Dwarfism - meaning of word
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Dwarfism



Dwarfism is a condition in which a person, animal or plant is much below the ordinary size of the species. When applied to people, it implies not just extreme shortness, but a degree of disproportion. Dwarfism is now rarely used as a medical term and is sometimes (but not always) considered impolite or pejorative. Today, the term ''little person'' tends to be preferred. Of the hundreds of causes of dwarfism in humans, most are genetic, and most involve single gene variations that affect the structure or metabolism of bone, cartilage, or connective tissue. This class of disorder is referred to by physicians as skeletal dysplasias. Chondrodystrophies, chondrodysplasias, osteochondrodystrophies are also used (fairly interchangeably) in the medical literature to refer to most of these conditions. In many of these conditions, the bones are the primary affected body part, and the person is otherwise healthy. In many others, the genetic difference affects other body systems, causing unusual features or other major problems. Achondroplasia is one of the most common and perhaps the most easily recognized skeletal dysplasia. It affects approximately 1 in 40,000 children, both males and females as it is due to a mutation of an Autosome gene. ==Problems faced by people with these conditions== * Social and employment opportunities are greatly reduced, regardless of anti-discrimination laws. Self-esteem and family relationships are often affected. * Extreme shortness can interfere with ordinary activities of daily living, like driving or even using countertops built for taller people. * Many can have problems produced by the abnormal bone structures. Early degenerative joint disease, exaggerated lordosis or scoliosis, and constriction of spinal cord or nerve roots can cause pain and disability. Reduced thorax size can restrict lung growth and reduce pulmonary function. * Many of the conditions are associated with disordered function of other organs, such as brain or liver. These problems can be more disabling than the abnormal bone growth. ==Diagnosis== Shortness is usually the concern that brings the child to medical attention. Dwarfism becomes suspected because of obvious physical features, because of an obviously affected parent, or because body measurements (arm span, upper to lower segment ratio) indicate disproportion. Bone x-rays are often the key to recognition of specific skeletal dysplasia. Most children with suspected skeletal dysplasias will be referred to a genetics clinic for diagnostic confirmation and genetic counselling. See [http://www.dwarfism.org/ www.dwarfism.org] for a list of American referral centers with special expertise in skeletal dysplasias. In the last decade, gene tests for some of the specific disorders have become available. ==Medical treatment== For many forms of dwarfism, the best medical treatment that can be offered is accurate diagnosis, prognosis, and genetic counselling information. Treatments to enhance height have major drawbacks. Growth hormone treatment has been shown to accelerate growth velocity over 1-2 years, but it may make a relatively small difference in adult height and involves years of expensive injections. The Ilizarov limb lengthening surgery was pioneered in Russia in the 1970s and is now performed in many places. Other newer devices such as the orthofix and intramedullary skeletal kinetic distractor (ISKD) are also used for limb lengthening. It can add over 6 inches to per bone (there are two in the leg), but is expensive, painful, and time-consuming. Some insurance companies may be willing to cover the cost. Each procedure lasts around 8-12 months. Typically two bones are done at a time (the same one on each side), but a patient can do more than that if they're willing to endure the extra pain and inconvenience. Orthopedic or neurosurgical operations may be needed for specific problems associated with some of the conditions. In the last decade, enzyme replacement treatments have been devised for a few of the inherited metabolic diseases, most of which involve more severe problems than short bones. ==Terminology== ''Little person'' (as opposed to ''big person''), and ''short-statured'' are currently preferred terms to refer to a person with extreme, disproportionate shortness. ''Dwarf'' is sometimes perceived as having negative connotations, although the term is often used by those affected. The plural is ''dwarfs'' — ''dwarves'' is used only for Dwarf. In the 19th century both ''dwarf'' and ''midget'' were ordinary medical terms referring to persons of disproportionate and proportionate shortness, respectively. Like many other older medical terms, they became primarily pejorative as they entered popular use. ''Midget'' is now considered offensive in all contexts to most, but not all, little people. ==Dwarfism and extreme shortness in popular culture and the arts== [[image:velazquez-dwarf-don-sebastian-de-morra.jpg|right|thumb|''The Dwarf Don Sebastián de Morra'', by Velázquez. In his portraits of the dwarfs of Spain's royal court, the artist preferred a serious tone that emphasized their human dignity.]] Dwarfism is such an obvious difference that it attracts the curiosity, humor, and imagination of most other people. "Normal" people of most cultures have paid just to look at dwarfs or to keep them around for amusement (e.g., dwarf tossing). In many times and places this may be the most attractive employment option available, as was the case for some jesters of medieval Europe. When depicted in art, literature, or movies, dwarfs are rarely depicted as "regular people who are very short" but often as a species apart. Novelists, artists, and filmmakers attach special moral or aesthetic significance to the "apartness" or the misshapenness. Artistic representations of dwarfism can be found on ancient Greece vases and other ancient artifacts. Many European paintings (especially Spain) of the 16th century-19th century centuries depict dwarfs by themselves or with others. Several novels have treated dwarfism as a major theme, not necessarily realistically: * ''The Tin Drum'' (''Die Blechtrommel'') by Günter Grass * ''Stones of the River'' by Ursula Hegi * ''The Dwarf'' by Pär Lagerkvist * ''A Prayer for Owen Meany'' by John Irving Leslie Fiedler's ''Freaks: Myths and Images of the Secret Self'' (1979) is considered an intelligent and sensitive exploration of the cultural significance and artistic treatments of differentness. Other readers may feel that he valued physically unusual people for their differentness, not for their personhood, when he laments medical treatment for reducing the number of picturesquely different people around. Several 20th century movies have addressed the topic or made much use of dwarfs: * ''Freaks'' (1932) * ''The Terror of Tiny Town'' (1938) * ''The Wizard of Oz (1939 movie)'' (1939) * ''Even Dwarfs Started Small'' (''Auch Zwerge haben klein angefangen'') (1970) * ''The Tin Drum'' (''Die Blechtrommel'') (1979) * ''Time Bandits'' (1981) * ''Willow (movie)'' (1988) * ''Simon Birch'' (1998) * ''The Station Agent'' (2003) The 1960s television series ''The Wild Wild West'' featured a dwarf, Michael Dunn, as the recurring character Dr. Miguelito Loveless, the brilliant but insane arch-enemy of United States Secret Service agents James West and Artemus Ward. In addition, the actor and stunt man Verne Troyer has become famous playing the character "Mini-Me" in two Austin Powers movies, ''Austin Powers: The Spy Who Shagged Me'' (1999) and ''Austin Powers in Goldmember'' (2002). ==Famous people with dwarfism== * Jason Acuña, United States actor * Michael J. Anderson, US actor * Kenny Baker, actor who portrayed R2-D2 * Billy Barty, US actor * Bushwick Bill, US musician, founding member of The Geto Boys * Sebastiano Biavati, 17th century curator of museum of curiosities * Joseph Boruwlaski, Poland "count" * Caroline Crachami, Sicily dwarf * Peter Dinklage, US actor * Meredith Eaton, US actor * The Doll Family, Germany-born siblings * Josh Ryan Evans, US actor * Nicholas Feny. France-born royal court dwarf * Charles Flato, American writer and Soviet spy, he was also hunchbacked * Phil Fondacaro, US Actor * Jeffrey Hudson, England royal court dwarf and jester to Charles I of England * Martin Klebba, US actor * Wybrand Lolkes, Netherlands dwarf * George Washington Morrison Nutt, "Commodore Nutt" * Alexander Pope, poet * Meinhardt Raabe, oldest surviving munchkin from "''The Wizard of Oz (1939 movie)''" * David Rappaport, United Kingdom & US actor * Judy-Lynn del Rey, US science fiction editor * Timothy Roman, the son of US actress Susan Cabot * Charles Proteus Steinmetz, scientist and engineer * General Tom Thumb, "General Tom Thumb" * Verne Troyer, US actor * Herve Villechaize, French-born actor * Lavinia Warren, US * Chick Webb, big band drummer ==External links== *[http://www.dwarfism.org/ www.dwarfism.org] *[http://www.lpaonline.org/ Little People of America] *[http://www.mcllr.com/ International Center for Limb Lengthening] *[http://www.shortsupport.org www.shortsupport.org] for a variety of information related to short stature, and a somewhat cautionary view of limb lengthening surgery. Growth disorders

Dwarfism



I expanded the stub quickly and it would benefit from others' additions or refinements. If someone prefers to separate this into two articles, go ahead. My memory nags me that I have missed some books and movies--- please add. However, I purposely avoided listing movies or books which feature a single dwarf buffoon or villain and tried to list those which someone might actually read or watch especially for their treatment of this topic: (1) dwarfism itself is a major theme of the work, realistically or not, or (2) many of the actors display various forms of dwarfism. If you feel compelled to list movies or tv shows with one humorous or villainous dwarf as a one-dimensional accessory character, please add a new paragraph and start a separate list. Also, I noted that there is already a lovingly edited article on dwarves as a "race" in western fantasy games, movies, and books. Let's continue to keep the articles distinct. User:Alteripse 15:28, 16 May 2004 (UTC) I am reverting just to initiate discussion. See the link provided with an earlier version of this page. It certainly looks as though people with the condition or people strongly identifying with and supportive of people with the condition are using the term. Unless you can give me a stronger argument, how about if we compromise and hedge it? *[http://www.dwarfism.org/ www.dwarfism.org] User:Alteripse 22:05, 29 May 2004 (UTC) :Yes, they do use it, but there are a few who are offended by the term 'dwarf.' In those cases the only PC term is 'little person' or just LP. Those people who are offended are of the easily offended variety and can be safely ignored. I even heard there was something being done to replace 'little person' *g*. Just thought you might want to hear from an actual midget-err I mean dwarf--shit I mean little person---FUCK I mean vertically challenged. ;-P User:Njyoder 22:44, 12 Sep 2004 (UTC) Just an observation from someone with no connection to the subject, but to me "little person" sounds far more demeaning than any of the alternatives. User:PeteVerdon == Limb lengthening == I've actually had my limbs lengthened. I got 11" in my legs and 4" in my arms. I just made some edits. Please don't link to the shortsupport page, it talks about limb lengthening for consitutional short stature and condemns it (rightly so). However, people may get confused and think he is condemning people like me with clinical short stature. What's with hte popularity in china comment? And what kind of neurosurgical operations would a midget need? I've never heard of that. Oh and for emphasis, it's LIMB lengthening not LEG lengthening. They lengthen your arms and legs. Midgets like me have short legs and arms. Although we have a big head, ass and trunk to compensate. -User:Njyoder 06:29, 8 Nov 2004 (UTC) Thanks for your edits. # I agree, limb lengthening is the more commonly used term, though some people just have their legs done. # The link to shortsupport is a compendium of topics and aids for a variety of types of shortness with many good links. It was the best I found when I went looking. Why would you delete it just because it editorializes in a way you partially agree with? I hope you don't have a problem with my replacing it. If you want to add a critical comment to the citation, that might be a good compromise. # In 2002 or early 2003 there was a news article which I unfortunately cannot find that described a boom in popularity of limb-lengthening surgery in China. It interviewed some people who described it as a "career move." I think the story said that more of these operations are performed in China than any other country. However, since I cannot produce the reference I won't contest the deletion. Be careful about deleting things simply because you haven't heard of them... # In several forms of chrondrodystrophy, the spinal canal is too narrow, or the junction at the base of the skull is misshapen in a way that can cause problems. Neurosurgeons correct these problems as often or more often than orthopedists. #If you feel inspired, we could use an article on limb lengthening. Thanks for your contributions. User:Alteripse 15:48, 8 Nov 2004 (UTC) # I haven't met a midget that had their legs, but not arms done. The arms are so much easier than the legs and you are much more functional during the procedure that cost would be the only reason not to get it done. However, it is true that some people of constitutional short stature and with different sized limbs would just get the legs done. # Short support is a good website. My problem was that it was critical of limb lengthening for people of constitutional short stature. Constitutional short stature means people who are short, like 5' tall, but they don't have a clinical short stature like Achondroplasia which causes people to be around 4'. For people 5' the operation is ridiculous, but not for those with clinical short stature. I e-mailed the site owner a while back and he agreed with me that it's good for clinical short stature, but he wanted to keep up the warning to deter people of constitutional short stature form doing it. My concern is that people would confuse his critcism of lengthening for those of constitutional short stature with those of clinical short stature. Short support can be linked to the main page, but if you're going to link to the lengthening section I agree that a clarification should be added. # The China stat seemed very odd to me. My surgeon is one of the (if not THE) most prominent limb lengthening surgeon in the world. People come from all around the world to see him. I'd be surprised if China surpassed the U.S. Although, China does have the population advantage. Personally I wouldn't trust their less experienced surgeons thoug. # I may do a limb lengthening article. It would also cover corrective procedures involved with the same devices, it's not jsut for dwarves. -User:Njyoder 17:58, 8 Nov 2004 (UTC) == Verne paragraph == I added a short paragraph on Verne Troyer, basically because he's currently one of the most famous little people in the world. I don't mean any offense by having him the only little person mentioned by name in the article (not counting any of the authors who may be short statured). I just didn't want to expand this into a general section on / list of little actors (not right now, anyway). If this bothers you, please add more info about other famous little people. - User:Dcljr 08:09, 13 Aug 2004 (UTC) == Dick Levy == Can anyone determine if Dick Levy has dwarfism? He's short, but I didn't find any Internet references to his being a little person. User:FuncUser_talk:Func 20:55, 24 May 2005 (UTC) I'm pretty sure it's part of a smear campaign. See User:Kmccoy/Delfino. User:Kmccoy User_talk:Kmccoy 05:37, 13 Jun 2005 (UTC) == Height Cut-offs == Is there any agreed-upon set of heights below which people would be considered Little People, as opposed to just short? Whether there is or isn't, I think it should be mentioned in the article. What cut-off should we use for the list of famous people? --User:Misterwindupbird 01:39, 5 Jun 2005 (UTC)


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