Bifurcated or forked rib

Case contributed by Shailaja Muniraj
Diagnosis certain

Presentation

Routine health checkup

Patient Data

Age: 40 years
Gender: Male
x-ray

The anterior aspect of right 6th rib appears bifid.

Special thanks: Dr D Umashankar

Case Discussion

Bifid ribs are also called Luschka's rib. A very rare congenital abnormality. Usually of no clinical significance.

More common in males than females and occurs in the third and fourth ribs (incidence: third or fourth > fifth > sixth > second).

More common on the right than on the left side, However bilateral bifid ribs can also occur.

Two types have been identified:

  1. long and slender bifid spaces (fork type)
  2. rounded bifid spaces (hole type)

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