Sternal Anomalies and Congenital Heart Disease

Lees, R F; Caldicott, William J.H.

doi:10.2214/ajr.124.3.423

Cited by 37 publications

(8 citation statements)

References 2 publications

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“…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: 80%

Sternal ossification in normal newborn infants

1985

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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.

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Section: Discussionsupporting

confidence: 80%

Sternal ossification in normal newborn infants

1985

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“…There is confusion about the anatomy and physiology of the growing sternum, mainly in relation to suture lines [1,2,9,16 [24,30,35,37] or the mechanism of growth at the costochondral junction [11,32].…”

Section: Discussionmentioning

confidence: 99%

“…Anomalies of the sternum have been reported in children with congenital heart disease [21,24,34], which has also been described in association with a type of pectus carinatum with premature closure of the sternal 'sutures' (growth plates) [8,9]. This deformity is classified by the author as pectus carinatum superior which occurs in the first years of life and in which there is usually premature closure of the sternal growth plates of congenital origin.…”

Section: Discussionmentioning

confidence: 99%

Iatrogenic pectus carinatum

Haje

1995

International Orthopaedics

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A boy underwent cardiac surgery when he was 27 months old; prior to that his anterior chest wall had been normal. He later developed a progressive pectus carinatum deformity. Thoracic surgeons are cautioned to be mindful of the sternal and costal growth plates in any surgical approach to intrathoracic structures. Special care is needed when such deformities are corrected in children and adolescents.

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“…Pectus excavatum is almost always an isolated malformation, but can, however, coexist with a congenital cardiopathy (Shamberger et al 1988;Lees and Caldicott 1975;Hasegawa et al 2002). In an extensive case study involving 20,860 children who had undergone congenital cardiopathic surgery, the author.…”

Section: Pectus Excavatum and Congenital Heart Diseasesmentioning

confidence: 99%