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A sternal fracture is a fracture of the sternum (the breastbone), located in the center of the chest. The injury, which occurs in 5–8% of people who experience significant blunt chest trauma , may occur in vehicle accidents, when the still-moving chest strikes a steering wheel or dashboard [ 1 ] or is injured by a seatbelt.
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.
Migration of K-wires can occur; instead of backing out the wire can move deeper. K-wires passed across the acromioclavicular (AC) joint in the shoulder have been found to migrate into the chest with the potential to penetrate the major blood vessels, the trachea, [3] lung, [4] or the heart. [5]
The sternum is a long, flat bone that forms the front of the rib cage. The cartilages of the top seven ribs (the true ribs) join with the sternum at the sternocostal joints. The costal cartilage of the second rib articulates with the sternum at the sternal angle making it easy to locate. [9] The manubrium is the wider, superior portion of the ...
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]
Vertical lines: Midline, lateral sternal line, parasternal line and midclavicular line. Horizontal lines: Level of the sternal angle, and zipho-sternal line. Anatomical "lines", or "reference lines," are theoretical lines drawn through anatomical structures and are used to describe anatomical location.
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The retrosternal passage performed in the Nuss procedure carries a high risk of damaging the heart. This is why multiple sternal elevation systems have been developed to increase the space between the heart and the sternum in order to pass the thoracoplasty rod more safely. [6] [7] [8] [9]