Manubrium-sparing median sternotomy as a uniform approach for cardiac operations.
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We used a manubrium-sparing sternotomy to perform intracardiac operations on 26 patients between November 1997 and April 1998. We developed this less-invasive surgical technique as a uniform approach in order to reduce skin and skeletal trauma, while maintaining the advantages of the full median sternotomy, such as standard aortic and venous cannulations and use of both antegrade and retrograde cardioplegia. During the same period, 26 other patients with intracardiac lesions underwent operation through a standard full sternotomy. In the manubrium-sparing sternotomy group, there was no intraoperative complication or conversion to full median sternotomy. The average postoperative chest drainage was less in the manubrium-sparing sternotomy group (242.7+/-184.5 mL/24 hours, vs. 499.2+/-416.3 mL/24 hours; P<0.01). Two patients (77%) in the manubrium-sparing sternotomy group had superficial wound disruption, but 4 patients (15.4%) in the full sternotomy group had more severe wound infection, and 1 required myoplasty because of deep wound infection. During the mean follow-up period (12.4+/-1.9 months), no patient in the manubrium-sparing sternotomy group reported significant discomfort or pain due to the sternotomy, but 6 patients (23.1%) in the full sternotomy group complained of significant sternal pain, while 4 (15.4%) experienced shoulder pain, and 1 (3.8%) experienced numbness of the 4th and 5th fingers of both hands. We conclude that the manubrium-sparing sternotomy is a safe and useful approach for most cardiac operations. It is effective in reducing surgical trauma and postoperative wound discomfort. (+info)
Manubriosternal joint dislocation in contact sport.
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A 17 year old man developed chest pain and shortness of breath immediately after a scrummage while playing rugby football. A lateral chest radiograph showed a dislocated manubriosternal joint, with no associated injuries. This has not been previously reported in a sporting setting. This injury should be considered in flexion-compression injury of the thorax. (+info)
Surgical management for upper thoracic spine tumors by a transmanubrium approach and a new space.
(3/20)
The anterior aspect of the upper thoracic spine is a difficult region to approach in spinal surgery. Many vital structures including osseus, articular, vascular and nervous ones hinder the exposure. With increasing frequency, spine surgeons are being asked to provide decompression and stabilization in patients with spinal tumors. The traditional exposure is between the esophagus and trachea medially and the left common carotid or the brachiocephalic artery (BCA) laterally, and the disadvantages were that the ligation and section of the left innominate vein is proposed to reach T4 and the injury of the thoracic duct could occur. The right space of the BCA or the ascending aorta (AA) (the exposure between the right brachiocephalic vein and the BCA or between the AA and superior caval vein) is recommended in exposing the upper thoracic vertebrae; this new space is technically feasible; the exposure is sufficient for vertebral body resection and reconstruction and fixation. Twenty-eight patients with upper thoracic spine tumors underwent surgery by the use of this new space between June 2000 and October 2005. A strut graft was fixed anteriorly after decompression of the spinal cord. Levels C7-T5 can be well exposed through this new space, allowing complete vertebral body removal at level T1-T4. After body removal, the posterior longitudinal ligament is well exposed, allowing complete release of the spinal cord. Curettage was performed in one case of aneurysmal bone cyst and three cases of bone giant cell tumors. For other tumors, vertebrectomies or sagittal resections were performed. Four patients underwent surgery by a combination of anterior and posterior approach. (+info)
Rehabilitation of an elite gymnast with a type II manubriosternal dislocation.
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BACKGROUND AND PURPOSE: This case report describes the rehabilitation of an elite, 15-year-old gymnast after a nonreduced type II manubriosternal dislocation. The rehabilitation took place in a gymnastics venue but was guided by a physician and a licensed physical therapist. CASE DESCRIPTION: The gymnast participated in a 13-week rehabilitation program for range of motion and strengthening that was based on a biomechanical hierarchy. Rehabilitation began at week 2 after injury for the lower extremities and at week 4 for the upper extremities. OUTCOMES: By week 4, the patient began upper-extremity strengthening, and by week 6, the patient had no pain with palpation and tolerated light sternal loading. At week 9, a plain-film radiograph revealed a stable manubriosternal joint, and by week 13, the patient returned to gymnastics pain-free. DISCUSSION: This case report shows that, after a 13-week regimen of progressive and repetitive, cyclical tensile and compressive loading, the manubriosternal joint was stable, and the elite gymnast was able to return to the sport, successfully competing in a regional competition. (+info)
Primary tubercular osteomyelitis of the sternum.
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