919 results match your criteria sternum included

Cephalocaudal progression of neonatal jaundice assessed by transcutaneous bilirubin measurements.

Early Hum Dev 2021 Jun 30;160:105418. Epub 2021 Jun 30.

Princess Amalia Children's Center, Isala, Dokter van Heesweg 2, 8025 AB, PO Box 10400, Zwolle 8000 GK, The Netherlands. Electronic address:

Objective: The cephalocaudal progression in neonatal jaundice is a well-known phenomenon. Since transcutaneous bilirubin measurements (TcB) are increasingly applied, for which different body site can be used, we aimed to quantify the cephalocaudal progression of neonatal jaundice through TcB and to assess the influence of gestational age, postnatal age and the degree of hyperbilirubinemia on this cephalocaudal progression.

Study Design: In jaundiced neonates ≥32 weeks of gestational age, TcB was measured on 5 sites: forehead, sternum, hipbone, proximal tibia and foot, during the first two weeks of life. Read More

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Management of Vertical Sternal Fracture Nonunion in Elite-Level Athletes.

Orthop J Sports Med 2021 Jun 24;9(6):23259671211010804. Epub 2021 Jun 24.

Division of Orthopaedics, Addenbrooke's Hospital, Cambridge University Hospitals Trust, Cambridge, UK.

Background: Sternal fractures are rare, and they can be treated nonoperatively. Vertical sternal fractures have rarely been reported.

Purpose: To describe the management and surgical treatment of a series of elite-level athletes who presented with symptomatic nonunions of a vertical sternal fracture. Read More

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Estimation of Chest Wall Attenuation of the Emissions from Iodine-123 in the Instance of Substernal Goiter: A Phantom Study.

J Nucl Med Technol 2021 Jul 9. Epub 2021 Jul 9.

Dartmouth Hitchcock Medical Center, United States.

The underestimation of thyroid uptake measurements with iodine isotopes has been a generally accepted theory in patients with substernal goiter due to attenuation by the chest wall. The extent of this underestimation is not well known. In this study, we calculate the attenuation of the emissions from iodine-123 utilizing a cadaver chest wall with a thyroid probe in order to better understand the potential severity of this underestimation. Read More

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What is the potential for over-compression using current paediatric chest compression guidelines? - A chest computed tomography study.

Resusc Plus 2021 Jun 27;6:100112. Epub 2021 Mar 27.

Center for Simulation, Advanced Education and Innovation, Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, Philadelphia, USA.

Aim: We explored the potential for over-compression from current paediatric chest compression depth guidelines using chest computed tomography(CT) images of a large, heterogenous, Asian population.

Methods: A retrospective review of consecutive children, less than 18-years old, with chest CT images performed between from 2005 to 2017 was done. Demographic data were extracted from the electronic medical records. Read More

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Multigene phylogenetic data place monoraphid diatoms Schizostauron and Astartiella along with other fistula-bearing genera in the Stauroneidaceae.

J Phycol 2021 Jun 24. Epub 2021 Jun 24.

Institute of Marine and Environmental Sciences, University of Szczecin, Mickiewicza 16a, PL 70-383, Szczecin, Poland.

Presented here are new insights into the marine monoraphid diatom genera Schizostauron and Astartiella, based on molecular and morphological data, including descriptions of new species. Although no unambiguous morphological synapomorphies between the two genera are currently recognized, they are closely related by DNA sequence data. Heterovalvate frustules of Schizostauron are characterized by a bifid stauros on the raphe-bearing valve and intricate areolate occlusions on the sternum valve. Read More

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Computed Tomographic Findings of Injuries After Mechanical and Manual Resuscitation: A Retrospective Study.

Cureus 2021 May 20;13(5):e15131. Epub 2021 May 20.

Emergency Medicine, Eskisehir Osmangazi University, Eskisehir, TUR.

Introduction Cardiopulmonary resuscitation (CPR)-related injuries are complications of chest compressions during CPR. This study aimed to investigate the differences and complications between mechanical and manual CPR techniques by using computed tomography (CT). Methods Patients in whom return of spontaneous circulation was achieved after CPR and thorax CT imaging were performed for diagnostic purposes were included in the study. Read More

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Transcutaneous Bilirubin Monitoring in Preterm Infants of 23 to 34 Weeks' Gestation.

Am J Perinatol 2021 Jun 14. Epub 2021 Jun 14.

Department of Pediatrics, Banner-University Medical Center Phoenix, Phoenix, Arizona.

Objective:  The study aimed to evaluate the validity of transcutaneous bilirubin (TcB) measurements at three sites in premature infants born at 23 to 34 weeks' gestational age (GA) compared with total serum bilirubin (TSB) measurements.

Study Design:  A prospective study was conducted at Banner - University Medical Center Phoenix, where informed consent was obtained from the infant's parent or legally authorized representative. Cohort A was comprised of infants 23 to 28 weeks' GA and Cohort B contained subjects 29 to 34 weeks' GA. Read More

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The Epidemiology behind Pectus Excavatum: Clinical Study and Review of the Literature.

Eur J Pediatr Surg 2021 Jun 14. Epub 2021 Jun 14.

Department of Pediatric Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Introduction:  Pectus excavatum (PE) is a funnel-shaped indentation of the sternum and is the most common deformity of the chest wall. It is associated with syndromic diseases but can occur as an isolated form. Familial occurrence is assumed in up to 40% of cases, but large-scale studies are lacking. Read More

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Sternal Intraosseous Devices: Review of the Literature.

West J Emerg Med 2021 Mar 24;22(3):690-695. Epub 2021 Mar 24.

Medical Command, Texas Army National Guard, Austin, Texas.

Introduction: The intraosseous (IO) route is one of the primary means of vascular access in critically ill and injured patients. The most common sites used are the proximal humerus, proximal tibia, and sternum. Sternal IO placement remains an often-overlooked option in emergency and prehospital medicine. Read More

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MRI differentiation of low-grade and high-grade chondrosarcoma of the shoulder girdle, chest wall and pelvis: a pictorial review based on 111 consecutive cases.

Br J Radiol 2021 Jun 16:20201404. Epub 2021 Jun 16.

Department of Radiology, Royal National Orthopaedic Hospital, Stanmore, UK.

Approximately 40% of conventional chondrosarcomas arise from the shoulder girdle, chest wall and pelvis. This pictorial review describes the MRI features which may aid in the differentiation of Grade 1 chondrosarcoma (Gd1-CS) from high-grade chondrosarcoma (HG-CS) and dedifferentiated chondrosarcoma (DD-CS) in these locations, based on literature review and assessment of 111 consecutive cases presenting to the senior authors institution over a 13-year period. Of the 111 patients reviewed (71 males and 40 females; mean age 54. Read More

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Bilateral transversus thoracis muscle plane block provides effective analgesia and enhances recovery after open cardiac surgery.

J Card Surg 2021 Aug 28;36(8):2818-2823. Epub 2021 May 28.

Department of Anesthesiology, First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.

Background: The mid-sternum is the main source of pain after open cardiac surgery. The aim of this study was to investigate the effect of bilateral transversus thoracis muscle plane (TTMP) blocks on open cardiac surgery.

Methods: Sixty patients were randomly divided into two groups: bilateral TTMP blocks (TP group) or no nerve block (CO group). Read More

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Thoracic bone mineral density measured by quantitative computed tomography in patients undergoing spine surgery.

Spine J 2021 May 19. Epub 2021 May 19.

Spine Care Institute, Hospital for Special Surgery, Weill Cornell Medicine, 535 East 70th St, New York, NY 10021, USA. Electronic address:

Background Context: The thoracic spine is a common location for vertebral fractures as well as instrumentation failure after long spinal fusion procedures. The association between those complications and bone mineral density (BMD) are well recognized. Due to the overlying sternum and ribs in the thoracic spine, projectional BMD assessment tools such as dual energy x-ray absorptiometry (DXA) are limited to the lumbar spine. Read More

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Surgical treatment of sternum comminuted fracture with memory alloy embracing fixator.

J Thorac Dis 2021 Apr;13(4):2194-2202

Department of Thoracic Surgery, The 901st Hospital of the Joint Logistics Support Force of PLA, Hefei, China.

Background: Sternal fracture can result from multiple types of severe chest trauma and carries significant risk. Surgical fixation is an effective method for sternal fracture.

Methods: The clinical data of patients with sternal fractures who presented to our hospital between August 2016 and July 2019 were collected. Read More

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Right anterior mini thoracotomy approach for isolated aortic valve replacement: Early outcomes at a Canadian center.

J Card Surg 2021 Jul 18;36(7):2365-2372. Epub 2021 May 18.

Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute, Cumming School of Medicine, Calgary, Alberta, Canada.

Objective: The goal of this manuscript was to report the clinical outcomes of the initial series of 100 consecutive Right Anterior Mini Thoracotomy (RAMT) aortic valve replacement (AVR) implantations at a Canadian Center.

Methods: This retrospective study reported the clinical outcomes of the first 100 patients who underwent the RAMT approach for isolated surgical AVR in Calgary, Canada, between 2016 and 2020. Primary outcomes were death within 30 days of surgery and disabling stroke. Read More

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A new giant species of the millipede genus emPrionopetalum/em Attems, 1909 from Mt. Kilimanjaro, Tanzania (Diplopoda, Spirostreptida, Odontopygidae).

Zootaxa 2021 Mar 31;4950(3):zootaxa.4950.3.8. Epub 2021 Mar 31.

Natural History Museum of Denmark, University of Copenhagen, Universitetsparken 15, DK-2100 Copenhagen OE, Denmark.

A new large species of the millipede genus Prionopetalum Attems, 1909, P. nessiae sp. nov. Read More

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Feasibility of P wave Centric Ambulatory Electrocardiogram Monitoring in Infants and Young Children.

Pediatr Cardiol 2021 Jun 10;42(5):1126-1132. Epub 2021 Apr 10.

Department of Pediatrics, Rush University Medical Center, Chicago, IL, 60612, USA.

P wave centric ambulatory electrocardiographic (ECG) monitoring has emerged as an important tool aiding the diagnosis of arrhythmias. However, their efficacy and user experience in infants and young children are not well established. A retrospective study was performed to detail clinical and user experience of ECG monitoring using the Carnation Ambulatory Monitor (CAM) patch (Bardy Diagnostics Inc. Read More

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MINI OPCAB Operation: Surgical Technique.

Surg Technol Int 2021 03 23;38. Epub 2021 Mar 23.

Invita Science Corp, Port St. Lucie, FL, USA.

Introduction: We describe how to perform left internal mammary artery (LIMA) bypass to the left anterior descending (LAD) artery, the so-called MINI Off-pump Coronary Artery Bypass (MINI OPCAB).

Materials And Methods: We included patients with a demonstrated predominant ischemia related to the LAD territory. Of 70 patients who were operated upon at the Benetti Foundation, 10 received hybrid revascularization. Read More

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Protective effects of dexmedetomidine on the ischemic myocardium in patients undergoing rheumatic heart valve replacement surgery.

Exp Ther Med 2021 May 26;21(5):427. Epub 2021 Feb 26.

Department of Anesthesiology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou 563000, P.R. China.

The aim of the present study was to compare the effects of two methods of dexmedetomidine (Dex) administration on myocardial injury, inflammation and stress in ischemic myocardium during rheumatic heart valve replacement. In total, 90 patients were included in the present study and were divided into the following three groups: i) Dex group (1.0 µg/kg Dex pre-administered 10 min prior to anesthesia, then 0. Read More

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Delayed sternal ossification in congenital heart disease: incidence using computed tomography.

Pediatr Radiol 2021 Mar 19. Epub 2021 Mar 19.

Department of Radiology, Montefiore Medical Center, 111 E. 210th St., Bronx, NY, 10467, USA.

Background: While congenital heart disease (CHD) is known to be associated with sternal abnormalities, its association with absent sternal ossification is less well known. The literature is sparse and based on radiographs.

Objective: To quantify delayed sternal ossification in CHD using computed tomography (CT). Read More

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[A real-world study of 176 cases with aplastic anemia treated in outpatient].

Zhonghua Xue Ye Xue Za Zhi 2021 Jan;42(1):58-62

State Key Laboratory of Experimental Hematology, National Clinical Research Center for Blood Diseases, Regenerative Medicine Clinic, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin 300020, China.

To explore the diagnostic process and outcomes of patients with aplastic anemia (AA) who received outpatient treatment in a real-world setting. The diagnostic processes, treatment regimens, and outcomes of 176 patients with AA treated in outpatient centers from January 2018 to December 2019 were reviewed. The median interval from the onset of symptoms to the first visit was 7 (5-120) months. Read More

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January 2021

Patients Submitted to Myocardial Revascularization with the Use of Bilateral Internal Thoracic Arteries: Diabetics vs. Non-Diabetics.

Braz J Cardiovasc Surg 2021 Mar 1. Epub 2021 Mar 1.

Department of Cardiovascular Surgery, Hospital Sociedade Portuguesa de Beneficência de São José do Rio Preto, São José do Rio Preto, São Paulo, Brazil.

Introduction: Use of bilateral internal thoracic artery (BITA) as graft in coronary artery bypass grafting (CABG) is controversial because it is related to higher in-hospital mortality, incidence of sternal wound-related infection, and an increase in surgical time. The primary objective of this study is to evaluate in-hospital mortality and mortality within 30 days from discharge. The secondary objective is to evaluate the occurrence of deep sternal wound infection in a 90-day follow-up. Read More

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Biomechanical Responses and Injury Assessment of Post Mortem Human Subjects in Various Rear-facing Seating Configurations.

Stapp Car Crash J 2020 Nov;64:155-212

Injury Biomechanics Research Center, The Ohio State University.

The objective of this study was to generate biomechanical corridors from post-mortem human subjects (PMHS) in two different seatback recline angles in 56 km/h sled tests simulating a rear-facing occupant during a frontal vehicle impact. PMHS were placed in a production seat which included an integrated seat belt. To achieve a repeatable configuration, the seat was rigidized in the rearward direction using a reinforcing frame that allowed for adjustability in both seatback recline angle and head restraint position. Read More

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November 2020

Application of 3D printing and framework internal fixation technology for high complex rib fractures.

J Cardiothorac Surg 2021 Feb 15;16(1). Epub 2021 Feb 15.

Department of Thoracic Surgery, the Second Hospital of Hebei Medical University, No. 215, Heping west road, Shijiazhuang, 050000, China.

Objective: To explore the clinical effect of 3D printing combined with framework internal fixation technology on the minimally invasive internal fixation of high complex rib fractures.

Methods: Total 16 patients with high complex rib fractures were included in the study. Before the procedure, the 3D rib model was reconstructed based on the thin-layer chest CT scan. Read More

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February 2021

Retrospective analysis of patients with sternal fracture.

Turk J Emerg Med 2021 Jan-Mar;21(1):20-23. Epub 2020 Dec 1.

Department of Emergency Medicine, School of Medicine, Erciyes University, Kayseri, Turkey.

Objectives: Sternal fractures (SFs) are rare pathologies that mainly occur as a result of traffic accidents, which can cause mortality due to concomitant complications. In this study, we aimed to evaluate clinical processes and termination status of patients diagnosed with a SF in the emergency department.

Methodology: Patients diagnosed with a SF in the emergency department during 8 years were retrospectively reviewed. Read More

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December 2020

[Treatment of recurrent traumatic sternomediastinitis after cardiac surgery].

Khirurgiia (Mosk) 2021 (2):53-57

Petrovsky Russian Research Center of Surgery, Moscow, Russia.

Objective: To assess the possibilities of omentoplasty for prevention of complications after redo sternum osteosynthesis for traumatic rupture.

Material And Methods: The study included 53 patients with recurrent sternal diastasis. Greater omentum was additionally implanted in 19 (35. Read More

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February 2021

Ten-year experience with staged management of pectus carinatum: Results and lessons learned.

J Pediatr Surg 2021 Jan 27. Epub 2021 Jan 27.

Children's Hospital of The King's Daughters, 601 Children's Lane, Norfolk, VA, 23507, USA; Departments of Surgery and Pediatrics, Eastern Virginia Medical School.

Introduction: We report pectus carinatum management over a 10+year period.

Methods: Staged management, with initial bracing and operation for failure or special circumstances, was employed. A newer brace and a minimally invasive operation for PC (the Abramson procedure) were introduced during the study period. Read More

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January 2021

Regularity of kinematic data between single and dual-task treadmill walking in people with Parkinson's disease.

J Neuroeng Rehabil 2021 02 1;18(1):20. Epub 2021 Feb 1.

School of Human Kinetics, University of Ottawa, Ottawa, ON, Canada.

Background: Regularity, quantified by sample entropy (SampEn), has been extensively used as a gait stability measure. Yet, there is no consensus on the calculation process and variant approaches, e.g. Read More

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February 2021

Role of ultrasound and CT in the early diagnosis and surgical treatment of primary sternal osteomyelitis caused by Case reports.

Exp Ther Med 2021 Mar 7;21(3):189. Epub 2021 Jan 7.

Department of Cardiothoracic Surgery, The First People's Hospital of Honghe Prefecture, Mengzi, Yunnan 661100, P.R. China.

Primary sternal osteomyelitis (PSO) caused by is a rare condition and most commonly associated with sickle cell disease. Only one such case has been previously reported in an infant (age, <1 year) worldwide. The present study reported on two infantile cases of PSO caused by in the absence of any hematological diseases. Read More

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Reconstruction of Congenital Sternal Cleft: A Systematic Review of the Literature.

Ann Plast Surg 2021 05;86(5S Suppl 3):S418-S421

From the Division of Plastic Surgery, University of California Davis Medical Center, Sacramento, CA.

Introduction: Sternal cleft (SC) is a rare congenital deformity that results from failure of sternal bar fusion. Sternal cleft can be categorized as superior partial, inferior partial, or complete. Each form of SC can present as an isolated defect or in association with other congenital deformities, which presents a unique challenge for reconstructive surgeons. Read More

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Perioperative outcomes of coronary artery bypass graft surgery in Johannesburg, South Africa.

J Cardiothorac Surg 2021 Jan 7;16(1). Epub 2021 Jan 7.

Division of Cardiology, Department of Internal Medicine, Faculty of Health Sciences, School of Clinical Medicine, University of the Witwatersrand, Charlotte Maxeke Johannesburg Academic Hospital, 17 Jubilee Road, Parktown, Johannesburg, 2193, South Africa.

Background: The perioperative complications in patients with coronary artery disease undergoing coronary artery bypass graft (CABG) surgery have been reported predominantly from developed countries, with a paucity of data from sub-Saharan Africa. We aim to report on the clinical characteristics and perioperative complications in patients with obstructive coronary artery disease, managed with CABG surgery at a tertiary academic hospital in Johannesburg, South Africa.

Methods: We retrospectively reviewed data from adult patients who underwent CABG surgery during a 17-year period (January 2000 - December 2017). Read More

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January 2021