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Chest Pain in Sternum

MedGen UID:
1709788
•Concept ID:
C5238547
•
Finding

Definition

The location of the chest pain is in the middle of the anterior wall of the thorax, bounded by the clavicles, above, and with the cartilages of the first seven ribs, along the sides. [from NCI]

Term Hierarchy

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

Professional guidelines

PubMed

Current management of isolated sternal fractures in the UK: time for evidence based practice? A cross-sectional survey and review of literature.
Hossain M, Ramavath A, Kulangara J, Andrew JG
Injury 2010 May;41(5):495-8. Epub 2009 Aug 13 doi: 10.1016/j.injury.2009.07.072. PMID: 19682680
Pectus excavatum: historical background, clinical picture, preoperative evaluation and criteria for operation.
Kelly RE Jr
Semin Pediatr Surg 2008 Aug;17(3):181-93. doi: 10.1053/j.sempedsurg.2008.03.002. PMID: 18582824
Poststernotomy fractures and pain management in open cardiac surgery.
Moore R, Follette DM, Berkoff HA
Chest 1994 Nov;106(5):1339-42. doi: 10.1378/chest.106.5.1339. PMID: 7956381

Recent clinical studies

Etiology

MRI in suspected chest wall fractures: diagnostic value in work-related chest blunt trauma.
Capelastegui A, Oca R, Iglesias G, Larena JA
Skeletal Radiol 2024 Feb;53(2):275-283. Epub 2023 Jul 7 doi: 10.1007/s00256-023-04399-0. PMID: 37417996
Ascending Aorta Sacular Aneurysm.
Carvalho Guerra N, Velho T, Sena A, Nobre Â
Port J Card Thorac Vasc Surg 2023 Jan 14;29(4):71. doi: 10.48729/pjctvs.323. PMID: 36640281
Upper ministernotomy.
Reser D, Holubec T, Scherman J, Yilmaz M, Guidotti A, Maisano F
Multimed Man Cardiothorac Surg 2015;2015 Epub 2015 Nov 2 doi: 10.1093/mmcts/mmv036. PMID: 26530961
Atraumatic sternum fracture.
Abrahamsen SØ, Madsen CF
BMJ Case Rep 2014 Oct 17;2014 doi: 10.1136/bcr-2014-206683. PMID: 25326566Free PMC Article
Chronic post-sternotomy pain.
Kalso E, Mennander S, Tasmuth T, Nilsson E
Acta Anaesthesiol Scand 2001 Sep;45(8):935-9. doi: 10.1034/j.1399-6576.2001.450803.x. PMID: 11576042

Diagnosis

Primary sternal osteomyelitis.
Rodríguez Lorenzo P, Fernández Martínez B, Pérez Alba M, Ramírez Jaén C, Meana Morís AR, Pérez Méndez C
Arch Argent Pediatr 2023 Oct 1;121(5):e202201449. Epub 2023 Feb 9 doi: 10.5546/aap.2022-01449.eng. PMID: 36724129
Sternal Fractures due to Blunt Chest Trauma.
Yuan SM
J Coll Physicians Surg Pak 2022 Dec;32(12):1591-1596. doi: 10.29271/jcpsp.2022.12.1591. PMID: 36474381
Non-Tumorous Diseases of the Sternum and Its Articulations: At the Front Gate of the Chest.
Son H, Grigovich M, McCabe BE
Curr Probl Diagn Radiol 2022 Jul-Aug;51(4):628-638. Epub 2021 Jul 15 doi: 10.1067/j.cpradiol.2021.06.005. PMID: 34393035
Chest Wall Trauma.
Majercik S, Pieracci FM
Thorac Surg Clin 2017 May;27(2):113-121. doi: 10.1016/j.thorsurg.2017.01.004. PMID: 28363365
Chest pain in athletes.
Perron AD
Clin Sports Med 2003 Jan;22(1):37-50. doi: 10.1016/s0278-5919(02)00023-6. PMID: 12613085

Therapy

Primary sternal osteomyelitis.
Rodríguez Lorenzo P, Fernández Martínez B, Pérez Alba M, Ramírez Jaén C, Meana Morís AR, Pérez Méndez C
Arch Argent Pediatr 2023 Oct 1;121(5):e202201449. Epub 2023 Feb 9 doi: 10.5546/aap.2022-01449.eng. PMID: 36724129
Non-Tumorous Diseases of the Sternum and Its Articulations: At the Front Gate of the Chest.
Son H, Grigovich M, McCabe BE
Curr Probl Diagn Radiol 2022 Jul-Aug;51(4):628-638. Epub 2021 Jul 15 doi: 10.1067/j.cpradiol.2021.06.005. PMID: 34393035
Recent developments in controlling sternal wound infection after cardiac surgery and measures to enhance sternal healing.
Pradeep A, Rangasamy J, Varma PK
Med Res Rev 2021 Mar;41(2):709-724. Epub 2020 Nov 11 doi: 10.1002/med.21758. PMID: 33174619
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
Chronic post-sternotomy pain.
Kalso E, Mennander S, Tasmuth T, Nilsson E
Acta Anaesthesiol Scand 2001 Sep;45(8):935-9. doi: 10.1034/j.1399-6576.2001.450803.x. PMID: 11576042

Prognosis

MRI in suspected chest wall fractures: diagnostic value in work-related chest blunt trauma.
Capelastegui A, Oca R, Iglesias G, Larena JA
Skeletal Radiol 2024 Feb;53(2):275-283. Epub 2023 Jul 7 doi: 10.1007/s00256-023-04399-0. PMID: 37417996
Sternal Fractures due to Blunt Chest Trauma.
Yuan SM
J Coll Physicians Surg Pak 2022 Dec;32(12):1591-1596. doi: 10.29271/jcpsp.2022.12.1591. PMID: 36474381
Epithelioid hemangioendothelioma of the sternum.
Song W, Zhen Z, Li L, Ye J, Zhou S, Wu Q, Xu L, Li H, Lin F
Thorac Cancer 2020 Jun;11(6):1741-1745. Epub 2020 Apr 28 doi: 10.1111/1759-7714.13454. PMID: 32347015Free PMC Article
Dyspnoea and chest pain as the presenting symptoms of pneumomediastinum: two cases and a review of the literature.
Kara H, Uyar HG, Degirmenci S, Bayir A, Oncel M, Ak A
Cardiovasc J Afr 2015 Nov-Dec;26(6):e1-4. Epub 2015 Oct 8 doi: 10.5830/CVJA-2015-035. PMID: 26498134Free 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

Clinical prediction guides

Limited versus full sternotomy for aortic valve replacement.
Kirmani BH, Jones SG, Muir A, Malaisrie SC, Chung DA, Williams RJ, Akowuah E
Cochrane Database Syst Rev 2023 Dec 6;12(12):CD011793. doi: 10.1002/14651858.CD011793.pub3. PMID: 38054555Free PMC Article
Clinical Application of Thoracoscopic Resection of Anterior Mediastinal Tumors under the Xiphoid Process.
Zhu X, Jin K, Wu X, Yu G
Biomed Res Int 2022;2022:2012457. Epub 2022 Aug 23 doi: 10.1155/2022/2012457. PMID: 36051485Free PMC Article
Clinical Use of Tailored Computed Tomography to Prevent Poststernotomy Dehiscence.
Duman ZM, Timur B, Topel Ç, Aksu T
Thorac Cardiovasc Surg 2022 Jan;70(1):72-76. Epub 2021 Dec 31 doi: 10.1055/s-0041-1736243. PMID: 34972236
Recent developments in controlling sternal wound infection after cardiac surgery and measures to enhance sternal healing.
Pradeep A, Rangasamy J, Varma PK
Med Res Rev 2021 Mar;41(2):709-724. Epub 2020 Nov 11 doi: 10.1002/med.21758. PMID: 33174619
Dyspnoea and chest pain as the presenting symptoms of pneumomediastinum: two cases and a review of the literature.
Kara H, Uyar HG, Degirmenci S, Bayir A, Oncel M, Ak A
Cardiovasc J Afr 2015 Nov-Dec;26(6):e1-4. Epub 2015 Oct 8 doi: 10.5830/CVJA-2015-035. PMID: 26498134Free PMC Article

Recent systematic reviews

Limited versus full sternotomy for aortic valve replacement.
Kirmani BH, Jones SG, Muir A, Malaisrie SC, Chung DA, Williams RJ, Akowuah E
Cochrane Database Syst Rev 2023 Dec 6;12(12):CD011793. doi: 10.1002/14651858.CD011793.pub3. PMID: 38054555Free PMC Article
Minimally invasive repair of pectus carinatum by the Abramson method: A systematic review.
Geraedts TCM, Daemen JHT, Vissers YLJ, Hulsewé KWE, Van Veer HGL, Abramson H, de Loos ER
J Pediatr Surg 2022 Oct;57(10):325-332. Epub 2021 Dec 5 doi: 10.1016/j.jpedsurg.2021.11.028. PMID: 34969524
Current treatment and outcomes of traumatic sternal fractures-a systematic review.
Klei DS, de Jong MB, Öner FC, Leenen LPH, van Wessem KJP
Int Orthop 2019 Jun;43(6):1455-1464. Epub 2018 Apr 26 doi: 10.1007/s00264-018-3945-4. PMID: 29700586Free 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

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