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Dynamic Compression System Bracing as a Treatment Option for Chondromanubrial Pectus Carinatum.
Nelimar Cruz-Centeno1, Shai Stewart1, Derek R Marlor1
1Department of Pediatric Surgery, Children's Mercy Hospital, Kansas City, MO, USA.
The American Surgeon
|January 14, 2026
Summary
Dynamic compression system (DCS) bracing shows promise for treating chondromanubrial pectus carinatum (PC), a rare chest deformity. While not all patients achieved full correction, all experienced improvement, suggesting DCS as an effective initial management option.
Area of Science:
- Thoracic surgery
- Orthopedics
- Pediatric surgery
Background:
- Chondromanubrial pectus carinatum (PC) is a rare chest wall deformity.
- Surgery is the traditional treatment for this subtype.
- Limited data exists on non-surgical interventions for chondromanubrial PC.
Purpose of the Study:
- To evaluate the effectiveness of the dynamic compression system (DCS) brace for chondromanubrial PC.
- To describe patient outcomes using DCS bracing for this rare condition.
Main Methods:
- Retrospective review of 11 patients with chondromanubrial PC treated with DCS from 2011-2021.
- Data collected included demographics, PC details, brace parameters, and treatment outcomes.
- Analysis included medians, IQRs, frequencies, and percentages.
Main Results:
- 11 patients (50% female) with a median age of 13 years were treated.
- Median change in initial correction pressure was 2.6 psi.
- 80% exercised; 50% reached retainer stage. 4 patients had full correction, others showed partial improvement.
Conclusions:
- Dynamic compression system (DCS) bracing can be an effective initial treatment for chondromanubrial PC.
- All patients demonstrated improvement in chest wall deformity.
- DCS offers a viable non-surgical approach for this rare condition.
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