Chest Wall Deformities
Chest Wall Deformities
Chest Wall Deformities
• 1. Pectus excavatum
• 2. Pectus carinatum
• 3. Poland’s syndrome
• 4. Sternal defects
• 5. Miscellaneous
•
Pectus excavatum
•
Associated with….
• Scoliosis
• Kyphosis
• Myopathy
• Marfan’s syndrome
• Cerebral palsy
• Tuberous sclerosis
•
It is well tolerated in infants and children.
•
Systolic murmur results from close proximity of the sternum
•
The maximum voluntary ventilation is lower than normal.
Types
Chondrogladiolar
(1) It is most common pectus
carinatum .
(2) It consists of anterior protrusion of the
body of sternum and lower costal
cartilages.
•
Mixed with excavatum and carinatum
It consists carinatumon one side and
excavatum on another side.
Chondromanubrial
(1) It is the most uncommon pectus carinatum.
(2) It consists protrusion of manubrium,
2nd and 3rd costal cartilages with
relative depression of the body and
sternum.
•
•
The etiology is unknown and genetic basis is favored.
heart disease.
•
Polands syndrome
It is present in 1/30000.
disease..
•
Spinal Defomity
Scoliosis &Kyphosis
Ankylosing spondylitis
Spinal Deformity
Coronal plane
Scoliosis
Sagittal plane
Lordosis
Kyphosis
Scoliosis
Pulmonary hypertension
Ankylosing spondylitis
Common in boys
Restriction of forward and lateral movement of spine
Schoebers test
Associated enthesitis