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Some parents report that their child's pectus carinatum seemingly popped up overnight. Second most common is the presence of pectus carinatum at or shortly after birth. The condition may be evident in newborns as a rounded anterior chest wall. As the child reaches age 2 or 3 years of age, the outward sternal protrusion becomes more pronounced.
Through two small incisions in the side of the chest, an introducer is pushed along posterior to the sternum and ribs, and anterior to the heart and lungs. Then a concave stainless steel bar is slipped under the sternum, through the incisions in the side of the chest.
Pectus excavatum on PA chest radiograph with shift of heart shadow to the left and radioopacity of the right paracardiac lung field. Chest x-rays are also useful in the diagnosis. The chest x-ray in pectus excavatum can show an opacity in the right lung area that can be mistaken for an infiltrate (such as that seen with pneumonia). [20]
The suprasternal notch is a visible dip in between the neck, between the clavicles, and above the manubrium of the sternum. It is at the level of the T2 and T3 vertebrae. [2] The trachea lies just behind it, rising about 5 cm above it in adults. [3]
During chest compressions in cardiopulmonary resuscitation (CPR), it is possible to fracture or dislodge the xiphoid process, potentially leading to punctures or lacerations of the diaphragm. Furthermore, inadvertent liver puncture resulting in life-threatening internal bleeding can occur.
The sternum (pl.: sternums or sterna) or breastbone is a long flat bone located in the central part of the chest. It connects to the ribs via cartilage and forms the front of the rib cage , thus helping to protect the heart , lungs , and major blood vessels from injury.
A small, freely-moving projection on the anterior edge of the wing of modern birds (and a few non-avian dinosaurs)—a bird's "thumb"—the word is Latin and means 'winglet'; it is the diminutive of ala, meaning 'wing'. Alula typically bear three to five small flight feathers, with the exact number depending on the species.
A keel or carina (pl.: carinae) in bird anatomy is an extension of the sternum (breastbone) which runs axially along the midline of the sternum and extends outward, perpendicular to the plane of the ribs. The keel provides an anchor to which a bird's wing muscles attach, thereby providing adequate leverage for flight.