A variant of Poland’s syndrome: axillary web containing rudimentary pectoralis major muscle

Ersen, Burak; Kahveci, Ramazan; Şaki, Mehmet Can; Şahin, Atalay; Tunalı, Orhan; Aksu, İ̇smail

doi:10.1007/s00238-014-1018-5

Cited by 2 publications

(11 citation statements)

References 5 publications

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“…By differentiating between the deep axillary fibrous band and the superficial skin, the contracture was successfully treated. This approach ensures the appropriate release of the contracture, contributing to optimal results [39][40][41].…”

Section: Discussionmentioning

confidence: 99%

“…Only three documented cases of axillary contracture in PS were reported in the literature [39][40][41]. As shown in Table 1, case 2 highlights the surgical procedure performed on a 6-year-old girl.…”

Section: Discussionmentioning

confidence: 99%

“…PS management is multifaceted, and treatment approaches may vary depending on the manifestations [36][37][38][39]. Despite the current extensive understanding of the disease, only a few studies have addressed the presence of axillary contractures.…”

Section: Introductionmentioning

confidence: 99%

“…Despite the current extensive understanding of the disease, only a few studies have addressed the presence of axillary contractures. PS-associated axillary contractures may occur because of a rudimentary pectoralis muscle originating from the sternum, or they may manifest as cutaneous webbing containing fibrous bands that restrict mobility and cause functional impairment [39]. Thus, deciphering unique manifestations and identifying precise treatment approaches for PS are crucial for expanding knowledge.…”

Section: Introductionmentioning

confidence: 99%

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Management of Axillary Contracture in Poland Syndrome: Differentiating Fibrous Band and Skin for Optimal Release

Matsuura

Shimizu

Matsuura

et al. 2023

JCM

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Poland syndrome (PS), an uncommon congenital unilateral aplasia of chest wall muscles, may exhibit rare accompanying signs, such as axillary webbing or contractures. The existing literature on the specific management of axillary contractures is limited. In this report, we present the case of a 10-year-old girl with PS manifesting an axillary web containing a fibrous band, which was successfully surgically corrected by a double-opposing Z-plasty. Our surgical approach entailed a meticulous distinction between the deep fibrous band and the superficial cutaneous layer, guided by histopathological findings that indicated the presence of tendon-like tissue, ultimately yielding excellent outcomes. This report will help expand knowledge by highlighting the unique manifestation of PS and emphasizing the importance of employing appropriate treatment approaches. Moreover, addressing both tendon and skin components is essential for optimal contracture release in PS.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Management of Axillary Contracture in Poland Syndrome: Differentiating Fibrous Band and Skin for Optimal Release

Matsuura

Shimizu

Matsuura

et al. 2023

JCM

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“…Many patients display the absence of the pectoralis major muscle, although other muscles such as the pectoralis minor may also be affected (Poland, 1841; Lacorte et al ., 2010). Poland’s syndrome is also often associated with hand deformities of varying severities (Mentzel et al ., 2002; Ersen et al ., 2015).…”

Section: Introductionmentioning

confidence: 99%

3D digital geometry designs for Poland’s syndrome using Magics and Geomagic^® Freeform^®

Heerden

Fossey

Booysen

2018

RPJ

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Purpose Poland’s syndrome patients often seek medical interventions to improve their aesthetic appearances. Design and manufacturing technologies make it possible to produce custom-made implants for such medical conditions. The purpose of this study was to compare the 3D digital geometries that were designed using Magics and Geomagic® Freeform® for two anonymous case studies of Poland’s syndrome patients. Design/methodology/approach Computed tomography data were acquired and processed in Mimics® to isolate the pectoralis muscles in STL file format. STL files were imported into Magics and Geomagic® Freeform® to design 3D digital geometries. Thereafter, comparative analyses were performed of the respective 3D digital geometries. Findings The angle between the vertical and oblique planes for both sides of the thorax was 6.5° for the female and 14° for the male. The surface areas and volumes of the geometries for the female were smaller than the male. Deviation analyses between the healthy side and reconstructed side of a thorax showed that 73 per cent of the test points for Magics and 78 per cent for Geomagic® Freeform® fell in the nominated tolerance region of >−5 and <+5 mm for the female. For the male, it was 83 per cent for Magics and 88 per cent for Geomagic® Freeform®. Practical implications Geomagic® Freeform® provides a more versatile design environment; however, the STL editor Magics may be an option to design 3D geometries for less intricate and less contoured implants. Originality/value This was a first attempt to compare the 3D geometries for Poland’s syndrome designed with an STL editor to those designed with a computer-aided design program.

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A variant of Poland’s syndrome: axillary web containing rudimentary pectoralis major muscle

Cited by 2 publications

References 5 publications

Management of Axillary Contracture in Poland Syndrome: Differentiating Fibrous Band and Skin for Optimal Release

Management of Axillary Contracture in Poland Syndrome: Differentiating Fibrous Band and Skin for Optimal Release

3D digital geometry designs for Poland’s syndrome using Magics and Geomagic^® Freeform^®

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A variant of Poland’s syndrome: axillary web containing rudimentary pectoralis major muscle

Cited by 2 publications

References 5 publications

Management of Axillary Contracture in Poland Syndrome: Differentiating Fibrous Band and Skin for Optimal Release

Management of Axillary Contracture in Poland Syndrome: Differentiating Fibrous Band and Skin for Optimal Release

3D digital geometry designs for Poland’s syndrome using Magics and Geomagic® Freeform®

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3D digital geometry designs for Poland’s syndrome using Magics and Geomagic^® Freeform^®