Pectus carinatum, sometimes called pigeon chest, is a non-life-threatening condition. It’s marked by an abnormally outward protruding breastbone caused by rapid cartilage growth forcing the front of the chest cavity outward.
Occasionally, symptoms are present from birth or early childhood, but it’s most commonly diagnosed around 11 or 12 years of age.
For most people, pectus carinatum is an aesthetic issue only. This condition frequently results in an asymmetrical chest. In more severe cases, symptoms may also include difficulty breathing during physical activities, recurring respiratory infections, and asthma.
While its cause is unknown, it appears to be more common in boys, and there seems to be a hereditary component.
If needed, treatment for pectus carinatum usually includes wearing a brace for children whose bones are still developing. But it can also include surgery for severe cases.
SYMPTOMS OF PECTUS CARINATUM/PIGEON CHEST
Pectus carinatum is often asymptomatic, meaning it doesn’t have any noticeable symptoms. When symptoms do occur, they may include:
- chest pain
- frequent respiratory infections
- difficulty breathing during physical activity
The most common symptoms are related to body image.
TYPES OF PECTUS CARINATUM/PIGEON CHEST
There are two types of pectus carinatum: chondrogladiolar prominence (CG) and chondromanubrial prominence (CM). Most people with this condition have chondrogladiolar prominence pectus carinatum. CM is rarer and more difficult to treat.
In people with CG, the middle and lower areas of the rib cage arch forward. The longer, more flexible ribs are affected, which are easier to correct than the shorter, less flexible ribs in the upper rib cage.
CM affects the upper rib cage and is typically symmetrical. This type is more difficult to treat because the affected ribs are shorter and less flexible.
Pectus carinatum may also be classified by cause and time of onset. Those classifications include:
- post-surgical, which happens when the sternum doesn’t heal properly after surgery or chest trauma
- congenital, where premature fusion of the chest cavity is present at birth
- idiopathic, the most common type of pectus carinatum, which appears between ages 11 and 15 and correlates with growth spurts
CAUSES OF PECTUS CARINATUM/PIGEON CHEST
The exact cause of pectus carinatum is unknown. However, many physicians believe it occurs because of an issue with the cartilage that connects the ribs and the breastbone. When the cartilage in the ribs grows more rapidly than the bones, it causes the breastbone to be pushed outward.
Not enough research has been done to determine the reason for the rapid cartilage growth.
RISK FACTORS OF PECTUS CARINATUM/PIGEON CHEST
A family history of this disorder or other chest wall deformities increases risk for pectus carinatum. Connective tissue disorders like Marfan’s syndrome also increase risk for this condition.
When diagnosed in infancy, it may also be seen with premature breastbone fusion and congenital heart disease. Pectus carinatum is also much more common in white people than people of other races.
HOMOEOPATHIC TREATMENT OF PECTUS CARINATUM/PIGEON CHEST
Phosphorus : The only remedy which never fails to cure pigeon chest. It should be given for a long time say at least three months during which time the chest will become normal.e.t.c