AGE RELATED ASPECTS OF STERNAL X RAY ANALYSIS
Abstract
The aim of the study was to study age related changes in the sternum according to age periodization by x ray analysis. The material for the study was 92 targeted x rays of the sternum, performed in oblique anterior and lateral projections of patients of both sexes aged 0 to 30 years. The x rays were divided into groups according to age periodization. X ray anatomical analysis of the anatomical parts of the sternum, ossification points, crank sternal synchondrosis, and xiphoid sternal synchondrosis was performed using the method of x ray examination. Results. In the course of the study, classical synostosis of ossification points of the anatomical parts of the sternum with the formation of crank sternal and xiphoid sternal synchondrosis with further complete ossification according to age periodization was revealed in 82.6 % of cases. In 17.4 % of cases, various deviations from the average described changes were detected. In 1 age group, 2 cases of formation of the sternum handle from 3 points of ossification, 1 case of formation of the sternum body from 21 points of ossification are described. In age groups 3 and 4, the so called supra chest bones were revealed on 6 radiographs in the oblique anterior projection above the jugular notch. In group 4, 1 case of early synostosis of ossification points of the arm and sternum body was described. In group 5, 2 early cases of synostosis of points of ossification of the sternum body and xiphoid sternal synchondrosis were described. In age group 6, 1 case of early complete synostosis of the anatomical parts of the sternum was described. Group 8 describes 1 case of preservation of 2 ossification points in the sternum body and 2 cases of preservation of crank sternal synchondrosis. Conclusion. In the course of the study, x ray anatomical analysis of age related changes in the sternum according to age periodization was performed. as a result, changes in synostosis were detected in the form of additional ossification points, early or late fusion of ossification points, synostosis of anatomical parts of the sternum, and the so called supra chest bones were described.
