[Degenerative chondroarthropathy of the sternocostal joint following heart surgery].
Involvement of the sternocostal joints was investigated in a series of 46 males and 18 females following median sternotomy annually in a 5-year period and compared to 62 age- and sex matched control subjects after one year solely. Both groups had a mean age of 49.2 years. The degenerative chondroarthropathy of sternocostal joints was 1.69-times more frequent in heart operated upon patients as compared to control persons. Based on radiographic findings the degenerative chondroarthropathies were classed in 0 to 3 severity groups. Were seen articular space narrowing in 95.4%, osteophytes of the margin of the articular surface in 88%, subchondral bony eburnation in 79% and cystic radiolucencies in 48.9% of sternocostal joints on poststernotomy standard plain film tomograms. Not occurred intraarticular gas phenomenon and bony ankylosis. The development of arthropathies is traced back to mechanical stress-related predisposing factors and stressed the importance of oculoneutral dehiscences that simulated normal roentgenanatomic projections and caused a masked insufficiency in sternocostal junctions.
Szántó
D
D
Szent Ferenc Kórház, Miskolc, Röntgen Osztály.
Szücs
G
G
Bíró
B P
BP
Priska
M
M
D000328:Adult; D000368:Aged; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010003:Osteoarthritis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D011859:Radiography; D013248:Sternocostal Joints / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D013249:Sternum / Q000601:surgery; D013991:Tietze's Syndrome / Q000000981:diagnostic imaging / Q000209:etiology*
Degeneratív chondroarthropathia a sternocostalis ízületeken szívmütétek után.