case_images: PMC11108690_01
case_images: Right lateral thoracic radiograph showing severe cranioventral displacement of the 6th sternebra, associated with sternal dislocation between the 5th and 6th sternebrae and sternal subluxation between the 6th and 7th sternebrae. Mild pneumothorax, mild pleural effusion, and subcutaneous emphysema are also visible. The left humeral fracture is partially visualized.
case_images: CRIVEM2024-3719641.001.jpg
case_images: PMC11108690_01_CRIVEM2024-3719641.001.jpg
case_images: fig1
case_images: A subluxation between the 6th and 7th sternebrae, with secondary cranioventral sternal dislocation of the caudal segment, was also present (Figure 1).
case_images: Thoracoscopic views with visualization of (A) the hernia and after the release of (B) the lung lobe.
case_images: CRIVEM2024-3719641.002.jpg
case_images: PMC11108690_01_CRIVEM2024-3719641.002.jpg
case_images: fig2
case_images: Ternamian EndoTip cannula) was positioned, and a rigid endoscope (5 mm, 30-degree oblique, 29 cm; Karl Storz) was placed. Small herniation (3 cm length) of a portion of the right caudal lung lobe (Figure 2(A)) was visualized at the level of muscle tears described above. The same subxiphoid incision was slightly extended, and a forceps was inserted without any instrument port. Using blunt dissection, the lung lobe was released under thoracoscopic guidance with concurrent distraction at the level of the dislocation (Figure 2(B)).
case_images: Right lateral postoperative thoracic radiographs showing proper positioning of the plate and screws. A chest tube is also present. Mild pleural effusion and small patchy areas of increased pulmonary opacity in the ventral and caudodorsal parts of the lung parenchyma remain.
case_images: CRIVEM2024-3719641.003.jpg
case_images: PMC11108690_01_CRIVEM2024-3719641.003.jpg
case_images: fig3