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ISSN 2073-8137

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Pectus carinatum, overview and results of orthotic bracing therapy

Zacharias Zachariou;

Pectus carinatum may occur alone or together with other congenital disorders or even syndromes, causing the sternum to protrude. Patients with pectus carinatum are generally asymptomatic however the deformity may induce lung and cardiac dysfunction. Pectus deformities can also have an impact on a child’s self-image and self-confidence. In this paper we give an overview of the pathophysiology, the epidemiology, clinical presentation, diagnosis and differential diagnosis as well as treatment and management of this congenital condition and present our results applying orthotic bracing in 65 children including a survey from the patients and /or the parents. Our results are very promising with improvement of the quality of life for the patients and probably prevention of orthopedic problems such as scoliosis in the future.


1. Steinmann C., Krille S., Mueller A., Weber P., Reingruber B. Pectus excavatum and pectus carinatum patients suffer from lower quality of life and impaired body image: a control group comparison of psychological characteristics prior to surgical correction. Eur J Cardiothorac Surg. 2011;40(5):1138-1145.
2. Mielke C. H., Winter R. B. Pectus carinatum successfully treated with bracing. A case report. Int Orthop. 1993;17(6):350-352.
3. Martinez-Ferro M., Fraire C., Bernard S. Dynamic compression system for the correction of pectus carinatum. Semin Pediatr Surg. 2008;17(3):194-200.
4. Obermeyer R. J., Goretsky M. J. Chest wall deformities in pediatric surgery. Surg Clin North Am. 2012;92(3):669-684, ix.
5. Fonkalsrud E.W. Surgical correction of pectus carinatum: lessons learned from 260 patients. J Pediatr Surg. 2008;43(7):1235-1243.
6. Heithaus J. L., Davenport S., Twyman K. A., Torti E. E., Batanian J. R. An intragenic deletion of the gene MNAT1 in a family with pectus deformities. Am J Med Genet A. 2014;164A(5):1293-1297.
7. Calloway E. H., Chhotani A. N., Lee Y. Z., Phillips J. D. Three-dimensional computed tomography for evaluation and management of children with complex chest wall anomalies: useful information or just pretty pictures?. J Pediatr Surg. 2011;46(4):640-647.
8. Castile R. G., Staats B. A., Westbrook P. R. Symptomatic pectus deformities of the chest. Am Rev Respir Dis. 1982;126(3):564-658.
9. Frey A. S., Garcia V. F., Brown R. L. et al. Nonoperative management of pectus carinatum. J Pediatr Surg. 2006;41(1):40-45.
10. Lee R. T., Moorman S., Schneider M., Sigalet D. L. Bracing is an effective therapy for pectus carinatum: interim results. J Pediatr Surg. 2013;48(1):184-190.
11. Wong K. E., Gorton G. E. 3rd, Tashjian D. B., Tirabassi M. V., Moriarty K. P. Evaluation of the treatment of pectus carinatum with compressive orthotic bracing using three dimensional body scans. J Pediatr Surg. 2014;49 (6):924-927.
12. Kobayashi S., Yoza S., Komuro Y., Sakai Y., Ohmori K. Correction of pectus excavatum and pectus carinatum assisted by the endoscope. Plast Reconstr Surg. 1997;99(4):1037-1045.
13. de Matos A. C., Bernardo J. E., Fernandes L. E., Antunes M. J. Surgery of chest wall deformities. Eur J Cardiothorac Surg. 1997;12(3):345-350.
14. Shamberger R. C., Welch K. J. Surgical correction of pectus carinatum. J Pediatr Surg. 1987;22(1):48-53.
15. Del Frari B., Schwabegger A. H. Ten-year experience with the muscle split technique, bioabsorbable plates, and postoperative bracing for correction of pectus carinatum: the Innsbruck protocol. J Thorac Cardiovasc Surg. 2011;141(6):1403-1409.
16. Cohee A. S., Lin J. R., Frantz F. W., Kelly R. E. Staged management of pectus carinatum. J Pediatr Surg. 2013;48(2):315-320.
17. Cano I., Anton-Pacheco J. L., Garcia A., Rothenberg S. Video-assisted thoracoscopic lobectomy in infants. Eur J Cardiothorac Surg. 2006;29(6):997-1000.

Keywords: pectus carinatum, orthotic brace, children

Stavropol State Medical Academy
Pyatigorsk State Research Institute of Balneotherapeutics
Pyatigorsk State Pharmaceutical Academy