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https://doi.org/10.14300/mnnc.2022.17034

Topographic and anatomic peculiarities of relative location of the manubrium and the body of sternum in children of primary school age

[Original research] [Surgery]
Andrey Kivva; Gennady Chepurnoy; Gurbanbay Osmanovich Byashimov; Yury Vladimirovich Tyshlek; Mikhail Chepurnoy; Yury Khoronko; Mikhail Yurievich Shtilman; Igor Chumburidze;

The study was performed to research the topographic and anatomic specifics in the relative position of the manubrium and the body of sternum in children of primary school age. We employed ultrasonography to examine 49 children ranging in age from 7 to 11 years (27 boys and 22 girls). The average sternal angle among the children was found to be 189.86±0.74 degrees. The sternal angle value was 188.93±0.97 degrees in the boys’ group and 191±1.1 degrees in the girls’ group. Numerical parameters of the sternal angle in the examined age category were stable and demonstrated a lack of dependence on age or sex. Moreover, the range of the sternal angle values among the studied patients reached 22 degrees indicating a wide variety of potential relative positions of the manubrium and the body of the sternum in children of 7 to 11 years. Thus, presurgical detection of the angulus Ludovici in children of primary school age allows selecting the extent of surgery for patients in need of colonic esophagoplasty.

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References:
1. Kenanidis E., Athanasiadis D. I., Geropoulos G., Kakoulidis P., Potoupnis M. [et al.] Does the sternum play a role in the aetiopathogenesis of adolescent idiopathic scoliosis? Preliminary data of a new theory. Hippokratia. 2018;22(4):173-177. PMCID: PMC6825423.
2. Fischer N. J., Morreau J., Sugunesegran R., Taghavi K., Mirjalili S. A. A reappraisal of pediatric thoracic surface anatomy. Clinical Anatomy. 2017;30(6):788-794. https://doi.org/10.1002/ca.22913
3. Xu H, Zhu X., Li J., Yao Y., Guo M. [et al.]. Using sternal angle as anatomic landmark for right internal jugular vein catheterization in pediatrics. Acta Anaesthesiologica Scandinavica. 2020;64(2):188-192. https://doi.org/10.1111/aas.13474
4. Nadesan T., Keough N., Suleman F. E., Lockhat Z., Van Schoor A. N. Apprasial of the surface anatomy of the Thorax in an adolescent population. Clinical Anatomy. 2019;32(6):762-769. https://doi.org/10.1002/ca.23351
5. Chaskar V., Karnik P. P., Dave N. M., Garasia M. Comparative Study of Three Methods for Depth of Central Venous Catheter Placement in Children: An Observational Pilot Study. Turkish Journal of Anaesthesiology and Reanimation. 2018;46(2):116-120. https://doi.org/10.5152/TJAR.2018.32748
6. Kirum G. G., Munabi I., Kukiriza J., Tumusiime G., Kange M. [et al.] Anatomical variations of the sternal angle and anomalies of adult human sterna from the Galloway osteological collection at Makerere University Anatomy Department. Folia Morphologica. 2017;76(4):689-694. https://doi.org/10.5603/FM.a2017.0026
7. Chepurnoy G. I., Kivva A. N., Chepurnoy M. G., Novikov K. A., Kaimakchi M. Yu. A new method of retrosternal tunnel formation during esophagoplasty in children. Medical News of North Caucasus. 2019;14(1.1):26-29. https://doi.org/10.14300/mnnc.2019.14041
8. Ball M., Adigun O. O. Anatomy, Angle of Louis. StatPearls Publishing; 2019.
9. El-Busaidy H., Hassanali J., Kaisha W., Hassan S., Ogeng’o J. [et al.]. Prevalence of abnormal sternal angles in a Kenyan population. Anat. Physiol. 2014;4(1):135. https://doi.org/10.4172/2161-0940.1000135
10. Ateşoğlu S., Deniz M., Uslu A. I. Evaluation of the morphological characteristic and sex differences of sternum by multi-detector computed tomography. Folia Morphologica. 2018;77(3):489-497. https://doi.org/10.5603/FM.a2018.0002
11. Kivva A. N., Novikov K. A., Kaimakchi M. Y., VoinalovichKhanova Y. A., Doshina M. Y. Ultrasonography data on the angle between posterior surfaces of the manubrium and body of the sternum in infants. Medical News of North Caucasus. 2016;11(3):456-459. https://doi.org/10.14300/mnnc.2016.11103
12. Kivva A. N., Novikov K. A., Tyshlek Y. V., Kaimakchi M. Y., Voinalovich-Khanova Y. A. Characteristics of sternal angle in preschool children. Medical Herald of the South of Russia. 2016;(2):54-56. https://doi.org/10.21886/2219-8075-2016-2-54-56
13. Standring S. Gray’s Anatomy. 41th edition. Churchill Livingstone Elsevier. 2016.

Keywords: sternal angle, children, ultrasonography