What is pectus carinatum?

Pectus carinatum (PC) is a deformity that the chest which causes the breastbone (sternum) to be propelled out. The problem is also known together "pigeon chest" or "chicken breast." that is less usual than pectus excavatum, in which the sternum is propelled in or depressed. Pectus carinatum is assumed to affect approximately 1 in 2,000 human being in the united States.

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PC deserve to be current at a young age, however commonly becomes much more evident throughout puberty at the time of rapid growth. Researchers have not determined the cause of pectus carinatum, yet it likely has a hereditary component, because as countless as 1 in 4 patients have actually a family background of the condition. Pectus conditions occur more frequently in males 보다 females by a 4:1 ratio.

There is a high correlation between pectus carinatum and scoliosis, yet one doesn’t necessarily cause another. Some civilization may have actually both characteristics, and some may have just one or the other.

The pectus team at Children’s Mercy are recognized leaders in treating chest wall deformities and also are one of the greatest volume centers in the country. This way our experience has made us professionals in dealing with a wide range of pectus cases.


Children through pectus carinatum execute not commonly have any far-reaching physical symptoms other than the outward “pigeon chest” appearance. Some patients have chest pain. One of the an ext common problems associated with pectus carinatum is body image issues. Children are frequently embarrassed around the figure of their chest and may avoid activities or social communication for this reasons.

Can i play sporting activities if I have actually pectus carinatum?

Yes! civilization with pectus carinatum should proceed participating in all tasks they find enjoyable. Part symptoms might be exacerbated v physical task but the task itself does no pose a health and wellness risk. Pay attention to activities that seem to cause problems and also ask her pectus expert if there is any type of relation.

What space the therapy options?


Nonsurgical treatment through bracing has come to be the conventional of care for convey of pectus carinatum and has been shown to have terrific outcomes. The ideal period to start bracing is about 11-14 years old dependent on maturity and also severity of the pectus carinatum.

In soft cases, observation or no treatment may be recommended. The carinatum will certainly likely proceed to enlarge together the kid grows throughout adolescence.

The require for surgical procedure is rare. If bracing has not been successful or those with serious or inexplicable anatomy, an operation to eliminate the abnormal rib cartilages may be recommended.


Pectus carinatum brace

Wearing a chest brace for pectus carinatum is an efficient treatment due to the fact that children’s farming bodies are an extremely flexible during childhood and also adolescence. That adaptability method children’s chests can much more easily it is in molded right into the correct form as they grow.

Children’s Mercy uses a customized brace, called the dynamic compression mechanism (DCS). The DCS is an external chest compression brace that uses concentrated press to the area of the chest through the biggest protrusion. This state-of-the-art brace corrects one abnormal chest shape the method orthodontics corrects crooked teeth. The brace “remodels” the chest by using gentle push to slowly correct the area the protrusion. Worn repeatedly and adjusted regularly (typically every 6 to 8 weeks) the brace permits the chest to slowly redevelop right into a an ext normal shape. As soon as skeletal maturity has actually been reached, the cartilage in the chest and also pectus carinatum will stiffen, and also the kid will no much longer be a candidate for nonsurgical repair through using the brace.

What does the brace watch like?

The brace do from a light-weight aluminum that is worn about the chest. It provides pressure indigenous both the prior and earlier to direct the breastbone come neutral position. There space cushioned pads that contact the child’s chest. The key pad is positioned to press versus the breastbone. The band is adjustable.

Under normal, loose-fitting clothing, the brace is not easily noticeable.

How long does the brace must be worn?

When a child an initial begins attract the brace, that or she should do so because that as plenty of hours the the day as feasible (23 the end of 24 hrs a day). Other than for throughout bathing and also sports, her child should wear the brace all day and also during the night.

Most kids will should wear the brace full time for around 4 come 6 months and be able to decrease the wear come ~2 times per week till skeletal maturity has been got to for a complete time in the brace of about 2 years, despite that duration can vary. ~ the chest develops a an ext normal shape, the brace wear will certainly be progressively tapered to minimize the lot of time the your boy wears the brace, lot like you wear a dental retainer after ~ orthodontic braces are removed.

Is the brace painful or damaging come the skin?

No, the brace need to not it is in painful to wear. Most children say their chest is slightly sore after ~ they first begin wearing the brace, specifically on the prior of the chest, yet ibuprofen (Motrin) or paracetamol (Tylenol) have the right to ease the discomfort. Minimal redness at the call sites indigenous wearing the brace is normal. Part patients choose to undertake a thin, tightly-fitting, moisture-wicking shirts underneath.

How lot does a Pectus Brace cost?

The estimate of prices and traditional charges because that professional company are provided on ourPectus Brace billing info page. Every son is different; therefore, there might be services outside of the pricing perform at the time of service and are not contained in this summary.


Once her child has been determined as a pectus brace candidate, the clinical team will reach out to the Children’s Mercy jae won Clearance department to pursue preauthorization if her insurance company will covering this service.


If you are concerned about insurance coverage or pectus carinatum brace cost, the Children’s Mercy’s gaue won Clearance team can administer details.


undertake the brace as frequently as possible, best 23 the end of 24 hours per day, not included showering, swim or sports.Remember: the brace just works if girlfriend wear it! The more you wear it, the quicker it will certainly work!You may be sore because that the first couple of days. Take Ibuprofen as necessary for pain. Lull your means into attract it.If you room ill with a cough or have actually an asthma flare up, take constant brace division for deep breathing/coughing.If girlfriend wear a shirt under your brace, make sure to traction the wrinkles out.You will want to clean the brace as the very least once per week or together needed. You might use alcohol or family cleaner wipes or level soap and also water. Perform not immerse in water!If a screw is loose, use a Phillips driver to tighten it. Please carry out not adjust the brace other than for the straps. The straps have the right to be adjusted at residence as needed.Try come sleep in the brace. You might feel more comfortable v extra pillows or one egg crate mattress because that support.Perform the prescribed exercises as instructed and also use an excellent posture for the finest result.

At 15, Weston Marshall to be diagnosed with a protruding sternum, dubbed pectus carinatum. The center for Pectus Excavatum and also Pectus Carinatum at Children’s Mercy provided a distinct brace to exactly the condition.

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A “bump” in the center of Zane Johnson’s chest dubbed pectus carinatum carried him to the center for Pectus Excavatum and Pectus Carinatum in ~ Children’s Mercy. A distinct brace is correcting the condition.