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Isolated asymptomatic short sternum in a healthy young girl.

Turturro F, Calderaro C, Montanaro A, Labianca L, Argento G, Ferretti A - Case Rep Radiol (2014)

Bottom Line: We observed a short sternum (dysmorphic manubrium, hypoplastic body, and complete absence of the xiphoid process) in a completely asymptomatic 13-year-old woman.The patient was completely asymptomatic and she did not need any medical or surgical treatment.To our knowledge, this is the first case of isolated short sternum reported in literature.

View Article: PubMed Central - PubMed

Affiliation: Orthopaedic Unit, S. Andrea Hospital, Sapienza University of Rome, Via di Grottarossa 1035, 00189 Rome, Italy.

ABSTRACT
Congenital sternal defects are rare deformities frequently associated with other anomalies of the chest wall and other organ systems. Although pectus excavatum, pectus carinatum, and cleft sternum can present as isolated deformity, in most cases they are associated with heart and inner organs anomalies and described as symptoms of syndromes like Marfan syndrome, Noonan syndrome, Poland anomaly, and Cantrell pentalogy. In contrast, the etiology of an isolated defect is not well understood. We observed a short sternum (dysmorphic manubrium, hypoplastic body, and complete absence of the xiphoid process) in a completely asymptomatic 13-year-old woman. A comprehensive instrumental exams panel was performed to exclude associated anomalies of the heart and of the other organ systems. The patient was completely asymptomatic and she did not need any medical or surgical treatment. To our knowledge, this is the first case of isolated short sternum reported in literature.

No MeSH data available.


Related in: MedlinePlus

In the X-rays, the clavicles appear with a more vertical course (clavicles dotted line, sternum continuous line). The computed tomography scan with three-dimensional reconstruction documents the abnormal development of the manubrium, the presence of a hypoplastic body, and the absence of the xiphoid process. There is also an alteration of the sternoclavicular joint.
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fig2: In the X-rays, the clavicles appear with a more vertical course (clavicles dotted line, sternum continuous line). The computed tomography scan with three-dimensional reconstruction documents the abnormal development of the manubrium, the presence of a hypoplastic body, and the absence of the xiphoid process. There is also an alteration of the sternoclavicular joint.

Mentions: A healthy 13-year-old female was referred to our department for a postural kyphosis. The physical examination showed a healthy adolescent girl, 170 cm tall, with a normal and flexible kyphosis and no signs of spinal deformities. Only a hypermobility of the shoulder toward the anterior midline was observed (Figure 1). Because of the suspicion of a defect of the clavicles, a radiographic examination was performed. The images showed the presence of well-developed clavicles, but with anomalous oblique orientation and a short sternum (Figure 2). The subsequent chest and abdomen computed tomography scan showed the presence of abnormal manubrium, hypoplastic body of the sternum, and absence of the xiphoid process (Figure 2). Even more, the clavicles have taken abnormal morphological appearance with a more vertical pathway and the alteration of sternoclavicular joint was probably due to adaptation to the anatomy of the sternum. The intrathoracic and abdominal structures were reported to be normal. The echocardiography ruled out heart valve defect and large vessels anomalies.


Isolated asymptomatic short sternum in a healthy young girl.

Turturro F, Calderaro C, Montanaro A, Labianca L, Argento G, Ferretti A - Case Rep Radiol (2014)

In the X-rays, the clavicles appear with a more vertical course (clavicles dotted line, sternum continuous line). The computed tomography scan with three-dimensional reconstruction documents the abnormal development of the manubrium, the presence of a hypoplastic body, and the absence of the xiphoid process. There is also an alteration of the sternoclavicular joint.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4129178&req=5

fig2: In the X-rays, the clavicles appear with a more vertical course (clavicles dotted line, sternum continuous line). The computed tomography scan with three-dimensional reconstruction documents the abnormal development of the manubrium, the presence of a hypoplastic body, and the absence of the xiphoid process. There is also an alteration of the sternoclavicular joint.
Mentions: A healthy 13-year-old female was referred to our department for a postural kyphosis. The physical examination showed a healthy adolescent girl, 170 cm tall, with a normal and flexible kyphosis and no signs of spinal deformities. Only a hypermobility of the shoulder toward the anterior midline was observed (Figure 1). Because of the suspicion of a defect of the clavicles, a radiographic examination was performed. The images showed the presence of well-developed clavicles, but with anomalous oblique orientation and a short sternum (Figure 2). The subsequent chest and abdomen computed tomography scan showed the presence of abnormal manubrium, hypoplastic body of the sternum, and absence of the xiphoid process (Figure 2). Even more, the clavicles have taken abnormal morphological appearance with a more vertical pathway and the alteration of sternoclavicular joint was probably due to adaptation to the anatomy of the sternum. The intrathoracic and abdominal structures were reported to be normal. The echocardiography ruled out heart valve defect and large vessels anomalies.

Bottom Line: We observed a short sternum (dysmorphic manubrium, hypoplastic body, and complete absence of the xiphoid process) in a completely asymptomatic 13-year-old woman.The patient was completely asymptomatic and she did not need any medical or surgical treatment.To our knowledge, this is the first case of isolated short sternum reported in literature.

View Article: PubMed Central - PubMed

Affiliation: Orthopaedic Unit, S. Andrea Hospital, Sapienza University of Rome, Via di Grottarossa 1035, 00189 Rome, Italy.

ABSTRACT
Congenital sternal defects are rare deformities frequently associated with other anomalies of the chest wall and other organ systems. Although pectus excavatum, pectus carinatum, and cleft sternum can present as isolated deformity, in most cases they are associated with heart and inner organs anomalies and described as symptoms of syndromes like Marfan syndrome, Noonan syndrome, Poland anomaly, and Cantrell pentalogy. In contrast, the etiology of an isolated defect is not well understood. We observed a short sternum (dysmorphic manubrium, hypoplastic body, and complete absence of the xiphoid process) in a completely asymptomatic 13-year-old woman. A comprehensive instrumental exams panel was performed to exclude associated anomalies of the heart and of the other organ systems. The patient was completely asymptomatic and she did not need any medical or surgical treatment. To our knowledge, this is the first case of isolated short sternum reported in literature.

No MeSH data available.


Related in: MedlinePlus