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Chest Pain in Lower Sternum

MedGen UID:
1709563
•Concept ID:
C5238658
•
Sign or Symptom

Definition

The location of the chest pain is in the lower portion of the sternum. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVChest Pain in Lower Sternum

Recent clinical studies

Etiology

Limited versus full sternotomy for aortic valve replacement.
Kirmani BH, Jones SG, Malaisrie SC, Chung DA, Williams RJ
Cochrane Database Syst Rev 2017 Apr 10;4(4):CD011793. doi: 10.1002/14651858.CD011793.pub2. PMID: 28394022Free PMC Article
Surgical interventions for treating pectus excavatum.
de Oliveira Carvalho PE, da Silva MV, Rodrigues OR, Cataneo AJ
Cochrane Database Syst Rev 2014 Oct 29;2014(10):CD008889. doi: 10.1002/14651858.CD008889.pub2. PMID: 25352359Free PMC Article
Atraumatic sternum fracture.
Abrahamsen SØ, Madsen CF
BMJ Case Rep 2014 Oct 17;2014 doi: 10.1136/bcr-2014-206683. PMID: 25326566Free PMC Article
Muscle flaps or omental flap in the management of deep sternal wound infection.
van Wingerden JJ, Lapid O, Boonstra PW, de Mol BA
Interact Cardiovasc Thorac Surg 2011 Aug;13(2):179-87. Epub 2011 May 4 doi: 10.1510/icvts.2011.270652. PMID: 21543366
Pain site frequency and location in sickle cell disease: the PiSCES project.
McClish DK, Smith WR, Dahman BA, Levenson JL, Roberts JD, Penberthy LT, Aisiku IP, Roseff SD, Bovbjerg VE
Pain 2009 Sep;145(1-2):246-51. Epub 2009 Jul 23 doi: 10.1016/j.pain.2009.06.029. PMID: 19631468Free PMC Article

Diagnosis

Syphilitic osteomyelitis in a patient with HIV and cognitive biases in clinical reasoning: A case report.
Kamegai K, Yokoyama S, Takakura S, Takayama Y, Shiiki S, Koyama H, Narita M
Medicine (Baltimore) 2022 Oct 7;101(40):e30733. doi: 10.1097/MD.0000000000030733. PMID: 36221388Free PMC Article
Surgical interventions for treating pectus excavatum.
de Oliveira Carvalho PE, da Silva MV, Rodrigues OR, Cataneo AJ
Cochrane Database Syst Rev 2014 Oct 29;2014(10):CD008889. doi: 10.1002/14651858.CD008889.pub2. PMID: 25352359Free PMC Article
Atraumatic sternum fracture.
Abrahamsen SØ, Madsen CF
BMJ Case Rep 2014 Oct 17;2014 doi: 10.1136/bcr-2014-206683. PMID: 25326566Free PMC Article
Indications and technique of Nuss procedure for pectus excavatum.
Nuss D, Kelly RE Jr
Thorac Surg Clin 2010 Nov;20(4):583-97. doi: 10.1016/j.thorsurg.2010.07.002. PMID: 20974443
Sternum insufficiency fracture presenting as acute chest pain: a case report and review of the literature.
Lin KH, Ponampalam R
Eur J Emerg Med 2006 Apr;13(2):122-4. doi: 10.1097/01.mej.0000206188.60415.69. PMID: 16525248

Therapy

Syphilitic osteomyelitis in a patient with HIV and cognitive biases in clinical reasoning: A case report.
Kamegai K, Yokoyama S, Takakura S, Takayama Y, Shiiki S, Koyama H, Narita M
Medicine (Baltimore) 2022 Oct 7;101(40):e30733. doi: 10.1097/MD.0000000000030733. PMID: 36221388Free PMC Article
Limited versus full sternotomy for aortic valve replacement.
Kirmani BH, Jones SG, Malaisrie SC, Chung DA, Williams RJ
Cochrane Database Syst Rev 2017 Apr 10;4(4):CD011793. doi: 10.1002/14651858.CD011793.pub2. PMID: 28394022Free PMC Article
Surgical interventions for treating pectus excavatum.
de Oliveira Carvalho PE, da Silva MV, Rodrigues OR, Cataneo AJ
Cochrane Database Syst Rev 2014 Oct 29;2014(10):CD008889. doi: 10.1002/14651858.CD008889.pub2. PMID: 25352359Free PMC Article
Muscle flaps or omental flap in the management of deep sternal wound infection.
van Wingerden JJ, Lapid O, Boonstra PW, de Mol BA
Interact Cardiovasc Thorac Surg 2011 Aug;13(2):179-87. Epub 2011 May 4 doi: 10.1510/icvts.2011.270652. PMID: 21543366
Sternum insufficiency fracture presenting as acute chest pain: a case report and review of the literature.
Lin KH, Ponampalam R
Eur J Emerg Med 2006 Apr;13(2):122-4. doi: 10.1097/01.mej.0000206188.60415.69. PMID: 16525248

Prognosis

Patients with symptomatic permanent atrial fibrillation show quantitative signs of pain sensitisation.
Jackson A, Frobert O, Boye Larsen D, Arendt-Nielsen L, Björkenheim A
Open Heart 2021 Jun;8(1) doi: 10.1136/openhrt-2021-001699. PMID: 34140311Free PMC Article
Pectoral Block Failure May Be Due to Incomplete Coverage of Anatomical Targets: A Dissection Study.
Carstensen LF, Jenstrup M, Lund J, Tranum-Jensen J
Reg Anesth Pain Med 2018 Nov;43(8):844-848. doi: 10.1097/AAP.0000000000000837. PMID: 30095696
Limited versus full sternotomy for aortic valve replacement.
Kirmani BH, Jones SG, Malaisrie SC, Chung DA, Williams RJ
Cochrane Database Syst Rev 2017 Apr 10;4(4):CD011793. doi: 10.1002/14651858.CD011793.pub2. PMID: 28394022Free PMC Article
Atraumatic sternum fracture.
Abrahamsen SØ, Madsen CF
BMJ Case Rep 2014 Oct 17;2014 doi: 10.1136/bcr-2014-206683. PMID: 25326566Free PMC Article
Results of Nuss procedures for the correction of pectus excavatum.
Bohosiewicz J, Kudela G, Koszutski T
Eur J Pediatr Surg 2005 Feb;15(1):6-10. doi: 10.1055/s-2004-830570. PMID: 15795820

Clinical prediction guides

Comparison of Sternal Fixation Strategies After Open-Heart Surgery Via a Median Sternal Incision.
Liu J, Chen X, Ma G, Liu X, Li X, Miao Q, Zhang C
Heart Surg Forum 2022 Jul 12;25(4):E494-E499. doi: 10.1532/hsf.4843. PMID: 36052904
Cardiopulmonary function in adolescent patients with pectus excavatum or carinatum.
Ramadan S, Wilde J, Tabard-Fougère A, Toso S, Beghetti M, Vallée JP, Corbelli R, Barazzone-Argiroffo C, Lascombes P, Ruchonnet-Métrailler I
BMJ Open Respir Res 2021 Jul;8(1) doi: 10.1136/bmjresp-2021-001020. PMID: 34326157Free PMC Article
Limited versus full sternotomy for aortic valve replacement.
Kirmani BH, Jones SG, Malaisrie SC, Chung DA, Williams RJ
Cochrane Database Syst Rev 2017 Apr 10;4(4):CD011793. doi: 10.1002/14651858.CD011793.pub2. PMID: 28394022Free PMC Article
Muscle flaps or omental flap in the management of deep sternal wound infection.
van Wingerden JJ, Lapid O, Boonstra PW, de Mol BA
Interact Cardiovasc Thorac Surg 2011 Aug;13(2):179-87. Epub 2011 May 4 doi: 10.1510/icvts.2011.270652. PMID: 21543366
Pain control in augmentation mammaplasty using indwelling catheters in 687 consecutive patients: data analysis.
Pacik PT, Nelson CE, Werner C
Aesthet Surg J 2008 Nov-Dec;28(6):631-41. doi: 10.1016/j.asj.2008.09.001. PMID: 19083591

Recent systematic reviews

Limited versus full sternotomy for aortic valve replacement.
Kirmani BH, Jones SG, Malaisrie SC, Chung DA, Williams RJ
Cochrane Database Syst Rev 2017 Apr 10;4(4):CD011793. doi: 10.1002/14651858.CD011793.pub2. PMID: 28394022Free PMC Article
Surgical interventions for treating pectus excavatum.
de Oliveira Carvalho PE, da Silva MV, Rodrigues OR, Cataneo AJ
Cochrane Database Syst Rev 2014 Oct 29;2014(10):CD008889. doi: 10.1002/14651858.CD008889.pub2. PMID: 25352359Free PMC Article

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