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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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 Li Jiao Yan
Neonatology
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How to treat pectus carinatum?

Pectus carinatum, commonly known as pigeon chest, is a typical chest deformity characterized by a protruding sternum. There are various causes for pigeon chest, such as rickets due to vitamin D deficiency, and some hereditary metabolic diseases may also lead to bone development malformations like pigeon chest. If pigeon chest is caused by rickets, it is necessary to supplement adequate vitamin D, engage in appropriate outdoor activities, and receive sufficient exposure to ultraviolet light. Additionally, mild cases of pigeon chest can be treated with pediatric rehabilitation using active or passive methods for correction. In severe cases of chest deformity, surgical correction may be required. Generally, there are no effective solutions for hereditary diseases, and treatment mainly focuses on managing the symptoms accordingly. Therefore, if a child is suspected of having pigeon chest, it is advised to consult a specialist at a hospital to assess the child's condition and provide corresponding treatment.

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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 Luo Peng
Thoracic Surgery
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Causes of pectus carinatum in children

The causes of pigeon chest in children mainly include two aspects, one is congenital and the other is acquired. Among them, congenital pigeon chest and funnel chest both involve hereditary factors. Additionally, if the central attachment point of the diaphragm in a child is underdeveloped, it can also cause pigeon chest, which is also a congenital cause. Moreover, the acquired causes mainly include malnutrition and some specific thoracic diseases. Malnutrition is often related to rickets. Acquired thoracic diseases involve some diseases of the thoracic cavity, for example, pyothorax leading to flat chest, chest wall deformity, as well as some congenital heart diseases, heart enlargement, which then compresses the sternum causing it.

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Nutrition Science
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Can eating chicken breast help with weight loss?

During weight loss, if liver and kidney functions are normal, we can recommend a high-protein diet to our patients. This type of diet is characterized by a noticeable weight loss effect. In the high-protein diet, it is required that patients should opt for high-protein foods more frequently and whey protein can be added if necessary. Among high-protein foods, we recommend that patients use skinless chicken breast because it is rich in leucine, which is beneficial for fat reduction and muscle gain, thus it should be chosen more often during weight loss. During weight loss, it is also important to ensure a balanced diet and variety in food choices. We also suggest that patients can incorporate whole grains, skim milk, boiled eggs, lean beef, steamed fish, beans and their products, fresh green leafy vegetables, and low-sugar fruits, among others. Additionally, forming a good habit of exercising is essential to maintain an ideal weight.