I. Epidemiology

  1. Incidence: 0.5 to 2%
  2. Gender predominance: Boys (3:1 ratio)

II. Causes

  1. Rickets
  2. Scurvy
  3. Marfan's Syndrome
  4. Occupationally acquired
    1. Example: Cobbler's Chest (shoe pressed against chest)

III. Associated Conditions

IV. Pathophysiology

  1. Deformed lower costal cartilages
  2. Results in retraction of chest wall toward spine
    1. Inferior Sternum
    2. Xiphoid process

V. Signs

  1. Opposite of Pectus Carinatum
  2. Mild: Oval pit near infrasternal notch
  3. Severe: Sinking of entire lower Sternum

VI. Complications

  1. Restrictive Lung Disease in severe cases

VII. References

  1. Degowin (1987) Bedside Exam, Macmillan, p. 274
  2. Murray and Nadel (2000) Respiratory Medicine, p. 2364-6

Images: Related links to external sites (from Google)

Ontology: Congenital funnel chest (C0016842)

Definition (MSH) A developmental anomaly in which the lower sternum is posteriorly dislocated and concavely deformed, resulting in a funnel-shaped thorax.
Concepts Congenital Abnormality (T019) , Disease or Syndrome(T047)
MSH D005660
ICD9 754.81
ICD10 Q67.6
SnomedCT 391982004, 123260001, 391986001, 74708002, 391987005, 157002004, 268348002, 45469009
English Chest, Funnel, Chests, Funnel, Excavatum, Pectus, Funnel Chest, Funnel Chests, Pectus Excavatum, Congenital funnel chest, FUNNEL CHEST, PECTUS EXCAVATUM, pectus excavatum (diagnosis), pectus excavatum, Cobbler's chest (disorder), Funnel breast, Hollowed breast, Funnel Chest [Disease/Finding], pectu excavatum, pectus recurvatum, funnel breast, excavatum pectus, chested funnel, congenital pectus excavatum, disorders excavatum pectus, Funnel chest, Pectus excavatum, Cobbler's chest, Pectus recurvatum, Trichterbrust, Congenital pectus excavatum, Congenital pectus excavatum (disorder), Pectus excavatum (disorder), funnel chest, congenital; funnel chest, excavatum; pectus, funnel chest; congenital, pectus; excavatum, Cobbler's chest -RETIRED-, Pectus excavatum [ambiguous][dup] (disorder)
Dutch trechterborst, cobbler's chest (schoenmakersborst), ingezakte borst, schoenmakersborst (pectus excavatum), congenitaal; trechterborst, excavatum; pectus, pectus; excavatum, trechterborst; congenitaal, pectus excavatum, Pectus excavatum, Schoenmakersborst
French Poitrine creuse, Thorax en entonnoir, Pectus excavatum
German Schusterbrust, eingefallene Brust, Pectus excavatum, Trichterbrust
Italian Torace da calzolaio, Petto incavato, Torace ad imbuto, Petto scavato, Pectus excavatum, Torace a imbuto
Portuguese Peito em funil, Tórax em funil, Tórax de sapateiro, Peito escavado, Pectus Excavatum, Tórax em Funil
Spanish Tórax excavado, Tórax de Cobbler, Pecho en embudo, Tórax en embudo, Funnel chest, pectus excavatum congénito, tórax en embudo, tórax en embugo (trastorno), tórax en embugo, tórax en embudo (trastorno), pecho en embudo congénito, pecho excavado, pectus excavatum (trastorno), pectus excavatum, pectus recurvatum, tórax de Cobbler - RETIRADO - (concepto no activo), tórax de Cobbler - RETIRADO -, tórax en embudo congénito (trastorno), tórax en embudo congénito, tórax infundibuliforme, Pectus excavatum, Pectus Excavatum, Tórax en Embudo, Torax en Embudo
Japanese コブラー胸, 先天性漏斗胸, ロウトムネ, コブラーキョウ, センテンセイロウトキョウ, カンボツキョウ, ロウトキョウ, カンボツムネ, 陥凹胸, 漏斗胸, 靴匠胸, 靴工胸
Swedish Trattbröst
Czech hrudník vpáčený, pectus excavatum, Nálevkovitý hrudník, Vpadlý hrudník, Pectus excavatum
Finnish Kuopparinta
Korean 오목가슴
Polish Klatka piersiowa lejkowata
Hungarian Emlő tölcsér, Cobbler-mellkas, Emlő hollowed, Pectus excavatum, Susztermellkas