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Background: Radiographic modalities have been commonly used to evaluate pectus carinatum (PC), and compressive orthotic bracing is the most widely accepted treatment method. The aim of this study was to determine the efficacy of 3-dimensional (3D) body surface scanning as an alternative modality for the evaluation of PC.
Methods: The medical records of 63 patients with PC who were treated with compressive orthotic bracing therapy between July 2017 and February 2019 were retrospectively analyzed. Using both 2-view chest radiography (posteroanterior and lateral view) and 3D body scanning, the height of maximal protrusion of the chest wall was measured both before and after 2 weeks of bracing therapy. The difference between the pre- and post-treatment measurements was calculated for both modalities, and these differences were compared and analyzed.
Results: Based on the comparison between the pre- and post-treatment radiographs, bracing therapy produced favorable outcomes in all patients (p<0.001). The measurements obtained via 3D scanning were strongly correlated with those obtained via chest radiography (r=0.60).
Conclusion: Based on the findings of this study, 3D body surface scanning appears to be an effective, radiation-free, and simple method for the post-treatment follow-up evaluation of PC, and thus can be considered an alternative to radiography.
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http://dx.doi.org/10.5090/kjtcs.20.042 | DOI Listing |
J Am Acad Orthop Surg Glob Res Rev
September 2025
From the Harvard Medical School, Boston, MA (Gabriel, Hines, and Prabhat); the Lenox Hill Hospital, New York, NY (Dr. Ang); and the Boston Children's Hospital, Department of Orthopedic Surgery, Boston, MA (Dr. Liu and Dr. Hogue).
Purpose: The purpose of this study was to develop a comprehensive step-wise management algorithm for Bertolotti syndrome in the pediatric population by conducting a systematic review of the current literature regarding the diagnostic evaluation, nonsurgical and surgical treatment, and outcomes.
Methods: A systematic review of the literature was conducted using PubMed to identify studies focused on the management of Bertolotti syndrome in the pediatric population. Data extraction of clinical presentation, management strategies, imaging, and outcomes was completed.
Croat Med J
August 2025
Damjan Dimnjaković, Zagreb University Hospital Center, Department of Orthopaedic Surgery, Šalata 7, 10000 Zagreb, Croatia,
Aim: To assess the optimal fusion angle of the elbow to accommodate the activities of daily living.
Methods: The study enrolled 30 healthy adult volunteers (mean age 24 years), who performed 29 activities with an elbow brace fixed at various flexion angles (30°, 50°, 70°, 90°, 110°, 120°). The activities were divided into three groups: the activities of daily living, personal care and hygiene, and modern activities of daily living.
J Orthop Surg (Hong Kong)
September 2025
Bone and Joint Research Center, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.
PurposeTo compare the clinical and radiological results of two double-bundle (DB) anterior cruciate ligament reconstruction (ACLR) techniques. DB ACLR and anterolateral ligament reconstruction (ALLR) with internal brace (IB), and outside-in (OI) DB ACLR.HypothesisWe hypothesized that DB ACLR and ALLR with IB wound yield less femoral tunnel, especially femoral posterolateral bundle tunnel complications, than OI DB ACLR without ALLR because of better rotational control.
View Article and Find Full Text PDFPLoS One
September 2025
Department of Orthopaedics, Rijnstate Hospital, Arnhem, The Netherlands.
Background: Patients with medial compartment knee osteoarthritis (OA) may benefit from wearing a valgus brace, but previous studies lacked consideration for brace wearing time, co-interventions and the brace users' perceptions. This mixed-method randomised controlled trial investigated the effectiveness of a valgus brace on knee pain and activity limitations alongside exploring user perceptions.
Materials And Methods: Participants randomised to the intervention group (n = 23) received regular care and a customisable valgus brace for 6 months while the participants randomised to the waitlist control group (n = 23) were allowed any regular care treatment except for a knee brace.
J Child Orthop
August 2025
UZ Leuven Department of Pediatric Orthopaedics, KU Leuven Department of Development and Regeneration, Leuven, Belgium.
Purpose: Scoliosis is a prevalent condition among individuals with cerebral palsy, characterized by an inability to maintain spinal alignment due to diminished muscle tone. This progressive curvature becomes structural over time, resulting in physical impairment and challenges in daily activities. Consequently, therapeutic intervention is essential.
View Article and Find Full Text PDF