Sternal non-union
Last revised by Yuranga Weerakkody on 13 Aug 2021
Citation, DOI, disclosures and article data
Citation:
Weerakkody Y, Deng F, Kang O, Sternal non-union. Reference article, Radiopaedia.org (Accessed on 16 Apr 2024) https://doi.org/10.53347/rID-70860
Permalink:
rID:
70860
Article created:
6 Sep 2019,
Yuranga Weerakkody ◉
Disclosures:
At the time the article was created Yuranga Weerakkody had no recorded disclosures.
View Yuranga Weerakkody's current disclosures
Last revised:
13 Aug 2021,
Yuranga Weerakkody ◉
Disclosures:
At the time the article was last revised Yuranga Weerakkody had no recorded disclosures.
View Yuranga Weerakkody's current disclosures
Revisions:
5 times, by
3 contributors -
see full revision history and disclosures
Systems:
Synonyms:
- Sternal nonunion
- Sternal non union
- Non union of the sternum
- Non union of sternum
Sternal non-union is one of the post-sternotomy complications that can occur as a result of cardiothoracic intervention or trauma and be a morbid condition with serious sequelae. Patients often report pain with breathing, coughing, and/or movement. It can be infectious or non-infectious and may occur with or without sternal dehiscence.
Differential diagnosis
Consider
- normal post-operative sternal gapping: can be seen in as many as 50% of patients 6 months post-operatively 4.
See also
References
- 1. Wu LC, Renucci JD, Song DH. Sternal nonunion: a review of current treatments and a new method of rigid fixation. (2005) Annals of plastic surgery. 54 (1): 55-8. doi:10.1097/01.sap.0000139564.37314.1f - Pubmed
- 2. Hautalahti J, Rinta-Kiikka I, Tarkka M, Laurikka J. Symptoms of Sternal Nonunion Late after Cardiac Surgery. (2017) The Thoracic and cardiovascular surgeon. 65 (4): 325-331. doi:10.1055/s-0035-1549360 - Pubmed
- 3. Restrepo CS, Martinez S, Lemos DF, Washington L, McAdams HP, Vargas D, Lemos JA, Carrillo JA, Diethelm L. Imaging appearances of the sternum and sternoclavicular joints. (2009) Radiographics : a review publication of the Radiological Society of North America, Inc. 29 (3): 839-59. doi:10.1148/rg.293055136 - Pubmed
- 4. Hota P, Dass C, Erkmen C, Donuru A, Kumaran M. Poststernotomy Complications: A Multimodal Review of Normal and Abnormal Postoperative Imaging Findings. (2018) AJR. American journal of roentgenology. 211 (6): 1194-1205. doi:10.2214/AJR.18.19782 - Pubmed
- 5. Chepla KJ, Salgado CJ, Tang CJ, Mardini S, Evans KK. Late complications of chest wall reconstruction: management of painful sternal nonunion. (2011) Seminars in plastic surgery. 25 (1): 98-106. doi:10.1055/s-0031-1275176 - Pubmed
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