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Results for “Manubrium”

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At least 433 records · Page 24Linked to original sources
PubMed1996

Factors affecting the rate and pattern of the first costal cartilage ossification.

In the present study, the extent of costochondral ossification of the first rib was determined from 78 chest roentgenograms of 13 healthy male soldiers subjected to a periodic follow-up. Roentgenography was performed at a mean interval of 2.9 years over a 15-year period. Mean subject age was 24 years at the commencement of the study and 37 years at its termination. Our results show that ossification of the first costal cartilage may start early in adult life and progress at individual rates. The ossification process proceeded from the costal toward the sternal end of the cartilage in an anteromedial direction. The morphological age-related changes ranged from the formation of small osseous islands in the cartilage to a complete ossification between the first rib and the sternum. The main conclusion of the study is that the degree of ossification of the first costal cartilage as an indicator of age does not provide the precision necessary for anthropological or forensic studies.

Adult↗
PubMed1995

Late-onset sternomanubrial dislocation with progressive kyphotic deformity after a thoracic burst fracture.

Fractures and dislocations of the sternum may be associated with flexion-compression injuries of the thoracic spine. Sternal injuries most commonly occur at or near the sternomanubrial joint. We present a patient with a known thoracic spine fracture who developed a subsequent late-onset, symptomatic sternomanubrial dislocation and progression of thoracic kyphosis, ultimately requiring operative fixation of both the sternum and the spine. Internal fixation of these sternal injuries should be considered in the setting of a flexion-compression thoracic spine fracture to possibly prevent a worsening kyphosis and neurological decline.

Adult↗
PubMed1986

Cardiac and vascular sequelae of sternal fractures.

A 5-year experience with 12 sternal fractures treated at the Los Angeles County Harbor/UCLA Medical Center is presented. Our data indicate that sternal fractures with roentgenographic mediastinal widening commonly have associated aortic injuries. There is an almost uniform depression of right ventricular or anterior left ventricular function associated with sternal fractures and these cardiac sequelae are documentable by first-pass biventricular radionuclide angiography including left ventricular segmental wall motion analysis. These data facilitate the management of patients with complex hemodynamic problems. In contrast, the incidence of displaced or unstable fractures is very low. Only one patient in this series had a depressed manubriosternal fracture, and no injury necessitated surgical stabilization. The outcome of isolated sternal fractures is benign, and they should be viewed as harbingers of the discovery of other injuries.

Accidents, Traffic↗
PubMed1987

Fracture-dislocation of manubriosternal joint: an unusual complication of seizures.

Musculoskeletal complications from seizures produced by epilepsy, eclampsia, hyponatremia, electroconvulsive therapy, and severe tetanus have been described. We present a case of a fracture-dislocation of the manubriosternal joint as a complication of seizures, which to the best of our knowledge has not previously been reported.

Adult↗
PubMed1977

Common bony densities mimicking chest disease.

Images of bony densities on routine chest radiographs may simulate intrathoracic disease processes. Such entities include images produced by normal anatomic structures, anatomic variants, and benign processes. Most commonly, chest disease was simulated by virtue of projection or poor visualization of the bony density in question on the routine chest radiograph. The true nature of the "abnormal" images produced was usually revealed by further roentgenographic evaluation using specialized radiographic technics or additional views.

Aortic Diseases↗
PubMed2004

Blastomycosis of long bones.

The presentation of blastomycosis clinically and radiographically is nonspecific and often mistaken for a neoplasm. Delay in diagnosis is common. Patients with osseous blastomycosis present with pain and swelling. Radiographs usually show an eccentric lucency in the distal ends of long bones. These patients frequently are referred for a neoplastic workup and a diagnosis is made only after biopsy. We review the cases of five patients diagnosed with a bone tumor who had blastomycosis osteomyelitis. The time to diagnosis from original symptoms was 4.7 months (range, 3-8 months). The average age of the patients was 45.6 years (range, 20-59 years). A Musculoskeletal Tumor Society functional assessment was done. Early radiographs of the current patients ranged from normal to showing faint osteopenia in the involved location. As the disease progressed, the area of lucency appeared with either diffuse or well-marginated borders. Treatment included surgical debridement with antifungals. The mean functional score was 93.3%. All patients are disease-free. Blastomycosis, similar to tuberculosis, often is mistaken for a neoplasm. Blastomycosis osteomyelitis can be treated with excellent results. The key is diagnosis and including endemic fungal infections in the differential diagnosis of bone tumors. In addition, every potential neoplasm should include cultures of specimens obtained at biopsy.

Adult↗
PubMed1983

A fracture of the sternum in a child.

Fractures of the sternum are seldom seen due to its anatomical structure and supporting structures. The incidence of sternal lesions in children is extremely rare, and the scarcity of published accounts warrants reporting this case, which was treated successfully without surgery.

Adolescent↗
PubMed1981

Dislocation of the manubriosternal joint in rheumatoid arthritis.

Rheumatoid arthritis (RA) is a disease characterised by joint deformity and subluxation. Although many joints may be involved, dislocation of the manubriosternal joint is extremely rare. A case of dislocation of this in a woman with RA is presented.

Arthritis, Rheumatoid↗