Isolated sternal hypoplasia: a rare cause of kyphoscoliosis

Authors

  • Venkatram Krishnan Department of Radiodiagnosis, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
  • Mahesh Kumar Mittal Department of Radiodiagnosis, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
  • Mukul Sinha Department of Radiodiagnosis, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
  • Brij Bhushan Thukral Department of Radiodiagnosis, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20190954

Keywords:

Isolated sternal hypoplasia, Kyphoscoliosis, Sternal anomalies, Sternal hypoplasia

Abstract

In most cases, kyphoscoliosis is idiopathic. However, this is a diagnosis of exclusion and can be made only if no cause can be identified. Kyphoscoliosis can occur due to various causes. Isolated sternal anomalies may also cause kyphoscoliosis secondary to the bony deformity though this has not previously been reported in literature. We have reported a case of kyphoscoliosis secondary to isolated sternal hypoplasia with complete absence of bony and cartilaginous elements of the body and xiphoid process of the sternum without any associated deformities of mediastinal structures, lung parenchyma or soft tissues in a young male patient. Careful evaluation of patients with kyphoscoliosis can ensure timely diagnosis of unusual and potentially treatable causes for the same such as sternal anomalies. Addition of lateral chest radiographs to the imaging protocol for evaluation of kyphoscoliosis can play a major role in timely diagnosis of such cases.

References

Janicki JA, Alman B. Scoliosis: Review of diagnosis and treatment. Paediatr Child Health. 2007;12(9):771-6.

Powar RS, Prabhu A, Prabhu M. Isolated complete cleft. Annals Thoracic Surgery.2012;94(5):1733-5.

Soultanis KC, Payatakes AH, Chouliaras VT, Mandellos GC, Pyrovolou NE, Pliarchopoulou FM, et al. Rare causes of scoliosis and spine deformity: experience and particular features. Scoliosis 2007;2:15.

Battal B, Karademir I, Bozlar U, Saglam M, Bulakbasi N, Tasar M. Isolated complete congenital sternal cleft in an adult: MDCT imaging findings. British J Radiol.2009;82(982):202-3.

Kotzot D, Schwabegger AH. Etiology of chest wall deformities-a genetic review for the treating physician. J Pediat Surgery. 2009;44(10):2004-11.

Yekeler E, Tunaci M, Tunaci A, Dursun M, Acunas G. Frequency of sternal variations and anomalies evaluated by MDCT. AJR Am J Roentgenol 2006;186:956-60.

Turturro F, Calderaro C, Montanaro A, Labianca L, Argento G, Ferretti A. Isolated Asymptomatic Short Sternum in a Healthy Young Girl. Case Reports in Radiology 2014.

Capasso L, Caramiello S, D'Anastasio R. The anomaly of Santa Rosa. Lancet 1999;353(9151):504.

Downloads

Published

2019-02-27

How to Cite

Krishnan, V., Mittal, M. K., Sinha, M., & Thukral, B. B. (2019). Isolated sternal hypoplasia: a rare cause of kyphoscoliosis. International Journal of Research in Medical Sciences, 7(3), 943–947. https://doi.org/10.18203/2320-6012.ijrms20190954

Issue

Section

Case Reports