Smith's Recognizable Patterns of Human Deformation

Congenital Muscular Torticollis

Genesis The term torticollis is derived from the Latin terms torus , meaning “twisted,” and collum , meaning “neck,” and it refers to the posture that results from the head being twisted and turned to one side. This is most…

Mandibular Deformation

Genesis Congenital compression of the chin against either the chest or intrauterine structures may limit the growth of the jaw before birth, and when asymmetric, jaw retrusion is more commonly left-sided ( Fig. 23-1 ). If the compression is of…

External Ears

Genesis Overfolding of the upper helix and/or other parts of the cartilaginous auricle are common constraint-related deformations, as is flattening of the ear against the head ( Figs. 22-1 and 22-2 ). Prolonged constraint of the external ear may also…

Nose Deformation

Genesis A small nose may result from constraint-related limitation of nasal growth in a face presentation, transverse lie or from compression resulting from a small uterine cavity. A compressed nose is also a feature of oligohydramnios and severe crowding, such…

Scoliosis

Genesis Scoliosis is the most common deformity of the spine, and it is defined as a lateral curvature of the spine that is 10 degrees or greater on a standing coronal radiographic image. Congenital scoliosis is caused by a failure…

Pectus Excavatum and Pectus Carinatum

Genesis Pectus excavatum and pectus carinatum are the most common abnormalities of the thorax. The incidence of pectus excavatum is between 1 and 8 per 1000 persons, and pectus carinatum is two to four times less frequent than pectus excavatum,…

Lung Hypoplasia

Genesis Lung hypoplasia implies an abnormal reduction in the weight and/or volume of the lung without the absence of any of its lobes; this condition is different from agenesis or aplasia of the lungs. Lung hypoplasia can result from various…