Type of Article : Case Report
Year: 2014 | Volume 2 | Issue 4 | Page No. 744-747
Date of Publication: 31-12-2014
DOI: 10.16965/ijar.2014.538
MULTIPLE OSSIFIED COSTAL CARTILAGES FOR 1ST RIB
Raghavendra D.R. *1, Nirmala D 2.
*1 Post graduate student, Department of anatomy, J J M Medical College, Davangere, Karnataka, India.
2Associate Professor, Department of anatomy, J J M Medical College, Davangere, Karnataka, India.
Address: Dr. Raghavendra D.R. Post graduate student, Department of anatomy, J J M Medical College, Davangere, 577004, Karnataka, India.
E-Mail: dr.raghavendra18@gmail.com
Abstract
Costal cartilages are flattened bars of hyaline cartilages. All ribs except the last two, join with the sternum through their respective costal cartilages directly or indirectly. During dissection for 1st MBBS students in the Department of Anatomy, JJMMC, Davangere, variation was found in a male cadaver aged 45 –50 years. Multiple ossified costal cartilages for 1st rib were present on left side. There were 3 costal cartilages connecting 1st rib to manubrium. There were two small intercostal spaces between them. The lower two small costal cartilages fused together to form a common segment which in turn fused with large upper costal cartilage. The large upper costal cartilage forms costochondral joint with 1st rib. All costal cartilages showed features of calcification. The present variation of multiple ossified costal cartilages are due to bifurcation of costal cartilage. It may cause musculoskeletal pain, intercostal nerve entrapment or vascular compression. Awareness of these anomalies are important for radiologists for diagnostic purpose and for surgeons for performing various clinical and surgical procedures.
KEY WORDS: Costal cartilage, Bifurcation of Rib, Sternum.
References
- Datta AK. Essentials of Human Anatomy,Part-1,9th ed.Kolkata: Current books international;2010.p.20.
- Singh I. Textbook of Human Osteology 2nd ed. New Delhi: Jaypee brothers; 2002.p.118.
- Moore KL, Dally AF, Agur AMR. Clinically Oriented Anatomy 5th ed. Philadelphia: Lippincott Williams & Wilkins;2006. p.81-88.
- Sinnatamby CS. Last’s Anatomy, regional and applied,11th ed. Edinburg: Churchill Livingstone; 2006. p.187.
- Datta AK. Essentials of Human embryology 6th ed. Kolkata: Current books international; 2010. p.280.
- Bergman RA, Afifi AK, Miyauchi R. Illustrated encyclopaedia of human anatomic variation: Opus V: Skeletal systems: Thorax: Anatomy atlases; http://www.anatomyatlases.org.
- Rai S, Gauba K. Jaw cyst-basal cell nevus-bifid rib syndrome: a case report. J Indian Soc Pedod Prev Dent 2007;25:137-139.
- Gorlin RJ, Goltz RW. Multiple nevoid basal cell epithelioma, jaw cysts and bifid rib syndrome. N Engl J Med 1960; 262: 908-912.
- Oostra RJ, Maas M.Bifid ribs and unusual vertebral anomalies diagnosed in an anatomical specimen. Gorlin syndrome?. Am J Med Genet A 2006; 140: 2135-2138.
- Schumacher R, Mai A, Gutjahr P. Association of rib anomalies and malignancy in childhood. Eur J Pediatr 1992;151:432-434.
- Song W, Kim S,Park D, Koh K. Bifid rib: anatomical consideration in three cases. Yansei Med J 2009; 50: 300-303.
- Kurihara Y, Yukushiji YK, Matsumoto J, Ishikawa T, Hirata K. The ribs: anatomic and radiologic considerations. Radiographics1999; 19: 105-119.
Raghavendra D.R., Nirmala D. MULTIPLE OSSIFIED COSTAL CARTILAGES FOR 1ST RIB. Int J Anat Res 2014;2(4):744-747. DOI: 10.16965/ijar.2014.538