive orthoses simultaneously to exercises practice – was indicated in 2453 patients. Concomitant treatment with bending brace was provided in patients with 20° to 52° scoliosis. Of pectus patients with treatment indication, 1717 returned for re-evaluation: 1632 children and adolescents and 85 adults. Good results were seen in 60.6% of children and adolescents and in 27% of adults treated. No scoliosis patient presented curve worsening, and a case of 52° presented an improvement of 20° in the scoliosis with the treatment. Disturbances in the growth of the sternum and costal arches, as well as biomechanical factors related to the pathogenesis of pectus deformities, demonstrate how these deformities are correlated to orthopaedics. Appropriate evaluation of the anterior chest wall and concomitant treatment with bending brace are recommended in the presence of scoliosis. The dynamic remodeling method of the thorax requires a protocol of medical actions for a successful treatment.

show abstract

“…Anatomopatologia e formação embriológica do esterno e arcos costais -Muitos autores já utilizaram o termo "suturas" para definir linhas radiotransparentes no esterno em crescimento (5)(6)(7)(8)(9)(10)(11)(12)(13) , mas é importante destacar que suturas existem apenas no crânio e que a formação e o crescimento da parede torácica anterior são endocondrais (14)(15)(16) ; há a presença de placas de crescimento cartilaginosas entre os segmentos do esterno em crescimento e nas junções costocondrais (17)(18)(19)(20)(21)(22) . A formação do esterno ocorre a partir de duas bandas longitudinais de mesoderma, provenientes da região dos ombros, que se unem no sentido craniocaudal à medida que acontece um processo de condrificação.…”

Section: Introductionunclassified

Abordagem ortopédica das deformidades pectus: 32 anos de estudos

Haje¹,

Haje²

2009

Rev. bras. ortop.

View full text Add to dashboard Cite

RESUMOOs autores resumem experiência de 32 anos no estudo e na abordagem não cirúrgica das deformidades pectus carinatum e pectus excavatum. Dados de 4.012 pacientes portadores de deformidades pectus foram coletados de 1977 a janeiro de 2009, permitindo avaliar sua etiologia, patogênese e tratamento. Distúrbios de crescimento dos ossos e cartilagens da parede torácica anterior foram detectados em exames de imagem. A hereditariedade e fatores biomecânicos, como distúrbios respiratórios e escolioses, mostraram-se presentes em mais de 40% dos pacientes. O método dinâmico de remodelação do tórax -órteses compressivas simultaneamente à prática de exercícios -foi indicado em 2.453 pacientes. Tratamento concomitante com colete inclinado foi instituído em 11 portadores de escoliose entre 20º e 52º. Dos portadores de pectus que tiveram o tratamento indicado, 1.717 retornaram para reavaliação: 1.632 crianças e adolescentes e 85 adultos. Bons resultados foram observados em 60,6% das crianças e adolescentes e em 27% dos adultos tratados. Nenhum caso de escoliose apresentou piora da curva e um caso de 52° teve melhora de 20º com o tratamento. Distúrbios no crescimento do esterno e arcos costais, bem como os fatores biomecânicos que compõem a patogênese das deformidades pectus, demonstram como essas deformidades estão correlacionadas com a ortopedia. Avaliação apropriada da parede torácica anterior e tratamento concomitante com colete inclinado são recomendados na presença de escoliose. O método dinâmico de remodelação do tórax exige um protocolo de condutas médicas para que o tratamento tenha êxito. Descritores -

show abstract

Sternal Abnormalities in Patients With Congenital Heart Disease

Cited by 21 publications

References 0 publications

Sternal ossification in normal newborn infants

Sternal ossification in normal newborn infants

Orthopedic Approach to Pectus Deformities: 32 Years of Studies

Abordagem ortopédica das deformidades pectus: 32 anos de estudos

Contact Info

Product

Resources

About