• Goniometry of the sternum and parasternal areas in treatment for pectus carinatum in children

Goniometry of the sternum and parasternal areas in treatment for pectus carinatum in children

PAEDIATRIC SURGERY.UKRAINE.2018.3(60):41-45; doi 10.15574/PS.2018.60.41

Sasiuk A. I., Pogoriliy V. V., Loyko E. E., Konoplitskyi V. S., Konoplitskyi D. V.
National Pirogov Memorial Medical University, Vinnytsia, Ukraine

In order to improve the diagnosis of pectus carinatum, a method for determining the angle of deviation of the sternum and the parasternal areas relating to the horizontal level is proposed. The measurements were performed according to the developed scheme, with the specified anatomical landmarks for this study. The angle of deviation of the sternum and the parasternal areas was determined with the help of a pendulum goniometer. The normal values of the angle were established based on the examination of 668 healthy children aged 3 to 18 years. The analysis of the obtained data showed that the value of the angle does not depend on the children's age and sex, however it varies depending upon the type of constitution of child.

Key words: pectus carinatum, angle of sternal deviation, children, constitutional type.

References

1. Sudeykina OA. (2005). Novyiy metod hirurgicheskogo lecheniya kilevidnoy deformatsii grudnoy kletki u detey. Moskva: 102.

2. Haspekov DV, Sudeykina OA, Schitinin VE. (2005). Metod hirurgicheskoy korrektsii kilevidnoy deformatsii grudnoy kletki u detey. Detskaya hirurgiya. 2: 28–32.

3. Chebotarova VD, Maidannyk VH. (1999). Propedevtychna pediatriia. Kyiv: 578.

4. Shamik VB. (2002). O klassifikatsii i ishodah torakoplastiki vrozhdennoy kilevidnoy deformatsii grudnoy kletki. Grudnaya i serdechno-sosudistaya hirurgiya. 1: 52–56.

5. Fonkalsrud EW, Anselmo DM. (2004). Less extensive technigues for repair of pectus carinatum: the undertreated chest deformity. J Am Coll Surg.198: 898–905.

6. Pedersen T, Pilegaard HK. (2008). Surgical correction of pectus carinatum. Ugeskr Laeger. 70 (36): 2769–2772.

7. Saxena AK. (2005). Pectus excavatum, pectus carinatum and other forms of thoracic deformities. J Indian Assoc Pediatr Surg. 10:147–157.

Article received: Mar 04, 2018. Accepted for publication: Aug 23, 2018.