The girl was reported as having delayed closure of the fontanels, delayed bone age, broad great toes, mild pectus carinatum, pulmonary artery stenosis, atrial septal defect, prolonged QT interval.
12.
Pectus arcuatum is often confused with a combination of pectus carinatum and pectus excavatum, but in pectus arcuatum the visual appearance is characterized by a protrusion of the costal cartilages and there is no depression of the sternum.
13.
The prescribing of bracing as a treatment for pectus carinatum has'trickled down'from both paediatric and thoracic surgeons to the family physician and pediatricians again due to its lower risks and well-documented very high success results.
14.
After the Nuss procedure for pectus excavatum had drawn worldwide attention to the elasticity and malleability of the chest wall in children, several groups including that of Argentinian surgeon Marcelo Martinez-Ferro started working with pectus carinatum patients using compression braces.
15.
Other skeletal signs include flattened vertebrae ( platyspondyly ), severe protrusion of the breastbone ( pectus carinatum ), a hip joint deformity in which the upper leg bones turn inward ( coxa vara ), and a foot deformity known as clubfoot.
16.
The pectus carinatum guideline of 2012 of the American Pediatric Surgical Association has stated : " As reconstructive therapy for the compliant pectus [ carinatum ] deformity, nonoperative compressive orthotic bracing is usually an appropriate first line of therapy as it does not preclude the operative option.
17.
A less common variant of pectus carinatum is " pectus arcuatum " ( also called type 2 pectus excavatum, chondromanubrial deformity or Currarino Silverman syndrome or pouter pigeon deformity ), which produces a manubrial and upper sternal protrusion, particularly also at the sternal angle.
18.
Haje taught and lectured in Brazil and internationally, including the United Kingdom, Argentina and Turkey . at the occasion of a lecture to be held by Haje at the Royal Society of Medicine in 2011, a spinal surgeon from the UK, David Harrison, introduced Haje's work by referring to it as " truly revolutionary " and " much more appropriate to the way in which we would like to treat pectus carinatum and excavatum deformities, something that we have not been able to do before ", emphasizing also the psychosocial relevance of these conditions.
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