Pectus carinatum (pigeon chest) is a condition where the front of the chest is prominent. This is caused by abnormally shaped ribs.

Why does it occur?

In most people, it occurs following a growth spurt. Typically, this happens as young people are in late primary education and entering secondary (9-14 years). It is caused by abnormal growth of the cartilage ribs that attach to the sternum (breast bone). It may occur in younger children. Rarely there may be a genetic explanation for the condition (e.g. Marfan’s Syndrome).

How will it affect me?

In most cases, there is no obvious effect apart from the appearance of your chest. Occasionally, people may also have a curvature of their spine (1 in 10).

How common is it?

It is difficult to be exact but we think it occurs in less than 10 people per 1000 in the UK. Boys are affected 4 times as often as girls.

How is it diagnosed?

Diagnosis is made by looking at your chest. Rarely, other tests may be necessary to look at your heart and lungs, especially if considering surgery.

What is the treatment

There are 3 main treatment options:

• For the mildest cases, physiotherapy assessment and advice, aimed at improving posture, core strength and breathing are usually adequate.
• For the majority of those affected, we offer Dynamic Bracing.
• Surgery is normally reserved for the most severe cases. Typically, this will follow a period of dynamic bracing that has failed or not been tolerated. After completing full assessment and if deemed suitable, we undertake the Modified Ravitch Operation.