Skip to main content
Top
Published in: Surgical and Radiologic Anatomy 3/2019

01-03-2019 | Original Article

Manubriosternal joint: synchondrosis or symphysis? Analysis of morphology and aging in humans

Authors: Júlia Molinaro Sarcinelli, Ricardo Eustáquio-Silva, Josemberg da Silva Baptista

Published in: Surgical and Radiologic Anatomy | Issue 3/2019

Login to get access

Abstract

Introduction

The uncertainty about the morphological classification of the manubriosternal joint is historical in the field of Anatomy and is still under discussion. This makes it difficult to teach and diagnosing related matters, especially those that require radiological images. In fact, this subject lacks specific data.

Purpose

This study aims to describe the morphology of the manubriosternal joint and its age-related changes.

Methods

Thirty specimens were divided in three groups: young adults up to 35 years of age, middle-aged adults ranging from 36 to 55, and older adults over 56 years. The subjects were labeled, and blind analysis were performed using the macroscopic and microscopic analysis.

Results

The large presence of isolated fibroblasts and chondrocytes and the lower degree of isogenic groups proved that the manubriosternal joint is a symphysis. Its age-related changes involve the reduction of thickness and hydrated characteristics, loss of uniformity and arrangement of the collagen fibers, hyalinization and the presence of focal lesions, that corroborate with the degenerative process.

Conclusion

The manubriosternal joint is classified as symphysis and the main age-related changes is the relative thickness of the tissue.
Literature
1.
go back to reference Gardner ED, O’Rahilly R, Müller F, Gardner ED (1986) Gardner-Gray-O’Rahilly anatomy: a regional study of human structure. Saunders, Philadelphia Gardner ED, O’Rahilly R, Müller F, Gardner ED (1986) Gardner-Gray-O’Rahilly anatomy: a regional study of human structure. Saunders, Philadelphia
2.
go back to reference Moore KL, Agur AMR, Dalley AF (2011) Essential clinical anatomy. Lippincott Williams & Wilkins, Baltimore Moore KL, Agur AMR, Dalley AF (2011) Essential clinical anatomy. Lippincott Williams & Wilkins, Baltimore
3.
go back to reference Kälicke T, Frangen TM, Müller EJ, Muhr G, Hopf F (2006) Traumatic manubriosternal dislocation. Arch Orthop Trauma Surg 126(6):411–416CrossRefPubMed Kälicke T, Frangen TM, Müller EJ, Muhr G, Hopf F (2006) Traumatic manubriosternal dislocation. Arch Orthop Trauma Surg 126(6):411–416CrossRefPubMed
4.
go back to reference Kothari M, Saini P, Shethna S, Dalvie S (2015) Manubriosternal dislocation with spinal fracture: a rare cause for delayed haemothorax. Chin J Traumatol 18(4):245–248CrossRefPubMed Kothari M, Saini P, Shethna S, Dalvie S (2015) Manubriosternal dislocation with spinal fracture: a rare cause for delayed haemothorax. Chin J Traumatol 18(4):245–248CrossRefPubMed
5.
go back to reference Rist A, Willscheid G, Rasch H, Paul J (2016) “Manubriosternal synchondrosis”: a rare problem in sports medicine. Sportverletz Sportschaden Organ Ges Orthopadisch-Traumatol Sportmed 30(4):229–231 Rist A, Willscheid G, Rasch H, Paul J (2016) “Manubriosternal synchondrosis”: a rare problem in sports medicine. Sportverletz Sportschaden Organ Ges Orthopadisch-Traumatol Sportmed 30(4):229–231
6.
go back to reference Schils JP, Resnick D, Haghighi P, Trudell D, Sartoris DJ (1989) Sternocostal joints. Anatomic, radiographic and pathologic features in adult cadavers. Invest Radiol 24(8):596–603CrossRefPubMed Schils JP, Resnick D, Haghighi P, Trudell D, Sartoris DJ (1989) Sternocostal joints. Anatomic, radiographic and pathologic features in adult cadavers. Invest Radiol 24(8):596–603CrossRefPubMed
7.
go back to reference Gray H (1989) Gray’s anatomy, 37th ed. C. Livingstone, Edinburgh Gray H (1989) Gray’s anatomy, 37th ed. C. Livingstone, Edinburgh
8.
go back to reference Snell RS (1986) Clinical anatomy for medical students, 3rd edn. Little, Brown, Boston Snell RS (1986) Clinical anatomy for medical students, 3rd edn. Little, Brown, Boston
10.
go back to reference Ehara S (2010) Manubriosternal joint: imaging features of normal anatomy and arthritis. Jpn J Radiol 28(5):329–334CrossRefPubMed Ehara S (2010) Manubriosternal joint: imaging features of normal anatomy and arthritis. Jpn J Radiol 28(5):329–334CrossRefPubMed
11.
go back to reference Schils F (2011) O-arm guided balloon kyphoplasty: preliminary experience of 16 consecutive patients. Acta Neurochir Suppl 109:175–178CrossRefPubMed Schils F (2011) O-arm guided balloon kyphoplasty: preliminary experience of 16 consecutive patients. Acta Neurochir Suppl 109:175–178CrossRefPubMed
12.
go back to reference Goodman LR, Teplick SK, Kay H (1983) Computed tomography of the normal sternum. Am J Roentgenol 141(2):219–223CrossRef Goodman LR, Teplick SK, Kay H (1983) Computed tomography of the normal sternum. Am J Roentgenol 141(2):219–223CrossRef
13.
go back to reference Petry NM (2002) A comparison of young, middle-aged, and older adult treatment-seeking pathological gamblers. Gerontologist 42(1):92–99CrossRefPubMed Petry NM (2002) A comparison of young, middle-aged, and older adult treatment-seeking pathological gamblers. Gerontologist 42(1):92–99CrossRefPubMed
14.
go back to reference Tolosa EMC de, Rodrigues CJ, Behmer OA, Freitas Neto AG de (2003) Manual de técnicas para histologia normal e patológica. Editora Manole Ltda, Barueri Tolosa EMC de, Rodrigues CJ, Behmer OA, Freitas Neto AG de (2003) Manual de técnicas para histologia normal e patológica. Editora Manole Ltda, Barueri
15.
go back to reference Ball M, Adigun OO (2018) Anatomy, angle of Louis. StatPearls Publishing. Treasure Island Ball M, Adigun OO (2018) Anatomy, angle of Louis. StatPearls Publishing. Treasure Island
16.
go back to reference Weaver AA, Schoell SL, Nguyen CM, Lynch SK, Stitzel JD (2014) Morphometric analysis of variation in the sternum with sex and age. J Morphol 275(11):1284–1299CrossRefPubMed Weaver AA, Schoell SL, Nguyen CM, Lynch SK, Stitzel JD (2014) Morphometric analysis of variation in the sternum with sex and age. J Morphol 275(11):1284–1299CrossRefPubMed
17.
go back to reference Mescher AL, Junqueira LCU (2013) Junqueira’s basic histology: text and atlas, 13. edn. McGraw-Hill Medical, New York Mescher AL, Junqueira LCU (2013) Junqueira’s basic histology: text and atlas, 13. edn. McGraw-Hill Medical, New York
18.
go back to reference Wurzinger (2009) Anatomia, 1st edn. Guanabara-Koogan, Rio de Janeiro Wurzinger (2009) Anatomia, 1st edn. Guanabara-Koogan, Rio de Janeiro
19.
go back to reference Ross MH, Pawlina W (2006) Histology: a text and atlas: with correlated cell and molecular biology. Lippincott Wiliams & Wilkins, Baltimore Ross MH, Pawlina W (2006) Histology: a text and atlas: with correlated cell and molecular biology. Lippincott Wiliams & Wilkins, Baltimore
20.
go back to reference Coventry MB, Ghormley RK, Kernohan JW (1945) The intervertebral disc: its microscopic anatomy and pathology. Part II: changes in the intervertebral disc concomitant with age. J Bone Jt Surg Am 27:233–247 Coventry MB, Ghormley RK, Kernohan JW (1945) The intervertebral disc: its microscopic anatomy and pathology. Part II: changes in the intervertebral disc concomitant with age. J Bone Jt Surg Am 27:233–247
21.
go back to reference Weiler C, Schietzsch M, Kirchner T, Nerlich AG, Boos N, Wuertz K (2012) Age-related changes in human cervical, thoracal and lumbar intervertebral disc exhibit a strong intra-individual correlation. Eur Spine J 21(Suppl 6):S810–S818CrossRefPubMed Weiler C, Schietzsch M, Kirchner T, Nerlich AG, Boos N, Wuertz K (2012) Age-related changes in human cervical, thoracal and lumbar intervertebral disc exhibit a strong intra-individual correlation. Eur Spine J 21(Suppl 6):S810–S818CrossRefPubMed
22.
go back to reference del Sol M, Vasconcellos A, Olave E (1999) Aspectos histologicos de la articulacion manubrioesternal. Rev Chil Anatomía 17(2):211–216 del Sol M, Vasconcellos A, Olave E (1999) Aspectos histologicos de la articulacion manubrioesternal. Rev Chil Anatomía 17(2):211–216
23.
go back to reference Divisi D, Di Leonardo G, Crisci R (2013) Surgical management of traumatic isolated sternal fracture and manubriosternal dislocation. J Trauma Acute Care Surg 75(5):824–829CrossRefPubMed Divisi D, Di Leonardo G, Crisci R (2013) Surgical management of traumatic isolated sternal fracture and manubriosternal dislocation. J Trauma Acute Care Surg 75(5):824–829CrossRefPubMed
24.
go back to reference El Ibrahimi A, Smahi M, Shimi M, Lakranbi M, Sbai H, Daoudi A, Kanjaa N, Elmrini A (2011) Traumatic manubriosternal dislocation: a new method of stabilization postreduction. J Emerg Trauma Shock 4(2):317–319CrossRefPubMedPubMedCentral El Ibrahimi A, Smahi M, Shimi M, Lakranbi M, Sbai H, Daoudi A, Kanjaa N, Elmrini A (2011) Traumatic manubriosternal dislocation: a new method of stabilization postreduction. J Emerg Trauma Shock 4(2):317–319CrossRefPubMedPubMedCentral
25.
go back to reference Irani AI, Lee T-Y, Estrera AL, Safi HJ (2008) Repair of a traumatic sternal deformity. J Thorac Cardiovasc Surg 136(5):1371–1372CrossRefPubMed Irani AI, Lee T-Y, Estrera AL, Safi HJ (2008) Repair of a traumatic sternal deformity. J Thorac Cardiovasc Surg 136(5):1371–1372CrossRefPubMed
26.
go back to reference Murala JSK, Nunn G (2009) Management of traumatic manubriosternal dislocation in children. J Thorac Cardiovasc Surg 138(2):517–518; author reply 518CrossRefPubMed Murala JSK, Nunn G (2009) Management of traumatic manubriosternal dislocation in children. J Thorac Cardiovasc Surg 138(2):517–518; author reply 518CrossRefPubMed
Metadata
Title
Manubriosternal joint: synchondrosis or symphysis? Analysis of morphology and aging in humans
Authors
Júlia Molinaro Sarcinelli
Ricardo Eustáquio-Silva
Josemberg da Silva Baptista
Publication date
01-03-2019
Publisher
Springer Paris
Published in
Surgical and Radiologic Anatomy / Issue 3/2019
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-018-2154-6

Other articles of this Issue 3/2019

Surgical and Radiologic Anatomy 3/2019 Go to the issue