Ask your questions here > Q&A

Non-Surgical Treatment For Pectus Carinatum: Pectus Carinatum Orthosis


Pectus Carinatum Orthosis

For non-surgical treatment Pectus Carinatum developed  mechanical systems, generally it is called pectus carinatum orthosis they are of different working principles and designs.

We like the system, produced in Russia.

The system is available in two versions.

Orthotics, Spinal, Rigid Supports

  • Provides increased anterior/posterior  directed  corrective  compression forces
  • hard metal components, rigid form, size adjustment
  • compression presses only front and rear, does not act on the sides, which is very important
  • Washable foam pads increase patient comfort
  • Ratchet closure

Indications: Abnormal chest shape, protrusion of both the sternum (breast bone) and the cartilage portion of the ribs, bowed chest (Pigeon breast)

The system is made individually to order

The system is available in two versions.

Pectus Carinatum Orthosis With Electronic Load Meter



Pectus Carinatum Orthosis Without Electronic Load Meter

Main material: Aluminium alloy, Foamed polymer

Warranty: 2 years

Detailed system description and photos you can download here.

Some Photos Of Pectus Carinatum Orthosis 

    pectus carinatum orthosis -3

You can print and discuss this document with your doctor.

To order a system, calculating the cost of manufacture and delivery, you need to download and fill and this doc document.

Pdf Document

After scan or photograph the document, send the files from manufacturer. Please firstly fill the  contact form below . Your submision is going to redirect manufacturer.




There Are Ten Size Of Vacuum Bell

​Mini 1 Vacuum Bell - 110 mm, round

Vacuum bell 11 cm 110mm-1

Vacuum bell 11 cm 110mm-2

Vacuum bell 11 cm children's model

​Mini 2 Vacuum Bell - 125 mm, round

Vacuum bell children's model 125-1

Vacuum bell children's model 125-2

​Middle 1 Vacuum Bell - 140 mm, round



​Middle 2 Vacuum Bell - 160 mm, round




​Middle 3 Vacuum Bell - 175 x195 mm, ellipse



​Big 1 Vacuum Bell - 190 mm, round




Large 2 Vacuum Bell with a place under the nipples - 210x260mm







Big 2 Vacuum Bell - 220 mm, round




Large 1 Vacuum Bell - 250mm, round



​Vacuum Bell Type Women (for breasts or for developed pectoral muscles)

Vacuum bell women Pectus Excavatum-1

Vacuum bell women Pectus Excavatum-2

Vacuum bell women Pectus Excavatum-3
Vacuum bell women Pectus Excavatum-4
Vacuum bell women Pectus Excavatum-5


What is Pectus Carinatum?

Pectus carinatum (or also called pigeon chest) is a condition that is not life-threatening. The breastbone is abnormally protruded outward, because of the rapid cartilage growth that is forcing the chest cavity outward. Mainly, the first symptoms are shown in the 11 or 12 years, and that this condition is diagnosed. But, also that doesn’t mean that the first symptoms can’t be shown earlier. Sometimes, they may be present from birth or in the early childhood.

Do You Need Pectus Carinatum Orthosis

It is more often to appear in boys, and also there is a possible heredity component. For most children, it is not dangerous. But sometimes it may cause few symptoms like difficulty breathing, asthma or some respiratory infections.


What causes pectus carinatum?

The exact cause of this condition is not known. Many doctors believe that is it caused by an issue that occurs between the connection of the ribs and the breastbone. They are guessing that the cartilage is growing faster than the bones. Due to this, the breastbone is pushed outward. Still, there are researches done in order to determinate the reason for the rapid growth of the cartilage.


What are the symptoms of pectus carinatum?

Most commonly this disorder is asymptomatic. This means that there are not any symptoms that may be noticeable and that may reveal the condition.

But in some cases, there might be some symptoms like

  • Asthma
  • Fatigue
  • Increased frequency of respiratory tract infections.
  • Difficulty breathing during physical activity
  • Rigidity of the chest wall with decreased lung compliance
  • Progressive emphysema
Do You Need Pectus Carinatum Orthosis

Types of Pectus Carinatum

This deformity can be classified in two ways:

  • Chondrogladiolar prominence (CG) and
  • Chondromanubrial prominence (CM).

The chondrogladiolar prominence pectus carinatum is more common, whether the other one – chondromanubrial prominence is really rear and difficult to treat.

People that are affected by chondrogladiolar prominence are having their middle and lower areas of the rib cage arch forward. It is easier to correct the ribs that are longer because they are more flexible. If the ribs are shorter, they are less flexible and harder to correct.

Chondromanubrial prominence pectus carinatus – CM is typically symmetrical and affects the upper rib. It is harder to fix this type of pectus carinatum because the ribs that are affected are shorter and less flexible.

Another type of classification of pectus carinatum is done by the cause and the time of onset. These kinds of classifications are:

  • Post-surgical – occurs when the sternum is operated and it doesn’t heal properly after the surgery or chest trauma
  • Congenital – the premature fusion of the chest cavity is present at birth
  • Idiopathic – this is the most common type of pectus carinatum, that mainly appears between the ages 11 and 15


When does the pectus carinatum become noticeable?

Pectus carinatum is diagnosed in roughly 1 per 1500 children. It happens more often in boys than it happens in girls. Usually, nothing is seen before the 11th or the 12th year. This doesn’t mean that is not occurring in younger kids, only the percentage of younger children is smaller.

The conditions get worse is the adolescence stage, when most of the symptoms are noticeable.

Do You Need Pectus Carinatum Orthosis

Are there any risk factors, and are there another medical complications that are related to pectus carinatum?

If there is a family history of this disorder or some other chest wall deformity, that increase the risk of getting pectus carinatum. Also, another factor that increases the risk is a connective tissue disorder like Marfan’s syndrome.

When diagnosed in infancy, it may also be seen with premature breastbone fusion and congenital heart disease. Pectus carinatum is also much more common in Caucasians than people of other races.


What is the long-term viewpoint?

Pectus carinatum is non-life-threatening. The majority of children who are diagnosed are having the ability to live normal lives. If the case is mild to moderate, there’s the possibility that no medical treatment will be necessary. For children who do require medical intervention, results can usually be visible within a short period of time.


How can be pectus carinatum diagnosed?

Pectus carinatum is mainly diagnosed by a physical examination. For further confirmation, a front and side chest X-ray is needed as part of the workup for this condition. Also, a CT scan and MRI scan may be asked in some cases.

If you are experiencing an irregular heartbeat, the doctor will ask you to do an electrocardiogram (EKG) or echocardiogram.


How is this deformity treated?



In the past years, some researchers are done about the exercise being a potential treatment for pectus carinatum.  These exercises target the muscles surrounding the protruding area and decrease the appearance of the outward chest cavity.

Still, the solution hasn’t been found yet. Before choosing this type of method is really important to speak firstly with your doctor.


Brace treatment does not require general anesthesia and surgery and does not leave an operative scar. The treatment is performed at an outpatient clinic. For the most accident of pectus carinatum, treatment may not be a necessity. The most frequent approach for mild to moderate cases that need to be treated is done with the usage of braces of the chest wall. This is done by custom fitting a circumferential external brace that puts sustained force on the most prominent portion of the sternum or cartilages in order to cause regression or flattening of the chest wall. You’ll need to wear the brace for at least eight hours