case_images: PMC8203052_01
case_images: Standard chest X-rays (A) and CT scan (B) confirming the
  diagnosis of manubriosternal disruption.
case_images: AJTCCM-26-4-022-fig1.jpg
case_images: PMC8203052_01_AJTCCM-26-4-022-fig1.jpg
case_images: F1
case_images: Standard CXR and computed tomography (CT) scans confirmed the diagnosis of manubriosternal disruption (Fig. 1).
case_images: (A) Anatomical landmarks.
  . (B) Perioperative image of
  manubriosternal dislocation showing incision of the skin, cutaneous
  layer and periosteum according to landmarks.
  . (C) Sternal closure using
  stainless steel wires.
  . (D) Postoperative image showing intra-mediastinal
  drains with six steel wires
case_images: AJTCCM-26-4-022-fig2.jpg
case_images: PMC8203052_01_AJTCCM-26-4-022-fig2.jpg
case_images: F2
case_images: It was decided to fix the  sternal dislocation under general anaesthesia with single lumen intubation in a supine position (Fig. 2).
case_images: Clinical picture of the patient before surgery and 6 months later
case_images: AJTCCM-26-4-022-fig3.jpg
case_images: PMC8203052_01_AJTCCM-26-4-022-fig3.jpg
case_images: F3
case_images: No. complications were observed at 4 weeks and 6 months of follow-up care (Fig. 3). 
case_images: Anatomical landmarks (jugulum and xiphoid).
  . (A) Median
  sternotomy with Lebsche sternotomie.
  . 
  (B) Sternal closing with six steel
  wires gauge number 5.
  . 
  (C) MSJ stabilisation with one X-shaped steel wire.
case_images: AJTCCM-26-4-022-fig4.jpg
case_images: PMC8203052_01_AJTCCM-26-4-022-fig4.jpg
case_images: F4
case_images: Prior to the incision, the correct anatomical landmarks (jugulum and xiphoid) were identified (Fig. 4A). The osteotomy was performed the whole length of the sternum, just as in the case for a conventional sternotomy (with Lebsche sternotomy) (Fig. 4B). The other steel wires were placed horizontally through the corpus manubriosternal (Fig. 4C).