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Use of a novel maximum protrusion index to describe severe pectus carinatum
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Read the article on jpedsurg.org ↗Article · Sep 2025 · 1 min read
In brief
In brief
This study addresses the lack of standardized severity grading for pectus carinatum by introducing the Maximum Protrusion Index (MPI), a novel measurement that captures the point of maximal chest protrusion. Unlike the traditional Haller Index, which underestimates deformity, MPI aims to improve clinical decision-making and facilitate insurance approvals for treatment.
- Current Haller Index underestimates pectus carinatum severity by measuring to posterior sternum instead of maximal protrusion point.
- Lack of standardized PC severity grading creates barriers for clinical decision-making and insurance authorization.
- Maximum Protrusion Index (MPI) offers a more accurate measurement by targeting the point of greatest chest wall deformity.
- Novel MPI metric may improve objective assessment and treatment planning for severe pectus carinatum cases.
Written by the GCMD Library team from the article.
The absence of standardized criteria for grading pectus carinatum (PC) severity hampers clinical decision-making and insurance approvals. Although the Haller Index (HI) is frequently used, it underestimates deformity by measuring the distance to the posterior sternum rather than the point of maximal protrusion. This study introduces the Maximum Protrusion Index (MPI), a novel metric designed to more accurately reflect PC severity.
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