Rare case of rib-like ossification arising from a Y-shaped fourth costal cartilage

I report a rare anatomical variant observed in a male cadaver in his 70s on postmortem computed tomography. The left fourth costal cartilage showed Y-shaped branching, with one branch exhibiting ossification that formed a rib-like structure extending laterally and terminating anteriorly in the third intercostal space. This ossified structure was continuous with the costal cartilage anteriorly but notably lacked continuity with the vertebral end of the rib or other posterior skeletal elements. Additionally, a costal cartilage foramen was incidentally observed in the right third rib, representing a potentially underrecognized anatomical variant. To the best of my knowledge, this specific configuration of Y-shaped cartilage branching with partial ossification and anterior truncation has not been previously described. Despite its uncertain clinical significance, the distinctive morphology may be valuable for personal identification using forensic imaging.

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Publication Details

Journal
Radiology Case Reports
Published
2025-10-04
DOI
https://doi.org/10.1016/j.radcr.2025.09.023
Primary Topic
Bone Tumor Diagnosis and Treatments
Type
article
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article

Rare case of rib-like ossification arising from a Y-shaped fourth costal cartilage

Akihito Usui
Radiology Case Reports
Bone Tumor Diagnosis and Treatments
article

Rare case of rib-like ossification arising from a Y-shaped fourth costal cartilage

Akihito Usui
article en

Abstract

I report a rare anatomical variant observed in a male cadaver in his 70s on postmortem computed tomography. The left fourth costal cartilage showed Y-shaped branching, with one branch exhibiting ossification that formed a rib-like structure extending laterally and terminating anteriorly in the third intercostal space. This ossified structure was continuous with the costal cartilage anteriorly but notably lacked continuity with the vertebral end of the rib or other posterior skeletal elements. Additionally, a costal cartilage foramen was incidentally observed in the right third rib, representing a potentially underrecognized anatomical variant. To the best of my knowledge, this specific configuration of Y-shaped cartilage branching with partial ossification and anterior truncation has not been previously described. Despite its uncertain clinical significance, the distinctive morphology may be valuable for personal identification using forensic imaging.

Radiology Case ReportsVol. 21(1)
Tohoku University (JP)
Openalex Percentile: Top 60%
Bone Tumor Diagnosis and Treatments
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