Extra Ribs: What It Means for Your Health - Orthopedics

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An extra rib?


Hello Doctor: When I was 18 years old, I went to the hospital for a lung examination due to difficulty breathing.
The doctor, while looking at my X-ray, mentioned that I had an extra rib and pointed it out to me; it was a short one.
I asked the doctor why I had an extra rib, and he said I should consult an orthopedic specialist.
However, since I didn't feel any discomfort, I didn't follow up with a doctor.
Now I'm curious to hear your thoughts on this matter.

Xuan, 10~19 year old female. Ask Date: 2018/05/07

Dr. Shi Guozheng reply Orthopedics


Having an extra rib does not affect breathing; further examination is only necessary if pain symptoms occur.

Reply Date: 2018/05/07

More Info


Understanding the presence of an extra rib, medically known as a cervical rib or a lumbar rib, can be an intriguing topic, especially since it often raises questions about its implications for health. In your case, having an additional rib identified during a chest X-ray at the age of 18 is not uncommon. Many individuals are born with anatomical variations, and the presence of an extra rib is one of them.

Cervical ribs are typically found above the first rib and can arise from the seventh cervical vertebra. They occur in about 0.5% to 1% of the population. While many people with a cervical rib may not experience any symptoms, in some cases, it can lead to complications. These complications can include thoracic outlet syndrome, where the extra rib compresses nerves or blood vessels in the neck and shoulder area, potentially causing pain, numbness, or weakness in the arms.

On the other hand, lumbar ribs are less common and are found below the last rib. They can also be asymptomatic but may occasionally lead to discomfort or complications depending on their size and location.

In your situation, since you mentioned that you have not experienced any symptoms related to the extra rib, it is likely that it is not causing any health issues. However, it is always a good idea to consult with a healthcare professional, particularly an orthopedic specialist or a thoracic surgeon, if you have concerns or if you start experiencing any unusual symptoms. They can provide a thorough evaluation and determine if any further action is necessary.

It's also worth noting that anatomical variations like extra ribs are generally benign and do not require treatment unless they cause significant symptoms or complications. If you are asymptomatic, your healthcare provider may simply recommend monitoring the situation.

In summary, while having an extra rib can be a source of curiosity, it is often a benign condition. If you are concerned about your health or the implications of having an extra rib, seeking a consultation with a specialist can provide peace of mind and clarity. Remember, maintaining open communication with your healthcare provider about any changes in your health is crucial for ensuring your overall well-being.

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