{"id":29895,"date":"2026-01-21T14:14:55","date_gmt":"2026-01-21T14:14:55","guid":{"rendered":"https:\/\/pectusup.com\/?p=29895"},"modified":"2026-01-22T14:45:52","modified_gmt":"2026-01-22T14:45:52","slug":"how-is-pectus-excavatum-diagnosed","status":"publish","type":"post","link":"https:\/\/pectusup.com\/en\/how-is-pectus-excavatum-diagnosed\/","title":{"rendered":"How Is Pectus Excavatum Diagnosed? Step-by-Step Guide"},"content":{"rendered":"

<\/h2>\n

How Is Pectus Excavatum Diagnosed Step by Step?<\/strong><\/h2>\n

Pectus excavatum<\/strong> (a sunken breastbone) can look very different from one person to another. Diagnosis isn\u2019t just about appearance: doctors evaluate anatomy, symptoms, and how the chest shape may be affecting the heart, lungs, posture, and daily life. The exact work-up depends on age<\/strong>, severity<\/strong>, symptoms<\/strong>, and local clinical practice.<\/strong><\/p>\n

Below is a clear, step-by-step overview of the most common tests and why they\u2019re used.<\/p>\n

Step 1: Medical history and symptom check<\/strong><\/h3>\n

What happens:<\/strong> Your doctor (often a paediatric, thoracic, or chest wall specialist) will ask about:<\/p>\n

    \n
  • Shortness of breath, reduced exercise tolerance, chest discomfort<\/li>\n
  • Fatigue, palpitations, frequent respiratory infections<\/li>\n
  • Posture issues or back pain<\/li>\n
  • Psychosocial impact (confidence, anxiety, avoidance of activities)<\/li>\n<\/ul>\n

    Why it matters:<\/strong> Symptoms help determine whether further functional testing is needed and guide treatment priorities. Importantly, some patients have significant impact even when the indentation appears \u201cmild,\u201d and vice versa.<\/p>\n

    Step 2: Physical examination (and posture assessment)<\/strong><\/h3>\n

    What happens:<\/strong> The clinician examines:<\/p>\n

      \n
    • Depth and location of the depression<\/li>\n
    • Chest symmetry, rib flare, shoulder rounding<\/li>\n
    • Signs of associated conditions (e.g., hypermobility)<\/li>\n<\/ul>\n

      Why it matters:<\/strong> Physical findings help assess severity, identify asymmetry, and decide which imaging and functional tests are most appropriate.<\/p>\n

      Step 3: Photographs or surface scanning (optional but common)<\/strong><\/h3>\n

      What happens:<\/strong> Some clinics take standardized photos or use 3D surface scanning.<\/p>\n

      Why it matters:<\/strong> These tools document baseline anatomy and can help track changes over time or after treatment\u2014especially useful in growing adolescents.<\/p>\n

      Step 4: Chest imaging to understand anatomy<\/strong><\/h3>\n
        \n
      • \n
        A) Chest X-ray (often first)<\/strong><\/h5>\n<\/li>\n<\/ul>\n

        What it shows:<\/strong> A general view of chest shape and internal structures.
        \nWhy it matters:<\/strong> Quick screening and baseline documentation.<\/p>\n

          \n
        • \n
          B) CT scan (very common for surgical planning)<\/strong><\/h5>\n<\/li>\n<\/ul>\n

          What it shows:<\/strong> Detailed cross-sectional anatomy of the chest wall, heart, and lungs.
          \nWhy it matters:<\/strong> CT helps quantify severity and supports procedure planning. It\u2019s also commonly used to calculate indices (see next step).<\/p>\n

            \n
          • \n
            C) MRI (sometimes used instead of CT)<\/strong><\/h5>\n<\/li>\n<\/ul>\n

            What it shows:<\/strong> Detailed anatomy without ionizing radiation.<\/p>\n

            Why it matters:<\/strong> In selected centres\/patients, MRI can provide comparable planning information while reducing radiation exposure.<\/p>\n

            Step 5: Severity measurement (indices)<\/strong><\/h3>\n

            Clinicians often calculate measurements from CT or MRI to describe severity in a standardized way.<\/p>\n

            Common examples: <\/strong><\/p>\n

              \n
            • Haller Index (HI):<\/strong> Compares chest width to the distance between sternum and spine.<\/li>\n
            • Correction Index (CI):<\/strong> Estimates how much the sternum is displaced compared with a \u201cnormal\u201d position.<\/li>\n<\/ul>\n

              Why it matters:<\/strong> These metrics support objective assessment, help compare cases, and can contribute to treatment decisions\u2014always combined with symptoms and clinical judgment.<\/p>\n

              Step 6: Heart evaluation (when indicated)<\/strong><\/h3>\n
                \n
              • \n
                A) Echocardiogram (ultrasound of the heart)<\/strong><\/h5>\n<\/li>\n<\/ul>\n

                What it assesses:<\/strong> Heart structure and function, and whether the chest shape compresses or displaces the heart.
                \nWhy it matters:<\/strong> Helps understand any cardiac impact, especially if there are symptoms like palpitations or reduced exercise tolerance.<\/p>\n

                  \n
                • \n
                  B) ECG (electrocardiogram)<\/strong><\/h5>\n<\/li>\n<\/ul>\n

                  What it assesses:<\/strong> Heart rhythm and electrical patterns.
                  \nWhy it matters:<\/strong> Useful if palpitations or rhythm concerns exist, or as part of a preoperative assessment.<\/p>\n

                  Step 7: Lung and breathing tests (when indicated)<\/strong><\/h3>\n
                    \n
                  • \n
                    A) Pulmonary function tests (PFTs \/ spirometry)<\/strong><\/h5>\n<\/li>\n<\/ul>\n

                    What they assess:<\/strong> Lung volumes and airflow.
                    \nWhy it matters:<\/strong> Identifies restrictive patterns or breathing limitations that can influence management.<\/p>\n

                      \n
                    • \n
                      B) Exercise testing (sometimes)<\/strong><\/h5>\n<\/li>\n<\/ul>\n

                      What it assesses:<\/strong> How heart and lungs respond to exertion (e.g., cardiopulmonary exercise testing).
                      \nWhy it matters:<\/strong> Especially relevant for patients who feel limited during sports or physical activity.<\/p>\n

                      How this relates to treatment planning <\/strong><\/h3>\n

                      For patients being evaluated for surgical correction, imaging\u2014often a chest CT scan\u2014plays a key role in determining suitability and planning<\/strong>, because it provides the anatomical detail needed for a safe, controlled approach.<\/p>\n

                      Pectus Up\u00ae is designed as a minimally invasive, extrathoracic<\/strong> method (performed outside the thoracic cavity). As with any option, the decision must be made by a qualified surgeon after reviewing the full assessment.<\/p>\n

                      \n

                      Important note<\/strong><\/h3>\n

                      This information is for general education and does not replace medical advice. Only a qualified healthcare professional can determine which tests are appropriate and whether a specific treatment option is suitable for an individual patient.<\/p>\n<\/blockquote>\n<\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":29897,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[295,3],"tags":[],"class_list":["post-29895","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-frequent-questions","category-uncategorized"],"acf":[],"yoast_head":"\nHow Is Pectus Excavatum Diagnosed? 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