Rascjep prsne kosti – prikaz troje bolesnika

Scientific paper - Case study

• Title (english): Sternal cleft – report of three cases
• Author: Božidar Župančić
• Author: Marko Bašković
• Author: Andro Gliha
• Author: Ljudevit Sović
• Author's institution: University of Zagreb; School of Medicine
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences

Abstract (english)

During the last 25 years we surgically treated three patients with sternal cleft anomaly, aged from 6 weeks to 2 years. The aim of this case series is to present this extremely rare congenital anomaly and differences in the operative treatment of sternal cleft (SC) depending on patients age due to flexibility of the chest wall. Patients presented to us with signs of sternal cleft; displaced sternoclavicular articulations and paradoxical motion of the skin over the defect. Preoperatively we performed X-ray and computed tomography of the chest which revealed displaced sternoclavicular articulations with superior incomplete sternal cleft and echocardiography which showed orthotopic heart without malformations of the great vessels. Surgical treatment included primary closure in two infants and Sabiston’s technique in a two-year-old girl. All three patients were successfully operated without complications.

Abstract (croatian)

U posljednjih 25 godina operirali smo troje bolesnika s rascjepom prsne kosti, u dobi od 6 tjedana do dvije godine. Cilj je serije prikazati ovu izrazito rijetku kongenitalnu anomaliju te razlike u operativnom pristupu rascjepu prsne kosti ovisno o dobi bolesnika zbog fleksibilnosti prsnog koša. Bolesnici su se prezentirali znakovima rascjepa prsne kosti, dispozicioniranim sternoklavikularnim zglobovima te paradoksalnim gibanjem kože iznad samog defekta. Preoperativno su učinjeni rendgenogram i kompjutorizirana tomografija prsnog koša koji su pokazali dispozicionirane sternoklavikularne zglobove uz nepotpun rascjep u gornjem dijelu prsne kosti, te ehokardiografija kojom je nađeno ortotropično srce bez ­malformacija velikih krvnih žila. Kirurško liječenje sastojalo se od primarnog zatvaranja u dojenačkoj dobi, odnosno ­Sabistonove tehnike primijenjene u dvogodišnje djevojčice. Sve troje bolesnika uspješno je operirano bez komplikacija.

• Keywords (english): Child, Preschool; Female; Humans; Infant; Male; Musculoskeletal Abnormalities/diagnostic imaging; Musculoskeletal Abnormalities/surgery; Sternum/abnormalities; Sternum/diagnostic imaging; Sternum/surgery; Thoracic Wall; Tomography, X-Ray Computed
• Language: croatian
• Publication type: Scientific paper - Case study
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Liječnički vjesnik
• Numbering: vol. 138, no. 7-8, pp. 204-207
• p-ISSN: 0024-3477
• URN:NBN: urn:nbn:hr:105:292739
• Publication: 2016-07
• Document URL: https://hrcak.srce.hr/file/255111
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-03-28 09:38:08