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Binocular Vision & Strabismus Quarterly 1998
Review
Topics: Congenital Abnormalities; History, 17th Century; History, 20th Century; History, Ancient; Humans; Quality of Life
PubMed: 9780411
DOI: No ID Found -
Orthopaedics & Traumatology, Surgery &... Feb 2020Congenital pathologies of the forefoot encompass two broad entities with vastly different treatments and prognosis: malformations, which occur during the embryonic... (Review)
Review
Congenital pathologies of the forefoot encompass two broad entities with vastly different treatments and prognosis: malformations, which occur during the embryonic period and cause anatomical defects, and deformations, which occur during the fetal period on a foot that is configured normally. These deformities are more easily cured when they occur later during the fetal period. When the anomaly is bilateral, a genetic origin must be considered. There are two main entities under the term "deformity": metatarsus adductus and skewfoot (aka "Z"-foot or serpentine foot). Within malformations are brachydactyly (transverse defects), longitudinal defects, syndactyly, polydactyly, clinodactyly and macrodactyly. Among other forefoot abnormalities are hallux valgus, which rarely presents in congenital form, and for which conservative treatment is sometimes sufficient. Also in this group are sequelae of amniotic band constriction, forefoot anomalies secondary to the treatment of congenital pathologies (talipes equinovarus and congenital vertical talus) and nail-related pathologies (ingrown toe nail and incorrect nail position).
Topics: Child; Foot Deformities, Congenital; Global Health; Humans; Incidence; Metatarsal Bones; Radiography
PubMed: 31648997
DOI: 10.1016/j.otsr.2019.03.021 -
Child's Nervous System : ChNS :... Jul 2013Sprengel's deformity, a rare congenital malformation of the scapula, may be observed in combination with spinal dysraphism. The co-occurrence of these malformations... (Review)
Review
BACKGROUND AND PURPOSE
Sprengel's deformity, a rare congenital malformation of the scapula, may be observed in combination with spinal dysraphism. The co-occurrence of these malformations suggests an unknown shared etiology. Therefore, we reviewed the medical records of eight children presenting with both malformations and performed a review of the literature.
PATIENTS AND METHODS
Databases from four university medical centers were searched for children presenting between 1992 and 2012 with spinal dysraphism and a Sprengel's deformity.
CONCLUSION
The combination of spinal dysraphism and Sprengel's deformity is rare, and is associated with segmentation defects of the spine and ribs. Although the etiology of both spinal dysraphism and Sprengel's deformity remains unclear, all deformities of the spine, ribs, and shoulder might result from a common genetic defect affecting somitogenesis.
Topics: Abnormalities, Multiple; Child; Child, Preschool; Clubfoot; Congenital Abnormalities; Female; Hemangioma; Humans; Infant; Infant, Newborn; Magnetic Resonance Imaging; Male; Meningomyelocele; Netherlands; Scapula; Shoulder; Shoulder Joint; Skin Neoplasms; Spinal Dysraphism; Spine; Syringomyelia; Tomography, X-Ray Computed
PubMed: 23443469
DOI: 10.1007/s00381-013-2057-0 -
European Journal of Orthopaedic Surgery... Jan 2019Sprengel's shoulder deformity is a rare condition that happens because of the abnormal termination of the caudal migration of the scapula during the embryonic period.
BACKGROUND
Sprengel's shoulder deformity is a rare condition that happens because of the abnormal termination of the caudal migration of the scapula during the embryonic period.
METHODS
This retrospective clinical study included 10 consecutive children who underwent a Woodward operation to correct the Sprengel's shoulder deformity.
RESULTS
The average preoperative Cavendish grade for cosmetic evaluation was 3.5 (range 3-4), which decreased to 1.4 (range 1-2) at the final review (statistically significant, p > 0.002, Wilcoxon signed-rank test). Cavendish grade improvement and increase in abduction had a strong positive association (r = 0.681, Spearman correlation coefficient.
CONCLUSION
The results showed that both functional and cosmetic outcome had a positive correlation with Woodward procedure. More cosmetic and functional improvement was seen at the last follow-up visit especially in cases where the operation was done in the younger years.
LEVEL OF EVIDENCE
IV.
Topics: Child, Preschool; Congenital Abnormalities; Female; Humans; Infant; Male; Range of Motion, Articular; Retrospective Studies; Scapula; Shoulder Joint; Treatment Outcome
PubMed: 30105592
DOI: 10.1007/s00590-018-2291-y -
Pediatrics in Review Apr 2021Congenital ear abnormalities present an aesthetic and psychosocial concern for pediatric patients and their parents. Diagnosis of external ear deformities is based on...
Congenital ear abnormalities present an aesthetic and psychosocial concern for pediatric patients and their parents. Diagnosis of external ear deformities is based on clinical examination and is facilitated by an understanding of normal ear anatomy. Ear anomalies can be categorized as malformations or deformations. Malformations are characterized by absent anatomical structures of the ear (or absence of the ear itself), as exemplified by microtia and anotia. Ear deformations are characterized by ear anatomical landmarks that are present but are distorted or abnormal, with Stahl ear, constricted ear, and prominent ear being common presentations. Ear malformations will not improve with growth of the patient and uniformly require surgical intervention to recreate an anatomically typical ear. Although a small percentage of ear deformations can self-resolve, most patients with ear deformations will require nonsurgical or surgical reconstruction to achieve a normal or more aesthetic ear. In recent decades the use of nonsurgical ear splinting or molding has been recognized as a highly effective method in correcting a variety of congenital ear deformations when treatment is initiated in the first 8 weeks of life. The urgency in initiating nonsurgical treatment of ear deformations at an early age makes prompt recognition of these ear deformations essential because surgical correction remains the only viable reconstructive option in older infants and children.
Topics: Aged; Child; Congenital Abnormalities; Ear, External; Face; Humans; Infant; Parents; Plastic Surgery Procedures
PubMed: 33795464
DOI: 10.1542/pir.2019-0167 -
The Cleft Palate-craniofacial Journal :... Nov 1992This paper discusses the social and psychological experiences of patients with the most severe forms of craniofacial deformity. The paper concludes that individuals with... (Review)
Review
This paper discusses the social and psychological experiences of patients with the most severe forms of craniofacial deformity. The paper concludes that individuals with the most severe forms of craniofacial deformities are at risk for experiencing social and psychological stress and for having their quality of life negatively impacted by the experience of having a facial deformity. Much of the stress experienced by these individuals is the result of the negative social response to their facial deformity. It is emphasized that many patients will not develop psychopathology, because of intervening personality and family factors that may ameliorate these negative social stressors. The excellent progress made in assessing, preventing, and treating the negative psychosocial impact of facial deformity is noted. Finally, in attempting to understand the impact of facial deformity on quality of life, emphasis is placed on the subjective evaluation of these factors by each individual patient and family.
Topics: Child; Congenital Abnormalities; Face; Humans; Quality of Life; Skull; Sociology
PubMed: 1450200
DOI: 10.1597/1545-1569_1992_029_0578_sapeom_2.3.co_2 -
Annales de Chirurgie de La Main Et Du... 1995Kirner's disease is a rare deformity of the distal phalanx of the little finger, with a combination of camptodactyly and clinodactyly and clinodactyly. A review of the... (Review)
Review
Kirner's disease is a rare deformity of the distal phalanx of the little finger, with a combination of camptodactyly and clinodactyly and clinodactyly. A review of the literature and analysis of our cases show that this anomaly appears to result from a unusual insertion of the deep flexor over the growth cartilage. No treatment is required in view of the absence of any clinical and functional symptoms.
Topics: Adolescent; Child; Congenital Abnormalities; Female; Fingers; Humans; Radiography
PubMed: 7535545
DOI: 10.1016/s0753-9053(05)80532-0 -
Proceedings of the Royal Society of... Feb 1964
Topics: Child; Congenital Abnormalities; Fingers; Fingersucking; Hand Deformities; Humans
PubMed: 14116043
DOI: No ID Found -
Journal of Plastic, Reconstructive &... Oct 2021This study aimed to investigate the factors associated with congenital auricular deformities and evaluate the long-term frequency of their self-correction. Ninety...
This study aimed to investigate the factors associated with congenital auricular deformities and evaluate the long-term frequency of their self-correction. Ninety newborns were enrolled in the study, and data were collected within 2 weeks after birth and at 1 year. The shape of the auricle was classified into seven categories using a digital image. At 2 weeks after birth, several birth-related factors were evaluated in the auricular deformity and normal groups. At 1 year after birth, the images of auricles were compared with the images at birth, and the changes in the auricle shape were investigated. Congenital auricular deformities were observed in 139 out of 180 ears, and the major type noted was helix rim deformity (47 ears), followed by normal ears (41 ears), and cup ears (33 ears). Male sex was found to have a statistically significant association with the occurrence of auricular deformity. In the longitudinal study, among 43 neonates (86 ears) followed-up 12 months later, the self-correction rate was approximately 50%. The normal auricle and prominent ear increased, helix rim deformity and cup ear decreased significantly. The prognosis of deformity varied depending on the type of deformity. Considering the low self-correction rate in the prominent and cup ears, newborns with these deformities might be recommended to undergo management such as auricle molding technique, as required.
Topics: Congenital Abnormalities; Ear Auricle; Female; Humans; Infant; Infant, Newborn; Longitudinal Studies; Male; Remission, Spontaneous; Sex Factors
PubMed: 33972198
DOI: 10.1016/j.bjps.2021.03.023 -
Pediatric Clinics of North America Feb 2020Evaluation of the pediatric musculoskeletal system may be difficult because of differences between children and adults. As children mature, their physical structure... (Review)
Review
Evaluation of the pediatric musculoskeletal system may be difficult because of differences between children and adults. As children mature, their physical structure approaches that of an adult. However, in the meantime, varying stages of ossification and developmental timelines may confuse the average clinician. Congenital abnormalities of the upper extremity are extremely numerous, but here we present 10 that often are seen in clinical practice. The article discusses the diagnosis, evaluation, treatment, and outcomes of each condition.
Topics: Child; Hand Deformities, Congenital; Humans
PubMed: 31779839
DOI: 10.1016/j.pcl.2019.09.011