Pectus carinatum is a condition in which the breastbone (sternum) of the chest juts out. This happens because several ribs and the breastbone grow abnormally.
Health care providers sometimes suggest that kids who are still growing wear a brace to help correct pectus carinatum.
It's a lightweight brace that's custom-made for a child. It wraps around the chest and puts pressure on the front part of the chest that sticks out.
Similar to how braces realign teeth, a chest brace will push the breastbone back to a normal position. Your child's health care provider will see your child regularly and adjust the pressure of the brace so it can work but still be comfortable.
Most kids will wear a brace for 6 months to a year, though some will need one for longer. They usually can remove it for sports, showering, and other activities, but usually must wear it for 8 hours a day or longer.
Help your child wear the brace exactly as recommended by your health care provider. This will help your child get the best results from it.
Usually, wearing the brace causes no problems. Occasionally, the skin under it can get a little red and irritated. This usually goes away on its own, but call your health care provider's office if:
Some kids can have mild discomfort after having the brace pressure adjusted. If your child is uncomfortable and your health care provider says it's OK, you can give acetaminophen (such as Tylenol® or a store brand) OR ibuprofen (such as Advil®, Motrin®, or a store brand) as directed.
Most kids do well with wearing their brace. The brace usually isn't noticeable under a shirt. But if your child struggles, try to be understanding. Work together to come up with solutions and incentives to get your child to wear the brace. And agree on the occasional "night off" for important events, like a dance or beach day.
Your care team is a resource — for you and your child. They are there to answer any questions and help you and your child get through the challenges of bracing and achieve the best result.
Reviewed by: Cynthia Reyes-Ferral, MD
Date Reviewed: 11-11-2017
