Surgical correction of eventration of diaphragm in patient with arthrogryposis; observations on cardiac manifestations of traction on diaphragm.

Abstract

IT IS THE purpose of this presentation to discuss the management of an eventration of the diaphragm in a patient with arthrogryposis (amyotonia congenita). The association of nodal rhythm and apnea with traction on the diaphragm and mediastinum were of interest. Also noteworthy was the absence of a portion of the chest wall musculature. REPORT OF A CASE M. A., a one-year-old white girl, with arthrogryposis, was admitted on Aug. 7, 1952, to the Jewish Chronic Disease Hospital. Her parents and two older sisters are alive and well. At birth, it was noted that the infant had a fracture of the right shoulder, a cleft palate, clubbed feet, and flexion contractures of the wrists. Physical examination revealed ptosis of the right eyelid, with normal extraocular movements. There were flexion deformities of both wrists, thumbs, and all fingers of the left hand, as well as clubbing of the feet. The blood