Chest-deformities: a proposal for a classification

Willital, G. H.; Saxena, Amulya K.; Schütze, U; Richter, W

doi:10.1007/s12519-011-0263-y

Cited by 25 publications

(13 citation statements)

References 24 publications

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“…It is not clear how the authors came to this conclusion because they do not present results for healthy children in the control group. Willital et al [6] claim that 87% of patients with PE have improper posture which is characterized by slumping shoulders and protuberant abdomen. This results from weak back, humeral and abdominal muscles.…”

Section: Discussionmentioning

confidence: 99%

“…Typically, in the first period of a child's development, the extent of changes in cartilage and bone structures of the chest is not large, but in the period of rapid growth and development of the skeletal system, the deformity is clearly visible. A typical PE is the collapse of the lower part of the sternum and the adjacent costal cartilages [6]. Children with PE are often tall, have an asthenic habitus and abnormal body posture (scoliosis is diagnosed in about 29% of PE children).…”

Section: Introductionmentioning

confidence: 99%

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REHABILITATION Functional testing of muscles in patients with pectus excavatum – indications for preoperative rehabilitation

Jarosz¹,

Barinow‐Wojewódzki²,

Wiernicka³

et al. 2013

kitp

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Introduction: Studies of people with pectus excavatum usually relate to physiological abnormalities caused by the deformity, as well as its impact on posture. Little is known about muscle length disorders associated with this defect. Aim of the study: Determining whether the presence of pectus excavatum is associated with changes in muscle length; developing guidelines for preoperative rehabilitation of pectus excavatum patients. Material and methods: 19 patients aged 13-19 years with diagnosed pectus excavatum were examined and qualified for the Nuss procedure at the Wielkopolska Centre of Pulmonology and Thoracosurgery in Poznań. The control group consisted of 30 healthy boys of similar age. Each patient underwent a total of 42 functional tests measuring the length of individual muscles. Results: A comparative analysis of the study and control groups in terms of muscle flexibility showed significant differences in the results of 8 tests of the 42 tests carried out (19.04%). These tests assessed the length of the pectoralis major (clavicular part, right and left), the internal rotators of both humeral joints, the iliopsoas muscle (left lower extremity) and the rectus femoris muscles (right and left), and the ischiocrural muscles (left lower extremity) -the muscles were shortened significantly more often in boys without pectus excavatum. Boys with this deformity had significantly lower body weight and a significantly lower BMI (body mass index) compared to boys in the control group. Conclusions: When planning a physiotherapy programme for pectus excavatum patients, an individualized approach should be used to achieve the best possible results.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

REHABILITATION Functional testing of muscles in patients with pectus excavatum – indications for preoperative rehabilitation

Jarosz¹,

Barinow‐Wojewódzki²,

Wiernicka³

et al. 2013

kitp

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“…The plate was removed after 20 months. At the same time, RK plate used to treat unsymmetrical pectus carinatum (type 8 in Willital classification [8]) was removed after 12 months.…”

Section: Methodsmentioning

confidence: 99%

Corrosion Resistance, EIS and Wettability of the Implants Made of 316 LVM Steel Used in Chest Deformation Treatment

Kajzer

Gołombek³

et al. 2016

Archives of Metallurgy and Materials

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The paper presents the influence of mechanical surface damage on the physicochemical properties of plates after implantation made of crnimo stainless steel, used in the treatment of anterior surface deformity of the chest. analysis of the data allowed us to investigate the effect of implant design and condition of their surface on the results of chest deformation treatment. results of electrochemical, impedance and surface wettability tests and Sem observations were compared with clinical observations. When removing the plates we found only slight inflammatory-periosteal reactions. On the basis of obtained results, it can be stated that plates, in spite of mechanical damage of the surface, were characterized by good corrosion resistance, a fact which is confirmed by the results of clinical evaluation.

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“…Pectus excavatum (PE) is the most common thoracic wall deformity in children, accounting for about 90% of all juvenile thoracic wall deformities . PE not only affects the appearance of the thoracic wall due to koilosternia, but can also affect the mental health of affected children .…”

Section: Introductionmentioning

confidence: 99%

Comparison of magnetic resonance imaging and computed tomography to measure preoperative parameters of children with pectus excavatum

Sun

Chen

Peng

et al. 2019

Pediatric Investigation

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Importance Pectus excavatum (PE) is the most common thoracic wall deformity in children, we need a method which could be used to evaluate pulmonary functions and effects on development. Objective To evaluate the use of 3D T1‐weighted (3DT1) and mDIXON magnetic resonance imaging (MRI) sequences for measuring the thoracic parameters and morphology of children with PE, comparing the measurements with those made on computed tomography (CT). Methods This is a retrospective study of children with thoracic deformities who were hospitalized at the Department of Thoracic Surgery of the Heart Center, Beijing Children's Hospital, between June 2014 and June 2015. Chest CT was performed first, with the MRI scanning then being performed 0–3 days later. The mDIXON sequences were obtained in inspiratory and expiratory phases and the 3DT1 sequences were obtained during free breathing. Thoracic volume was measured using the acquired images. Results The lung volumes measured on mDIXON MRI and CT were highly correlated, with the Haller index not being significantly different between the two methods. Bland‐Altman analyses showed that lung, cardiac, and retrosternal parameters were similar between the two methods. Pulmonary parameters were higher with the end‐inspiratory phase mDIXON images than with the end‐expiratory phase images, as expected, while cardiac parameters were unaffected by the respiratory phase. Interpretation Thoracic volumes measured on mDIXON MRI in combination with held respiration could reflect lung volume functions and help in observing the movement functions of the lungs and heart. The method could be used instead of CT, avoiding subjecting the patient to potentially harmful radiation.

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Chest-deformities: a proposal for a classification

Cited by 25 publications

References 24 publications

REHABILITATION Functional testing of muscles in patients with pectus excavatum – indications for preoperative rehabilitation

REHABILITATION Functional testing of muscles in patients with pectus excavatum – indications for preoperative rehabilitation

Corrosion Resistance, EIS and Wettability of the Implants Made of 316 LVM Steel Used in Chest Deformation Treatment

Comparison of magnetic resonance imaging and computed tomography to measure preoperative parameters of children with pectus excavatum

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