Rib & Sternum Anomalies Flashcards

1
Q

What is an Srb anomaly?

A

partial or complete fusion of 1st and 2nd rib

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2
Q

Does Srb anomaly occur anteriorly or posteriorly?

A

anterior ribs

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3
Q

What is the clinical significance of an Srb anomaly?

A

concern for TOS as it affects anterior scalene mm

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4
Q

What is the diagnosis?

A

Srb anomaly

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5
Q

What is the most common rib anomaly?

A

Lushka bifurcated rib

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6
Q

What is a Lushka bifurcated rib?

A

forked anterior aspect of rib

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7
Q

What is the clinical presentation of a Lushka bifurcated rib?

A

presents like a fixated rib, but without pain

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8
Q

What is the clinical significance of a Lushka bifurcated rib?

A

no clinical significance

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9
Q

What is a rib foramen?

A

an oval-shaped corticated “foramen” in the posterior lower rib

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10
Q

What is the clinical significance of a rib foramen?

A

no clinical significance

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11
Q

Name a differential diagnosis for a rib foramen

A

benign tumor (ABC or enchondroma)

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12
Q

What is an intrathoracic rib?

A

costal process that arises from the lateral vertebral body or posterior rib

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13
Q

Describe the typical location of an intrathoracic rib

A
  • most commonly in midthoracic spine
  • descends vertically within thorax in a curvilinear course tapering
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14
Q

What is rib synostosis?

A

early bony bridging/fusion on anterior or posterior, over a long segment of 2 or more ribs

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15
Q

Name an associated diagnosis for rib synostosis

A

block vertebrae or hemivertebrae

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16
Q

What is the name for ribs at the L1 vertebra?

A

gorilla ribs

17
Q

What is the diagnosis?

A

Lumbar rib

18
Q

What is the diagnosis?

A

Intrathoracic rib

19
Q

What is the diagnosis?

A

Rib synostosis

20
Q

What is the diagnosis?

A

Lushka bifurcated rib

21
Q

What is the diagnosis?

A

Rib foramen

22
Q

What is the most common deformity of the chest wall?

A

Pectus Excavatum

23
Q

What is pectus excavatum?

A

exaggerated anterior concavity of the sternum

24
Q

What are the potential causes of pectus excavatum?

A
  • most cases idiopathic
  • fetal alcohol syndrome
  • CT disorders (Marfan syndrome, Ehlers Danlos)
25
Q

What is the clinical significance of pectus excavatum?

A

most are incidental findings
- less rib excursion (rigid t/s) = diminished vital capacity
- possible cardiopulmonary insufficiency
- possible aneurysm formation (^ w/ CT disorders)

26
Q

What radiographic finding of pectus excavatum is seen on an AP view?

A

cardiac shift (complete L sided heart shadow)

27
Q

What causes cardiopulmonary insufficiency in a patient with pectus excavatum?

A

compression of right atrium and ventricle

28
Q

If you see a complete left-sided heart shadow on an AP view of the thoracic spine, what are you concerned about?

A

atelectasis (until you see lat t/s view)

29
Q

What is pectus carinatum?

A

sternum is bowed anteriorly

30
Q

What is the term used to describe the appearance of pectus excavatum?

A

“funnel chest”

31
Q

What is the term used to describe the appearance of pectus carinatum?

A

“pigeon breast chest”

32
Q

What condition is associated with pectus carinatum?

A

morquio’s syndrome

33
Q

What happens to the retrosternal space in a patient with pectus excavatum?

A

decreased

34
Q

What is the diagnosis?

A

Pectus excavatum

35
Q

Name a radiographic finding.

A

Cardiac shift
(Dx: Pectus excavatum)

36
Q

What is the diagnosis?

A

Pectus carinatum

37
Q

What is the diagnosis?

A

Pectus carinatum

38
Q

What is costochondral cartilage calcification?

A

Calcification of anterior rib
(Normal physiologic phenomenon)

39
Q

What is the diagnosis?

A

Costochondral cartilage calcification