Morphological approach of the sternal foramen: an anatomic study and a short review of the literature

Gkantsinikoudis, Nikolaos; Chaniotakis, Constantinos; Gkasdaris, Grigorios; Georgiou, N.; Kapetanakis, Stylianos

doi:10.5603/fm.a2017.0006

Cited by 20 publications

(19 citation statements)

References 22 publications

(54 reference statements)

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“…Prevalence of sternal foramen features an important correlation with the sex. Most recent data indicate a male: female ratio 4:1 among the subjects featuring a sternal foramen [30]. The sternal foramina are developmental anomalies because of incomplete fusion of ossification centers; most often they are located in the inferior parts of the Sternal body [28].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the morphological characteristic and sex differences of sternum by multi-detector computed tomography

2018

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Background: Sternum is one of the skeleton parts which have frequently congenital anomalies and variations are commonly used by researchers in determining sex. We evaluated the morphological characteristics and sex-related changes of the sternum in adult individuals using multidetector CT in our study. 162.21±6.17, respectively. We found that Hyrtl's law and Sternal index did not provide adequate accuracy for sex determination in our patients. It has been detected that the length of the Manubrium alone is not helpful for individual samples. Total length of the sternum was found to be more reliable than the length of the Manubrium and the length of corpus Sterni.We determined Sternal cleft and Sternal foramen as 0.5% and 3.5%, respectively. Conclusions:We suggest that the Morphometric standards cannot be universally applied and can demonstrate individual differences. The standard rules must be implemented for every population.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the morphological characteristic and sex differences of sternum by multi-detector computed tomography

2018

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“…The first written evidence for sternal foramina occurs in the XVI and XVII centuries, when anatomists of the period, among them Coiter in 1573 and Eustachius in 1714, noted their existance as an important variation [4,19]. They were considered most common in the lower third of the mesosternum (Figure 1).…”

Section: Discussionmentioning

confidence: 99%

“…At birth, it is cartilaginous. During adulthood, the xiphoid process is ossified, merging into the mesostern in older individuals [19,16]. The morphologi- [16].…”

Section: Discussionmentioning

confidence: 99%

Sternal Variation: Anatomical-Forensic Analysis

Leite

Plácido²,

Gusmão³

et al. 2020

int arch med

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Background The aim of this study was to analyze the extent and uniqueness of anatomical variations of the sternum bone, to assess its applicability for forensic analysis, especially for individual human identification. Methods and Findings Evaluations involved 501 computer tomography scans performed at the Medical Radiology Center, Manaus city, Amazonas, Brazil, and 427 skeletons belonging to the Collection of Identified Human Skeletons of the Center for Studies in Forensic Anthropology (CEAF), of the University of Pernambuco (UPE), Pernambuco, Brazil. Forms of morphological variations were evaluated, including the presence of foramina, fissures, and incomplete total or partial fusions, as well as forms of xiphoid process termination, and the presence of surgical sutures. Overall, summing computed tomographic images and skeletons, the sternal foramen was present in some 23% of samples, with a greater proportion in males (14%), while in females the frequency was 8.6%. Conclusions The qualitative analysis of the sternum bone is simple to apply and represents an important potential source of information in a human identification process.

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“…6 Uma falha no processo de ossificação do esterno resulta no surgimento de anomalias como fendas, forames esternais ou até mesmo um processo xifóide duplo. 7,8 Embora aparentemente insignificantes, tais anomalias carregam consigo implicações clínicas, radiológicas e forenses importantes, que muitas vezes são negligenciadas por diversos profissionais. O forame esternal, por exemplo, pode mimetizar lesões por arma de fogo, lesões osteolíticas ou até mesmo vir a ser fatal em casos de punção na região do tórax.…”

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Avaliação morfométrica de esternos pertencentes a esqueletos humanos brasileiros identificados / Morphometric evaluation of sternal bones belonging to identified brazilian human skeletons

Silva¹,

Soriano²,

Pereira³

et al. 2021

BJDV

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Morphological approach of the sternal foramen: an anatomic study and a short review of the literature

Abstract: death, respectively. (Folia Morphol 2017; 76, 3: 484-490)

Cited by 20 publications

References 22 publications

Evaluation of the morphological characteristic and sex differences of sternum by multi-detector computed tomography

Evaluation of the morphological characteristic and sex differences of sternum by multi-detector computed tomography

Sternal Variation: Anatomical-Forensic Analysis

Avaliação morfométrica de esternos pertencentes a esqueletos humanos brasileiros identificados / Morphometric evaluation of sternal bones belonging to identified brazilian human skeletons

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