Sternal dehiscence

Sternal dehiscence is a medical condition where there is a separation or instability of the sternum, typically occurring after surgical procedures such as median sternotomy.

The sternum, or breastbone, is a flat bone located at the center of the chest, and serves as an essential attachment point for the ribs, playing a crucial role in protecting the heart and lungs.

In the context of cardiac or thoracic surgery, sternal dehiscence can happen if the sternum does not heal properly post-surgery, leading to instability.

This condition might manifest as pain, a clicking sound in the chest, swelling, or even visible separation in severe cases.

It can compromise respiratory function and increase the risk of infection, potentially resulting in mediastinitis, a serious infection of the chest cavity.

Diagnosing sternal dehiscence often involves imaging techniques such as computed tomography (CT) scans or X-rays, which can provide detailed views of the sternum and surrounding structures.

Treatment typically depends on the severity of the dehiscence and may include surgical re-wiring of the sternum, the use of metal plates, or other techniques to stabilize the bone and facilitate proper healing.

In some cases, additional interventions such as antibiotics might be necessary to address or prevent infection.

Overall, prompt recognition and management of sternal dehiscence are crucial to prevent complications and ensure optimal recovery.