Author/Authors :
Carlos sola Junior, Wilson Shoulder and Elbow Surgery Service - Hospital XV de Curitiba, Curitiba, PR, Brazil , augusTo Colferai, Tiago Shoulder and Elbow Surgery Service - Hospital XV de Curitiba, Curitiba, PR, Brazil , Henrique ramos, Carlos Shoulder and Elbow Surgery Service - Hospital XV de Curitiba, Curitiba, PR, Brazil , sérgio dos sanTos, Paulo Shoulder and Elbow Surgery Service - Hospital XV de Curitiba, Curitiba, PR, Brazil , sanTini gerlaCk, Juliano Shoulder and Elbow Surgery Service - Hospital XV de Curitiba, Curitiba, PR, Brazil , franCisCo gomes, andré Shoulder and Elbow Surgery Service - Hospital de Clínicas - Universidade Federal do Paraná (UFPR), Curitiba, PR, Brazil
Abstract :
Objectives: To evaluate the tomographic distance between the
sternoclavicular joints and the nearest hilar structures. Methods:
Computed tomography images (axial and sagittal slices) in 120
healthy individuals (60 men and 60 women) between 18 and
60 years old were prospectively analyzed. The distances from
both sternoclavicular joints to the respective brachiocephalic
veins, trachea, esophagus, and lung apexes were measured and
related to age, sex, and body mass index. Results: Statistically
significant differences were found in the distance from the right
and left sternoclavicular joint distances and the corresponding
brachiocephalic vein, esophagus, and lung apexes. In women,
both sides were closer to the noble structures. In patients with
body mass index <25, the distances were significantly less than
in heavier patients. Conclusion: The left sternoclavicular joint is
closer to the hilar structures than the contralateral side. In women,
both sternoclavicular joints are closer to the brachiocephalic veins,
esophagus, and lung apexes than in men. Patients with body
mass index <25 have shorter distances between these joints and
the brachiocephalic veins and esophagus. Level of Evidence II;
Prognostic studies – Investigating the effect of a patient
characteristic on the outcome of disease.
