DEFORMATIONS OF THE CHEST

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DEFORMATIONS OF THE CHEST
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• pectus infundibuliforme

• PECTUS CARINATUM

CHEST WALL ABNORMALITY

• PECTUS EXCAVATUM

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PECTUS CARINATUM
PECTUS CARINATUM

• Congenital deformation (rarely)
• Acquired deformation

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PECTUS CARINATUM
CHARACTERISTICS

• protrusion of the sternum and ribs.

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• The sternum is protruded and it pulls the ribs
  forward. Therefore the chest is fletted
  laterally.

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• Hart and lungs usually develop normally, but
  there could be some problems with their
  functioning.

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CAUSES
PECTUS CARINATUM

• Rachitis
• Pertussis
• Tuberculosis of the thoracic vertebra
• After a bad reposition of the fractured sternum.

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THERAPY
PECTUS CARINATUM

• Firstly solve the cause (antirachitic therapy),
• CONSERVATIVE TREATEMENT
• Braces (passive)
• Kinesitherapy (active)
• SURGICAL TREATEMENT (rarely)

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PECTUS CARINATUM
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PECTUS CARINATUM
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PECTUS CARINATUM

• Kinesitherapy
• Respiration exercises prolonged inhalation
• Strengthening of the abdominal muscles

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PECTUS EXCAVATUM
PECTUS EXCAVATUM

• Congenital (usually)
• Acquired (rarely)

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• It may develop on the xifoidal processus or on
  the sternum body.

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PECTUS EXCAVATUM

• Internal organs may change position

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CAUSES
PECTUS EXCAVATUM

• Fetal position
• Lack of space in the uterus in the case of twins
• The retrosternal and suprasternal ligaments drug
  the procesus xifoideus inside.

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THERAPY
PECTUS CARINATUM

• CONSERVATIVE TREATEMENT
• Kinesitherapy
• SURGICAL TREATEMENT (very often)

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DEVELOPMENT
10 MONTHS
6 WEEKS
17 MONTHS
4,7 YEARS
11,8 YEARS
9 YEARS
9,10 YEARS
7,10 YEARS
14 YEARS
14 YEARS
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PECTUS EXCAVATUM

• SURGICALTREATEMENT

BEFORE SURGERY
BEFORE SURGERY
AFTER SURGERY
AFTER SURGERY
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1 WEEK AFTER SURGERY
1 MONTH AFTER SURGERY
3 MONTHS AFTER SURGERY
7 MONTHS AFTER SURGERY
1 YEAR AFTER SURGERY
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• CONSERVATIVE TREATEMENT

• Kinesitherapy
• Respiration exercises prolonged exhalation
• Strengthening of the back muscles
• Strengthening of the abdominal muscles