Notching of the ribs
Notching of the ribs (or rib notching) is a radiologic sign where the surface of the rib is deformed. It can be characterized as unilateral or bilateral, and should be differentiated between affecting the upper (superior) or lower (inferior) surface of the rib.
Causes
Inferior rib notching can be associated with
Blalock Taussig shunt
.
Causes of inferior rib notching by etiology:
Arterial:
Tetralogy of fallot
(TOF), absent pulmonary artery and pulmonary stenosis.
Venous: arteriovenous malformations of chest wall, superior vena cava or other central venous obstruction.
Neurogenic: intercostal neuroma,
poliomyelitis
.
Osseous: hyperparathyroidism, thalassemia, Melnick–Needles syndrome.[2]
Other causes of superior rib notching include:
collagen vascular disease, and hyperparathyroidism
.
References
- ^ LearningRadiology.com > Coarctation Of the Aorta Retrieved August 2010
- ^ "Medcyclopaedia - Rib notching". Retrieved 2010-04-15.