Cervical Rib

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Original Editor - Chelsea Mclene

Top Contributors - Chelsea Mclene, Aminat Abolade and Kim Jackson  

Introduction[edit | edit source]

Cervical rib is an extra rib[1] that forms above first rib[2] which grows from the base of the neck just above the collarbone. It can be on right, left or both sides and may be fully formed bony rib or a thin strand of tissue fibre. They vary in size and shape.

In few cases, people having cervical rib may develop thoracic outlet syndrome[3] because of pressure on the nerves that may be caused by the presence of the rib. Partially formed extra rib may end in a swelling that shows as a lump in neck or it may tail off into a fibrous band of tissue that connects to the first proper rib[4]. Most cases are not clinically relevant and do not have symptoms. They are generally discovered incidentally during x-rays and CT scans.[5]

A cervical rib represents a persistent ossification of the C7 lateral costal element. During early development, this ossified costal element typically becomes re-absorbed. Failure of this process results in a variably elongated transverse process or complete rib that can be anteriorly fused with the T1 first rib below.[6]

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Resources[edit | edit source]

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References[edit | edit source]

  1. Cervical Rib. Healthily. Available from https://www.livehealthily.com/neck-pain/cervical-rib [last accessed 05/11/2020]
  2. Cervical Rib. NHS. Available from https://www.nhs.uk/conditions/cervical-rib/ [ last accessed 05/11/2020]
  3. Dr. Colin Tidy. Cervical Rib. Thoracic outlet syndrome. Patient. Available from https://patient.info/bones-joints-muscles/cervical-rib-thoracic-outlet-syndrome [last accessed 05/11/2020]]
  4. Giles, Lynton G. F. (2009-01-01), Giles, Lynton G. F. (ed.), "Case 67 - Cervical ribs"100 Challenging Spinal Pain Syndrome Cases (Second Edition), Edinburgh: Churchill Livingstone, pp. 311–314, doi:10.1016/b978-0-443-06716-7.00067-0, ISBN 
  5. Guttentag, Adam; Salwen, Julia (1999). "Keep Your Eyes on the Ribs: The Spectrum of Normal Variants and Diseases That Involve the Ribs". RadioGraphics19 (5): 1125–1142. doi:10.1148/radiographics.19.5.g99se011125. PMID 10489169
  6. Tani, Edneia M.; Skoog, Lambert (2008-01-01), Bibbo, Marluce; Wilbur, David (eds.), "CHAPTER 22 - Salivary Glands and Rare Head and Neck Lesions"Comprehensive Cytopathology (Third Edition), Edinburgh: W.B. Saunders, pp. 607–632, ISBN.