Pigeon chest / Pectus Carinatum

Pectus Carinatum / pigeon chest ...chest wall deformities ..

1. PECTUS CARINATUM / PIGEON CHEST [email protected]

2. CONTENTS : Definition Symptoms Causes Types Diagnosis Treatment [email protected]

3. Definition It is a rare chest malformation by a protrusion of sternum and ribs When the chest wall develop the cartilage that connect the ribs usually grows flat the chest The cartilage grow abnormally causing unequal growth in area where rib connect to sternum It develop during childhood and get more as children go through puberty [email protected]

4. Symptoms Shortness of breath Tenderness Pain in area of abnormal cartilage growth Frequent respiratory infection Asthma Tiredness Chest pain Rapid heart rate Causes Genetic Abnormal development of cartilage Marfan syndrome Noonan syndrome Chromosomal abnormalities [email protected]

5. Types : There are two types : 1] C hondrogladiolar Prominence : Called as chicken breast Middle and lower section of breastbone push forward 2] Chrondromanubrial Prominence : Called pouter pigeon breast Breast bone develop in Z –shape Top section pushing forward [email protected]

6. Diagnosis : Chest x-ray Pulmonary function test ECG CT scan or MRI [email protected]

7. Treatment : 1) BRACING : Orthotic brace can be used It involve custom fitted brace that fit on outside of chest Wear at least 8 hrs a day till puberty 2) SURGERY : When chest brace is ineffective or passed puberty Ravitch procedure is done that involve removing the abnormal cartilage and placing the breastbone in normal position [email protected]

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