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Erschienen in: Surgical and Radiologic Anatomy 4/2020

06.01.2020 | Original Article

Topographic evaluation of sternal foramen patients with thoracic computed tomography

verfasst von: Mustafa Kuzucuoglu, Ilkay Albayrak

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 4/2020

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Abstract

Purpose

In our study, we aimed to determine the topographic analysis of sternal foramen cases incidentally detected in patients underwent thoracic computed tomography.

Materials and methods

Patients aged 18 and over who were admitted to the thoracic surgery outpatient clinic for various reasons and underwent thoracic computed tomography (CT) between January 1, 2018 and January 1, 2019 were evaluated retrospectively. Thoracic CT scans of all patients with sternal foramen were evaluated by applying 3D bone configuration to evaluate foramina in the sternum and ribs. The data obtained were analyzed statistically by SPSS (Statistical Package for Social Sciences Version 21.0).

Results

Nine hundred and twelve patients were evaluated and sternal foramen prevalence was found to be 8.44% in our study. Of the 68 patients included in the study, 48 were male and 20 were female. The sternal foramen was localized in the corpus in 66.2% of the patients, whereas it was localized in xiphoid in 33.8%. Nine patients had scoliosis deformity and three patients had foramen in the rib.

Conclusion

Sternal foramen is a more common defect than thought, and should be kept in mind in clinical practice to prevent complications.
Literatur
1.
Zurück zum Zitat Aktan ZA, Savas R (1998) Anatomic and HRCT demonstration of midline sternal foramina. Turk J Med Sci 28:511–514 Aktan ZA, Savas R (1998) Anatomic and HRCT demonstration of midline sternal foramina. Turk J Med Sci 28:511–514
2.
Zurück zum Zitat Ashley GT (1956) The relationship between the pattern of ossification and the definitive shape of the mesosternum in man. J Anat 90:87–105PubMedPubMedCentral Ashley GT (1956) The relationship between the pattern of ossification and the definitive shape of the mesosternum in man. J Anat 90:87–105PubMedPubMedCentral
3.
Zurück zum Zitat Azizi S, Bakhtiary MK, Goodarzi M (2012) Congenital sternal foramen in a stillborn Holstein calf. Asian Pac J Trop Biomed 2:83–84CrossRef Azizi S, Bakhtiary MK, Goodarzi M (2012) Congenital sternal foramen in a stillborn Holstein calf. Asian Pac J Trop Biomed 2:83–84CrossRef
4.
Zurück zum Zitat Babinski MA, de Lemos L, Babinski MS, Goncalves MV, De Paula RC, Fernandes RM (2015) Frequency of sternal foramen evaluated by MDCT: a minor variation of great relevance. Surg Radiol Anat 37:287–291CrossRef Babinski MA, de Lemos L, Babinski MS, Goncalves MV, De Paula RC, Fernandes RM (2015) Frequency of sternal foramen evaluated by MDCT: a minor variation of great relevance. Surg Radiol Anat 37:287–291CrossRef
5.
Zurück zum Zitat Bayarogulları H, Yengil E, Davran R, Aglagul E, Karazincir S, Balcı A (2014) Evaluation of the postnatal development of the sternum and sternal variations using multidetector CT. Diagn Interv Radiol 20(1):82–89PubMed Bayarogulları H, Yengil E, Davran R, Aglagul E, Karazincir S, Balcı A (2014) Evaluation of the postnatal development of the sternum and sternal variations using multidetector CT. Diagn Interv Radiol 20(1):82–89PubMed
6.
Zurück zum Zitat Boruah DK, Prakash A, Yadav RR, Dhingani DD, Achar S, Augustine A, Mahanta K (2016) The safe zone for blinded sternal interventions based on CT evaluation of midline congenital sternal foramina. Skelet Radiol 45:1619–1628CrossRef Boruah DK, Prakash A, Yadav RR, Dhingani DD, Achar S, Augustine A, Mahanta K (2016) The safe zone for blinded sternal interventions based on CT evaluation of midline congenital sternal foramina. Skelet Radiol 45:1619–1628CrossRef
8.
Zurück zum Zitat El-Busaid H, Kaisha W, Hassanali J, Hassan S, Ogeng'o J, Mandela P (2012) Sternal foramina and variant xiphoid morphology in a Kenyan population. Folia Morphol 71:19–22 El-Busaid H, Kaisha W, Hassanali J, Hassan S, Ogeng'o J, Mandela P (2012) Sternal foramina and variant xiphoid morphology in a Kenyan population. Folia Morphol 71:19–22
9.
Zurück zum Zitat Gkantsinikoudis N, Chaniotakis C, Gkasdaris G, Georgiou N, Kapetanakis S (2017) Morphological approach of the sternal foramen: an anatomic study and a short review of the literature. Folia Morphol 76(3):484–490CrossRef Gkantsinikoudis N, Chaniotakis C, Gkasdaris G, Georgiou N, Kapetanakis S (2017) Morphological approach of the sternal foramen: an anatomic study and a short review of the literature. Folia Morphol 76(3):484–490CrossRef
11.
Zurück zum Zitat Kumarasamy SA, Agrawal R (2011) A large sternal foramen. IJAV 4:195–198 Kumarasamy SA, Agrawal R (2011) A large sternal foramen. IJAV 4:195–198
12.
Zurück zum Zitat Paraskevas G, Tzika M, Anastasopoulos N, Kitsoulis P, Sofidis G, Natsis K (2015) Sternal foramina: incidence in Greek population, anatomy and clinical considerations. Surg Radiol Anat 37(7):845–851CrossRef Paraskevas G, Tzika M, Anastasopoulos N, Kitsoulis P, Sofidis G, Natsis K (2015) Sternal foramina: incidence in Greek population, anatomy and clinical considerations. Surg Radiol Anat 37(7):845–851CrossRef
13.
Zurück zum Zitat Paraskevas GK, Tzika M, Natsis K (2016) Double sternal foramina in a dried sternum: a rare normal variant and its radiologic assessment. Surg Radiol Anat 38(8):991–993CrossRef Paraskevas GK, Tzika M, Natsis K (2016) Double sternal foramina in a dried sternum: a rare normal variant and its radiologic assessment. Surg Radiol Anat 38(8):991–993CrossRef
14.
Zurück zum Zitat Saccheri P, Sabbadini G, Toso F, Travan L (2012) A keyhole-shaped sternal defect in an ancient human skeleton. Surg Radiol Anat 34:965–968CrossRef Saccheri P, Sabbadini G, Toso F, Travan L (2012) A keyhole-shaped sternal defect in an ancient human skeleton. Surg Radiol Anat 34:965–968CrossRef
15.
Zurück zum Zitat Xie YZ, Wang BJ, Yun JS, Chung GH, Ma ZB, Li XJ et al (2014) Morphology of the human xiphoid process: dissection and radiography of cadavers and MDCT of patients. Surg Radiol Anat 36(3):209–217CrossRef Xie YZ, Wang BJ, Yun JS, Chung GH, Ma ZB, Li XJ et al (2014) Morphology of the human xiphoid process: dissection and radiography of cadavers and MDCT of patients. Surg Radiol Anat 36(3):209–217CrossRef
16.
Zurück zum Zitat Yekeler E, Tunaci M, Tunaci A, Dursun M, Acunas G (2006) Frequency of sternal variations and anomalies evaluated by MDCT. Am J Roentgenol 186(4):956–960CrossRef Yekeler E, Tunaci M, Tunaci A, Dursun M, Acunas G (2006) Frequency of sternal variations and anomalies evaluated by MDCT. Am J Roentgenol 186(4):956–960CrossRef
Metadaten
Titel
Topographic evaluation of sternal foramen patients with thoracic computed tomography
verfasst von
Mustafa Kuzucuoglu
Ilkay Albayrak
Publikationsdatum
06.01.2020
Verlag
Springer Paris
Erschienen in
Surgical and Radiologic Anatomy / Ausgabe 4/2020
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-019-02416-3

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