Presentation
Presentation of the condition occurs during the teenage years when body image formation is occurring. [ncbi.nlm.nih.gov]
This usually doesn't appear until a child is age 11 or older, even though the condition is present at birth. The chest wall surrounds and protects the heart and lungs. [kidshealth.org]
Clinical Presentation[edit | edit source] People with pectus carinatum usually develop normal heart and lungs, but the deformity may prevent these from functioning optimally. [physio-pedia.com]
Article information Abstract Full Text Bibliography Download PDF Statistics Figures (3) Show moreShow less El presente trabajo trata sobre un nuevo sistema de corrección del pectus carinatum. [archbronconeumol.org]
Entire Body System
- Pain
The surgery requires that your child spend a few days at the hospital, where our pain management team uses the most innovative and leading-edge techniques to manage your child’s pain, including a combination of conventional medicine and complementary [stanfordchildrens.org]
However, if your child feels any pain while wearing the orthosis, contact the orthotist for a review. Contact your orthotist if you have any questions or concerns regarding your child's treatment with a chest orthosis. [rch.org.au]
Symptoms Similar to pectus excavatum, atypical chest pain and breathlessness on exertion or exercise is often described though of course many patients have no specific symptoms. [pectusclinic.com]
So kids and teens with pectus carinatum may: feel short of breath, especially during exercise have a fast heartbeat feel tired have chest pain Some can develop asthma or get a lot of respiratory infections. [kidshealth.org]
- Surgical Procedure
What is the surgical procedure to correct pectus carinatum? Pectus carinatum can be surgically repaired in an operation called the Ravitch. [childrenshospital.org]
The struts are not visible from the outside and are later removed during a surgical procedure. What are the risks of correction of pectus carinatum? Bracing treatment for pectus carinatum is very safe. [my.clevelandclinic.org]
Furthermore, he reported satisfactory cosmetic results with the less extensive repair, as well as a high rate of improvement in exertional symptoms compared with more extensive open surgical procedures. Recurrences are rare. [emedicine.medscape.com]
- Fatigue
[…] positive impact on psychosocial function. [11] Patient Education Common concerns in individuals with pectus carinatum, especially those with severe deformities, include the following: Body image, which can affect self-esteem Exercise symptoms, including fatigue [emedicine.medscape.com]
Children with pectus deformities often tire sooner than their peers, due to shortness of breath and fatigue. Commonly concurrent is mild to moderate asthma.[2][3] Some children with pectus carinatum also have scoliosis (i.e. curvature of the spine). [physio-pedia.com]
- Weakness
Doctors also might recommend physical therapy and exercises to strengthen weak chest muscles. Looking Ahead Mild pectus carinatum won't need treatment if doesn't affect how the lungs or heart work. [kidshealth.org]
- Short Stature
stature, hypermobile joints, a bell-shaped chest, and cardiac abnormalities. [ncbi.nlm.nih.gov]
Respiratoric
- Dyspnea
Symptomatic patients report dyspnea and decreased endurance. [emedicine.medscape.com]
When symptoms present, they typically present only as tenderness at the location of the protrusion.[2] Other symptoms related to the decreased compliance of the chest seen in more pronounced cases include dyspnea, tachypnea with exertion, and reduced [ncbi.nlm.nih.gov]
Symptomatic patients report dyspnea and decreased endurance. Some develop rigidity of the chest wall with decreased lung compliance, progressive emphysema, and increased frequency of respiratory tract infections. [physio-pedia.com]
Cardiovascular
- Chest Pain
Symptoms Similar to pectus excavatum, atypical chest pain and breathlessness on exertion or exercise is often described though of course many patients have no specific symptoms. [pectusclinic.com]
So kids and teens with pectus carinatum may: feel short of breath, especially during exercise have a fast heartbeat feel tired have chest pain Some can develop asthma or get a lot of respiratory infections. [kidshealth.org]
Eyes
- Visual Impairment
Although rarely seen, some children have other connective tissue disorders, including arthritis, visual impairment, and hearing impairment. [physio-pedia.com]
Treatment
What is the treatment? Mild cases of pigeon chest may not need treatment. When treatment is recommended, it’s usually for cosmetic reasons or to improve self-esteem and quality of life. It’s not usually carried out in children under the age of 10. [blf.org.uk]
Treatment / Management Treatment of pectus carinatum typically falls into one of three categories: non-surgical bracing, surgical correction, or cosmetic concealment. [ncbi.nlm.nih.gov]
Diagnosis and treatment are discussed. [my.clevelandclinic.org]
Testimonials If you are considering bracing or surgical treatment for your pigeon chest it’s important that you have confidence that we provide the best advice and treatment. Many of our patient’s have shared their experiences. [pectusclinic.com]
Treatment has been shown to improve the psychosocial outcome of these patients. Summary: Patients with pectus carinatum are at risk for a disturbed body image and reduced quality of life. Until recently, treatment required surgical reconstruction. [pubmed.ncbi.nlm.nih.gov]
Prognosis
Prognosis The prognosis for patients diagnosed with pectus carinatum is excellent. Even without treatment, patients may have no symptoms and no long term adverse health effects. [ncbi.nlm.nih.gov]
Prognosis Psychological and cosmetic concerns are the most prominent reasons for initial consultation. [emedicine.medscape.com]
Etiology
Etiology While the etiology of pectus carinatum deformity is still debated, current theories focus on defective metabolism or a developmental disorder with maturation disturbances of the sternocostal cartilage. [6] Park et al identified longer costal [emedicine.medscape.com]
This activity reviews the etiology, epidemiology, and evaluation of pectus carinatum and highlights the role of the interprofessional team in treating patients with this condition. Objectives: Identify the etiology of pectus carinatum. [ncbi.nlm.nih.gov]
Epidemiology
This activity reviews the etiology, epidemiology, and evaluation of pectus carinatum and highlights the role of the interprofessional team in treating patients with this condition. Objectives: Identify the etiology of pectus carinatum. [ncbi.nlm.nih.gov]
[…] disturbances of the sternocostal cartilage. [6] Park et al identified longer costal lengths and short rib lengths in a series of patients with symmetric pectus carinatum, leading them to suggest that the etiology of pectus carinatum is multifactorial. [7] Epidemiology [emedicine.medscape.com]
Pathophysiology
Pathophysiology Until recently, most cases of pectus carinatum deformity were thought to be asymptomatic. However, little is known about the cardiopulmonary function. [emedicine.medscape.com]
Prevention
Clinical Presentation[edit | edit source] People with pectus carinatum usually develop normal heart and lungs, but the deformity may prevent these from functioning optimally. [physio-pedia.com]