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Purpose <p>To describe the epidemiology and clinical presentation of children with pectus carinatum; and the outcome of their first hospital clinic appointment.</p> Methods <p>A single surgeon, retrospective cohort study of children presenting between 1998 and 2022. Demographic and clinical data were collected from the medical record.</p> Results <p>We present 430 children with pectus carinatum; 364 boys and 66 girls. Their asymmetry was identified at a median age of 11 years (range 0–16&#xa0;years). Girls developed carinae earlier than boys (10 vs 14 years, <i>p</i> = 0.003), were more likely to present with pain (44% vs 26%, <i>p</i> = 0.041) and were more likely to have a family history of chest wall deformity (33% vs 20%, <i>p</i> = 0.070). The majority (342, 69%) had an asymmetrical, isolated carinatum. Isolated carinae were mainly right dominant (174, 57%), conversely, mixed carinatum/ excavatum were typically left side dominant (10/15 vs 2/15, <i>p</i> = 0.008).</p> Conclusion <p>The clinical presentation of carinatum is heterogenous with apparent differences between males and females. A detailed history and examination are required; if clinicians record, in detail, the clinical context and morphology of the carinatum, a comparison of phenotype and outcome would become feasible. Simply stating "Carinatum" is not enough.</p>

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Epidemiology, presentation and aspirations in Pectus carinatum: a retrospective cohort study

  • 期刊论文

  • 发表日期：

    2025年12月27日

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  • Georgina M. Bough,
  • Lorna Johnston,
  • Christina Major,
  • Nicholas J. Lambert,
  • Eloise Streatfield,
  • Robert Wheeler

摘要

Purpose

To describe the epidemiology and clinical presentation of children with pectus carinatum; and the outcome of their first hospital clinic appointment.

Methods

A single surgeon, retrospective cohort study of children presenting between 1998 and 2022. Demographic and clinical data were collected from the medical record.

Results

We present 430 children with pectus carinatum; 364 boys and 66 girls. Their asymmetry was identified at a median age of 11 years (range 0–16 years). Girls developed carinae earlier than boys (10 vs 14 years, p = 0.003), were more likely to present with pain (44% vs 26%, p = 0.041) and were more likely to have a family history of chest wall deformity (33% vs 20%, p = 0.070). The majority (342, 69%) had an asymmetrical, isolated carinatum. Isolated carinae were mainly right dominant (174, 57%), conversely, mixed carinatum/ excavatum were typically left side dominant (10/15 vs 2/15, p = 0.008).

Conclusion

The clinical presentation of carinatum is heterogenous with apparent differences between males and females. A detailed history and examination are required; if clinicians record, in detail, the clinical context and morphology of the carinatum, a comparison of phenotype and outcome would become feasible. Simply stating "Carinatum" is not enough.