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Pectus carinatum can also be caused by vitamin D deficiency in children due to deposition of unmineralized osteoid. Least common is a pectus carinatum malformation following open-heart surgery or in children with poorly controlled bronchial asthma. Pectus carinatum is generally a solitary, non-syndromic abnormality.
The Nuss procedure is a minimally invasive procedure, invented in 1987 by Dr. Donald Nuss and his colleagues, Dr. Daniel Croitoru and Dr. Robert Kelly, for treating pectus excavatum. [1] [2] [3] He developed it at Children's Hospital of The King's Daughters, in Norfolk, Virginia. The operation typically takes approximately two hours. [4]: 1277
Congenital limb deformities are congenital musculoskeletal disorders which primarily affect the upper and lower limbs.. An example is polydactyly, where a foot or hand has more than 5 digits.
Additional factors may present in the form of winging of the scapula, scoliosis, breast bone prominence (pectus carinatum), breast bone depression (pectus excavatum). Muscle abnormalities may present as hypotonia (low muscle tone), which may lead to lordosis (increased hollow in the back) due to poor abdominal muscle tone.
Besides affecting height and limb proportions, people with Marfan syndrome may have abnormal lateral curvature of the spine scoliosis, thoracic lordosis, abnormal indentation (pectus excavatum) or protrusion (pectus carinatum) of the sternum, abnormal joint flexibility, a high-arched palate with crowded teeth and an overbite, flat feet, hammer ...
Sydney A. Haje (16 February 1952 – 26 June 2012) was a Brazilian orthopedist, known internationally for his pioneering work on chest wall deformities including the creation of a conservative treatment protocol for the pectus carinatum and pectus excavatum conditions.
Marcelo Martinez-Ferro was born in Buenos Aires and graduated from the Buenos Aires University School of Medicine in 1983. He completed his residency in pediatric surgery at the Ricardo Gutierrez Children´s Hospital [1] and in 1988, joined the staff of Garrahan national Children`s Hospital. [2]
[1] [2] He also pioneered a new surgical procedure for correction of the chest wall deformities pectus excavatum and pectus carinatum, which became known as the Ravitch procedure. [1] Ravitch moved to New York City in 1952 as a professor of surgery at Columbia College of Physicians and Surgeons and as the director of surgery at Mount Sinai ...