Can moderate pigeon chest in children be corrected?

Written by Zhang Zhi Gong
Cardiothoracic Surgery
Updated on September 28, 2024
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Can mild pectus carinatum in children be corrected? Pectus carinatum, commonly known as pigeon chest, is the second most common chest deformity encountered, after funnel chest. As the name suggests, pigeon chest refers to a protrusion of the sternum in the center, similar to the chest of a chicken or pigeon, where the sternum protrudes forward. This protrusion, to draw an analogy, is like a tree. This young sapling has already grown crooked. You cannot straighten it by fertilizing or any other means. Correction is only possible through procedures such as orthotic braces or compression, or more directly and effectively through surgical intervention. Surgery is the most straightforward and immediately impactful treatment method.

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Written by Li Jiao Yan
Neonatology
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What should be done about pigeon chest in children?

Childhood pigeon chest, also known as rickets, is caused by a deficiency in Vitamin D or calcium, leading to bone development issues. If pigeon chest is suspected, it is advised to visit a hospital for a detailed examination and receive treatment accordingly. If the pigeon chest is quite pronounced and there is significant deformity of the chest wall, rehabilitation or correction can be sought in relevant medical departments. Rickets is typically active before the age of 3, and stabilizes after this age. Treatment primarily focuses on addressing rickets in cases identified before the age of 3, and correcting deformities in cases identified afterwards.

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Written by Hu Xiao Cui
Nutrition Science
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Will chicken breast caused by calcium deficiency improve after calcium supplementation?

Children lacking Vitamin D can manifest various symptoms of rickets due to calcium deficiency, including pigeon chest, beading of the ribs, X-shaped legs, O-shaped legs, and square skull. As long as these are identified early, by supplementing with Vitamin D and calcium and ensuring comprehensive nutrition, children can return to normal growth and development. With age and appropriate physical exercise, these skeletal abnormalities can gradually improve and generally do not leave lasting effects.

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Written by Tong Peng
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How to recover from pigeon chest in children?

Childhood pectus carinatum is a common clinical condition, primarily caused by a deficiency in vitamin D leading to metabolic bone disease. Its characteristics are mainly manifested by the protrusion of the sternum and flattening of the chest walls on both sides. There are several treatment methods available: First, supplement children with calcium tablets and vitamin D, promptly administer these medications, and encourage exposure to sunlight and outdoor activities during the growth process, which is beneficial for bone calcium absorption. Additionally, the child should wear a brace specifically for pectus carinatum. The brace compresses the chest cavity, causing it to protrude upward. After wearing the brace for a period, the protruding chest can show improvement. If previous treatment methods are ineffective and severe sternal deformities still occur, surgical treatment at a specialized hospital may be necessary. In daily life, the child should be cautious about their posture and body position, avoiding rolling, bending, and similar actions as much as possible to facilitate a quicker recovery.

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Written by Li Jiao Yan
Neonatology
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Late-stage symptoms of rickets pigeon chest

If a child has developed rickets and has already shown deformities such as pigeon chest, this indicates that the child is in the later stages of the active phase, meaning that a clear skeletal deformity has occurred. As the child ages, there may also be deformities in the lower limbs as the child begins to stand and walk, such as bowlegs or knock-knees, or a K-shaped leg deformity. Gradually, the child will enter the sequelae phase, which is more common in children over the age of two. In infancy, due to severe rickets, different skeletal deformities may remain without any other clinical symptoms. Blood biochemical indicators are normal, and X-ray examinations will show that the pathological changes at the epiphyseal ends of the bones have disappeared. Generally, no treatment is required, but if there are obvious deformities, corrective treatment may be necessary.

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Written by Zhang Zhi Gong
Cardiothoracic Surgery
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The differences between funnel chest and pigeon chest

Pectus excavatum and pectus carinatum are both types of chest wall deformities. Pectus excavatum is the most common form of chest wall deformity, accounting for over 90% of all anterior chest wall deformities, whereas pectus carinatum occurs much less frequently, roughly one-fifth the incidence of pectus excavatum. The main and most apparent difference is that, as the name suggests, pectus excavatum looks as if a funnel were placed in the chest, with the funnel pointing downwards and backwards. Thus, in patients or children with pectus excavatum, the sternum is indented inward and backward, pressing directly towards the spine. This indentation can compress the heart and lungs, potentially distorting and even displacing the heart to one side. In contrast, pectus carinatum involves the sternum protruding outward, resembling the chest of a chicken or a pigeon. Pectus excavatum is characterized by a backward indentation, while pectus carinatum protrudes forward—this is the most direct distinction.