Bifid rib

Changed by Ahmed El-Saeid, 16 Jun 2019

Updates to Article Attributes

Body was changed:

Show markup changes

Bifid or forked ribs are uncommon. They are thought to occur in ~0.2% of the population and there may be a female as well as right-sided predilection ².

Clinical presentation

Usually asymptomatic, they may cause musculoskeletal pain or intercostal nerve entrapment. A bifid first rib is an uncommon cause of thoracic outlet syndrome.

Pathology

Associations

Bifid ribs can be seen in Gorlin (nevoid basal cell carcinoma) syndrome.

Forked ribs can also be seen with truncus arteriosus & tetrology of Fallot.

-<p><strong>Bifid </strong>or<strong> forked ribs</strong> are uncommon. They are thought to occur in ~0.2% of the population and there may be a female as well as right-sided predilection <sup>2</sup>.</p><h4>Clinical presentation</h4><p>Usually asymptomatic, they may cause musculoskeletal pain or intercostal nerve entrapment. A bifid <a href="/articles/first-rib">first rib</a> is an uncommon cause of <a href="/articles/thoracic-outlet-syndrome">thoracic outlet syndrome</a>.</p><h4>Pathology</h4><h5>Associations</h5><p>Bifid ribs can be seen in <a href="/articles/gorlin-syndrome">Gorlin (nevoid basal cell carcinoma) syndrome</a>.</p>
+<p><strong>Bifid </strong>or<strong> forked ribs</strong> are uncommon. They are thought to occur in ~0.2% of the population and there may be a female as well as right-sided predilection <sup>2</sup>.</p><h4>Clinical presentation</h4><p>Usually asymptomatic, they may cause musculoskeletal pain or intercostal nerve entrapment. A bifid <a href="/articles/first-rib">first rib</a> is an uncommon cause of <a href="/articles/thoracic-outlet-syndrome">thoracic outlet syndrome</a>.</p><h4>Pathology</h4><h5>Associations</h5><p>Bifid ribs can be seen in <a href="/articles/gorlin-syndrome">Gorlin (nevoid basal cell carcinoma) syndrome</a>.</p><p>Forked ribs can also be seen with truncus arteriosus & tetrology of Fallot.</p>

Sections changed:

Anatomy

ADVERTISEMENT: Supporters see fewer/no ads

{"current_user":null,"inclusions":[{"imageId":3526,"studyId":6389,"caseSlug":"bifid-rib","caption":"Case 1: left 6th bifid rib","thumbnail":"https://prod-images-static.radiopaedia.org/images/3526/ffdedbde47b514f13c5642d2f11cac_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":2399537,"studyId":19692,"caseSlug":"bifid-rib-1","caption":"Case 2: left 4th anterior bifid rib","thumbnail":"https://prod-images-static.radiopaedia.org/images/2399537/c87eca134a6f2e406b0054e44ac49c_big_gallery.jpg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":2487438,"studyId":20021,"caseSlug":"bifid-rib-2","caption":"Case 3: ultrasound - bifid right 3rd rib","thumbnail":"https://prod-images-static.radiopaedia.org/images/2487438/b2f4b73d935fc27ddb902117a722d3_big_gallery.jpg","isStack":false,"diagnosticCertainty":"confirmed_unsubstantiated"},{"imageId":5672101,"studyId":27341,"caseSlug":"bifid-rib-3","caption":"Case 4: right 5th bifid rib","thumbnail":"https://prod-images-static.radiopaedia.org/images/5672101/dd7757a625be1f2da2918851a2d529_big_gallery.jpg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":5807204,"studyId":27667,"caseSlug":"bifid-ribs","caption":"Case 5","thumbnail":"https://prod-images-static.radiopaedia.org/images/5807204/5e9df00c7e5885b83a4f3a899f8e83_big_gallery.jpg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":10841562,"studyId":35284,"caseSlug":"bifid-rib-4","caption":"Case 6","thumbnail":"https://prod-images-static.radiopaedia.org/images/10841562/297095b4ff267da3674178bc8c54e9d9f93bbf2dedc2c4541bf38e982c79744f_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":29330966,"studyId":58017,"caseSlug":"bifid-rib-5","caption":"Case 7","thumbnail":"https://prod-images-static.radiopaedia.org/images/29330966/99bbc16684c76502a7965d125e4ff0_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":41732204,"studyId":70610,"caseSlug":"bifid-rib-7","caption":"Case 8","thumbnail":"https://prod-images-static.radiopaedia.org/images/41732204/d17ecf1e2645bb906f973b70a2acbe_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":47441523,"studyId":76049,"caseSlug":"bifid-rib-8","caption":"Case 9","thumbnail":"https://prod-images-static.radiopaedia.org/images/47441523/0d7d0a10b45da3558bfb2d0e9805db_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":51623582,"studyId":81741,"caseSlug":"bifid-ribs-2","caption":"Case 10","thumbnail":"https://prod-images-static.radiopaedia.org/images/51623582/a8cb750a1942af2e062451e2877e1d_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":53156453,"studyId":93582,"caseSlug":"forked-rib","caption":"Case 11","thumbnail":"https://prod-images-static.radiopaedia.org/images/53156453/644a105c757b345385348ca4f979bc_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"not_applicable"},{"imageId":55431590,"studyId":108833,"caseSlug":"bifid-rib-15","caption":"Case 12","thumbnail":"https://prod-images-static.radiopaedia.org/images/55431590/349dce325f29823dac92ddfb08ef17ab7d2224541ac6a8d726b054b853f6bea3_big_gallery.jpeg","isStack":false,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":55685193,"studyId":110053,"caseSlug":"bifid-rib-16","caption":"Case 13","thumbnail":"https://prod-images-static.radiopaedia.org/images/55685193/440006_big_gallery.jpeg","isStack":true,"diagnosticCertainty":"confirmed_substantiated"}],"ddx_inclusions":[],"lang":"us"}

Updating… Please wait.

Unable to process the form. Check for errors and try again.

Thank you for updating your details.

Bifid rib

Updates to Article Attributes

Clinical presentation

Pathology

Associations

Articles

By Section:

By System:

Cases

Radiopaedia.org