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Pectus carinatum successfully treated with bracing. A case report

C H Mielke1, R B Winter

  • 1Mayo Clinic, Rochester, MN 55905.

International Orthopaedics
|December 1, 1993
PubMed
Summary

Bracing is an effective treatment for pectus carinatum in skeletally immature patients. A 14-year-old girl achieved excellent results and no recurrence of deformity after a multi-phase bracing regimen.

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Area of Science:

  • Orthopedics
  • Pediatric Surgery
  • Medical Case Studies

Background:

  • Pectus carinatum, a chest wall deformity, can cause significant cosmetic concerns.
  • Effective non-surgical treatment options for pectus carinatum are crucial, especially in skeletally immature individuals.

Observation:

  • A 14-year-old female presented with a cosmetically objectionable pectus carinatum.
  • Initial management involved a six-week corrective underarm body cast.
  • Subsequent treatment included seven months of full-time bracing and eight months of nighttime bracing.

Findings:

  • The patient achieved an excellent cosmetic outcome.
  • No recurrence of the pectus carinatum deformity was observed seven years post-treatment.
  • The multi-phase bracing approach proved effective.

Implications:

  • Bracing can be a highly effective, non-invasive treatment for pectus carinatum in motivated, skeletally immature patients.
  • This case highlights the long-term success possible with appropriate bracing protocols.
  • Further research into optimal bracing durations and types for pectus carinatum is warranted.

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