{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,11]],"date-time":"2025-07-11T11:40:06Z","timestamp":1752234006481,"version":"3.41.2"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T00:00:00Z","timestamp":1752105600000},"content-version":"vor","delay-in-days":100,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>Avaliar a incid\u00eancia de deformidade pectus ap\u00f3s esternotomia em pacientes com s\u00edndrome de Down e suas caracter\u00edsticas cl\u00ednicas e radiogr\u00e1ficas.<\/jats:p><jats:p>Foram estudados 20 pacientes com hist\u00f3rico de esternotomia durante a inf\u00e2ncia e um grupo controle (n\u2009=\u200920). O t\u00f3rax foi avaliado clinicamente quanto \u00e0 presen\u00e7a e tipo de deformidade pectus, gravidade e comprimento cl\u00ednico do corpo esternal. Exames radiogr\u00e1ficos foram utilizados para avaliar quaisquer anormalidades.<\/jats:p><jats:p>Do total, 85% (n\u2009=\u200917) apresentaram deformidades pectus (41% carinatum lateral, 65% gravidade branda e 29% pouca flexibilidade). No grupo controle, a deformidade ocorreu em 5% (n\u2009=\u20091). No grupo esternotomia, 40% (n\u2009=\u20098) apresentaram esterno clinicamente encurtado, o que n\u00e3o ocorreu no grupo controle (p\u2009=\u20090,01). O exame radiogr\u00e1fico do grupo esternotomia com pectus mostrou angula\u00e7\u00f5es posteriores no man\u00fabrio (10%), encurtamento esternal (38%) e irregularidades no corpo esternal (70%); al\u00e9m disso, 36% das crian\u00e7as tinham todas as placas de crescimento esternal fechadas e 10% apresentaram fus\u00e3o esterno-manubrial precoce, o que n\u00e3o ocorreu no grupo controle.<\/jats:p><jats:p>Os pacientes apresentaram uma alta incid\u00eancia de deformidade pectus ap\u00f3s esternotomia (principalmente leve e do tipo carinatum lateral), com altera\u00e7\u00f5es radiogr\u00e1ficas sugestivas de crescimento esternal anormal.<\/jats:p>","DOI":"10.1055\/s-0045-1809524","type":"journal-article","created":{"date-parts":[[2025,7,11]],"date-time":"2025-07-11T11:04:51Z","timestamp":1752231891000},"page":"001-009","source":"Crossref","is-referenced-by-count":0,"title":["Pectus iatrog\u00eanico ap\u00f3s esternotomia em pacientes com s\u00edndrome de Down"],"prefix":"10.1055","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3231-6512","authenticated-orcid":false,"given":"Davi de Podest\u00e1","family":"Haje","sequence":"additional","affiliation":[{"name":"Centro Cl\u00ednico Orthopectus, Bras\u00edlia, DF, Brasil"},{"name":"Departamento de Cirurgia Ortop\u00e9dica, Hospital de Base do Distrito Federal, Bras\u00edlia, DF, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4358-5374","authenticated-orcid":false,"given":"Jorge Henrique Carlos","family":"Aires","sequence":"additional","affiliation":[{"name":"Departamento de Cirurgia Ortop\u00e9dica, Hospital de Base do Distrito Federal, Bras\u00edlia, DF, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3457-4673","authenticated-orcid":false,"given":"Talita Virginia Pinto de","family":"Sousa","sequence":"additional","affiliation":[{"name":"Departamento de Cirurgia Ortop\u00e9dica, Hospital de Base do Distrito Federal, Bras\u00edlia, DF, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3478-2103","authenticated-orcid":false,"given":"Fernando Aur\u00e9lio de S\u00e1","family":"Aquino","sequence":"additional","affiliation":[{"name":"Departamento de Cirurgia Ortop\u00e9dica, Hospital de Base do Distrito Federal, Bras\u00edlia, DF, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,7,10]]},"reference":[{"key":"ref1","first-page":"75","article-title":"Deformidades \u201cpectus\u201d: novos conceitos e abordagem ortop\u00e9dica na inf\u00e2ncia e adolesc\u00eancia - 1\u00aa parte","volume":"30","author":"S A Haje","year":"1995","journal-title":"Rev Bras Ortop"},{"issue":"10","key":"ref2","doi-asserted-by":"publisher","first-page":"983","DOI":"10.1111\/jocs.14174","article-title":"Effect of internal fixation of the sternum using bioabsorbable pins in small children","volume":"34","author":"M Ando","year":"2019","journal-title":"J Card Surg"},{"issue":"08","key":"ref3","doi-asserted-by":"publisher","first-page":"414","DOI":"10.1016\/j.ejmg.2014.04.017","article-title":"Pectus excavatum and carinatum","volume":"57","author":"J M Cobben","year":"2014","journal-title":"Eur J Med Genet"},{"issue":"06","key":"ref4","doi-asserted-by":"publisher","first-page":"795","DOI":"10.1097\/01241398-199211000-00018","article-title":"Preliminary results of orthotic treatment of pectus deformities in children and adolescents","volume":"12","author":"S A Haje","year":"1992","journal-title":"J Pediatr Orthop"},{"issue":"05","key":"ref5","doi-asserted-by":"publisher","first-page":"334","DOI":"10.1007\/s002470050602","article-title":"Growth disturbance of the sternum and pectus deformities: imaging studies and clinical correlation","volume":"29","author":"S A Haje","year":"1999","journal-title":"Pediatr Radiol"},{"issue":"07","key":"ref6","doi-asserted-by":"crossref","first-page":"992","DOI":"10.2106\/00004623-198870070-00006","article-title":"Mechanical stress and morphogenetic endochondral ossification of the sternum","volume":"70","author":"M Wong","year":"1988","journal-title":"J Bone Joint Surg Am"},{"issue":"02","key":"ref7","first-page":"67","article-title":"Disorders in the sternal growth and \u201cpectus\u201d deformities: an experimental model and clinical correlation","volume":"6","author":"S A Haje","year":"1998","journal-title":"Acta Ortop Bras"},{"issue":"06","key":"ref8","doi-asserted-by":"publisher","first-page":"370","DOI":"10.1007\/BF00178352","article-title":"Iatrogenic pectus carinatum. 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