Pectus Carinatum
Pectus Carinatum
What is pectus carinatum?
Pectus carinatum is a malformation of the chest characterized by a protrusion of the sternum (breastbone) and ribs. While surgery or bracing are not required, people with pectus carinatum might feel self-conscious, uncomfortable, or distressed by their appearance.
Our Approach
At the Orthotics and Prosthetics Center at University of Michigan Health, we design a custom-made brace to treat pectus carinatum. Based on a patient’s anatomy, a rigid brace with gel pads applies pressure at the front and back of the chest’s peak protrusion. The straps on the brace help keep it in place and maintain consistent pressure throughout the day.
At our initial appointment we will take measurements of the chest protrusion and a 3D scan of the patient’s torso. This allows us to design the pectus orthosis. At the next appointment, we fit the brace and make any necessary adjustments. After that, the patient begins their treatment, with the support of their family and their orthotist.
The doctors, surgeons, orthotists, families, and most importantly, the patient, all are a part of the team that treats pectus carinatum. The team at the Orthotics and Prosthetics Center will stay in regular contact with each of the patient’s care team members, working to ensure treatment success.
Appointment Information
If you would like to learn more about bracing for pectus carinatum or to schedule an appointment for a consultation, please call 734-973-2400.
What are the symptoms of pectus carinatum?
Pectus carinatum affects about 1 in 1,000 children. It’s more common in boys than girls, and even though it is present at birth, it’s often first noticed during puberty.
While most people will not have symptoms, some individuals may experience pain or discomfort associated with certain activities and positions. In some cases, it can lead to bad posture and back pain. Bracing is a nonoperative intervention used to correct pectus carinatum that is generally more effective in children and teens.
How is pectus carinatum treated?
When a patient first notices their pectus carinatum, the first healthcare professional they will see is their primary care doctor. Then they will see a specialist in the pediatric surgery department to discuss treatment options. If bracing is recommended, the patient will then be referred to an orthotist. An orthotist is a healthcare professional who designs and fits braces to support and protect a patient’s musculoskeletal system.
Studies report that most patients are satisfied with their post-bracing appearance, experienced minimal discomfort while bracing, and would use the brace again.
Bracing Tips
Bracing is just one option for treating pectus carinatum. Surgery is another, and it’s worth talking to a surgeon about what that process might look like. When all options are clear to you, you can feel more confident in your choice.
If you do choose bracing, take a moment to think about why. What’s encouraging you from within to give bracing a try? Write it down. It’s always good to have a reminder later on.
Wearing a pectus brace isn’t easy. We recommend wearing your brace 20 hours a day for the first several months. While successful outcomes can’t be guaranteed, you can put yourself in the best position to succeed by wearing your brace as much as possible.
20 hours a day may seem like a mountain. But our patients climb it one step at a time. Set goals on how many hours you will wear the brace and ask family members to hold you accountable. Maybe you get to go out to eat or watch a movie if you reach your goals. Make it unique to you. Be sure to update your goals as you progress and wearing your brace will get easier with each step.
There will be days when wearing your brace feels impossible. That’s normal. You can absolutely take a break on those tough days, but don’t forget what led you to choose bracing. The best chance for success is by wearing the brace as much as you can.
Oftentimes, we worry about what others will think. You might choose to explain to your friends why you’re wearing a brace and find it easier to wear it around them afterwards. Other times, people might not understand the brace even after you’ve explained it to them. That’s OK too. Wearing a pectus brace is something you’re doing for you, and not anyone else. All that matters is you.
We want you to wear the brace as much as possible, so find ways to make it comfortable for you. You can choose whether to wear a shirt underneath the brace or not. If you choose to wear a shirt, a thin, athletic shirt works great!
Whether it’s family members, doctors, or us - your orthotist – make sure you check in and let us know any challenges you might be facing. Pectus carinatum can improve by wearing your brace, but it can also get worse if you aren’t wearing it. Reach out to us and we can help come up with strategies you feel comfortable with in order to get you back on track for your desired outcome!
Locations
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Physical Medicine & Rehabilitation Clinic | Eisenhower Corporate Park 2850 S Industrial Hwy Ste 400
Ann Arbor, MI 48104-6796Get Directions
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