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What Causes Curving Of Ribs Under Right Breast?

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Posted on Fri, 28 Aug 2015
Question: I have a rib that curves out further than the rest. It's directly under my right nipple but the XXXXXXX is furthest out between the nipple and sternum. It seems to have a little more give or sponginess than the others. I've had it since I was a little boy but I've noticed a weird dislocation kind of feeling around the rib when rotating the shoulder with the arm extended and up or level to the side. I'm wondering what could be cause of this.
doctor
Answered by Dr. Mukund Savaskar (3 hours later)
Brief Answer:
Rickety Ribs?With Prominent Costo-Chondral joints

Detailed Answer:
Provisional Diagnosis-Rickety Ribs?With Prominent Costo-Chondral joints

Hi,Dear thanks for the query to HCM virtual Clinic.

I studied your query in all the details put forth by you.
I understood your health concerns.
The problem of excess curving out of right nipple rib with extra sponginess bothers you since your childhood and more so lately.

Could you give me some more information as follows-
Did you have bossing frontal bones in the Childhood?
Did any time in past or know, you have knock or bend knees?
Could you send the photo of the part by uploading to HCM clinic.?
Besides this you are worried of the dislocation feeling around the rib while shoulder rotation.

Cause of the health problems you queried-
By the time I got these answers and updates I would use my experience and expertise to reply your worrying queries to cool you down.
Don't worry dear.Please following advise and try to understand its reasons and you would be relieved of your worries.

After review of these 2 complaints from you it seems that the exra curvature of the nipple rib is due to the extra prominence of the nipple rib due to the vit D deficiency since your child hood. And hence you seem to have Rickety Costo-Chondral joint with prominent 4th or 5 th rib just below your right nipple.

The weird feeling of dislocation is not be worried,as theses movements with shoulder joint rotation are normal and are due to the movements at the Cost-Chondral joint just outward from the sternum.
The extra sponginess or the little more give feeling is due to the movements at the Costo-Chondral joint there.
All these problems are due to the osteomalacia due to Vit D3 and Calcium deficiency.Reduced exposure to sunlight adds to it.

Treatment-
Consult your family doctor and take the following steps-
Xray of the Ribs / knee joints / wrist joints for confirming the diagnosis of Rickets
Start Tab Vit D3 with Calcium for 4-6 weeks time for adequate therapy
Sunbath for 15 minutes daily
This would resolve the issues over a time
So be rest assured that this would get reduced with the above treatment , which I would advise you to start immediately with the prescription from your family doctor.
Hope this would resolve your query with full satisfaction.
Welcome for any further query in this regard to ME by direct question at HCM.

Write excellent review and hit thanks, to narrate your experience ,which would improve my rating for many other visitor's to HCM.
Wishing you fast recovery.
Have a good day.
Dr.Savaskar M.N. XXXXXXX Surgical Consultant.
M.S.Genl-CVTS
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Mukund Savaskar

General Surgeon

Practicing since :1978

Answered : 3606 Questions

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What Causes Curving Of Ribs Under Right Breast?

Brief Answer: Rickety Ribs?With Prominent Costo-Chondral joints Detailed Answer: Provisional Diagnosis-Rickety Ribs?With Prominent Costo-Chondral joints Hi,Dear thanks for the query to HCM virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns. The problem of excess curving out of right nipple rib with extra sponginess bothers you since your childhood and more so lately. Could you give me some more information as follows- Did you have bossing frontal bones in the Childhood? Did any time in past or know, you have knock or bend knees? Could you send the photo of the part by uploading to HCM clinic.? Besides this you are worried of the dislocation feeling around the rib while shoulder rotation. Cause of the health problems you queried- By the time I got these answers and updates I would use my experience and expertise to reply your worrying queries to cool you down. Don't worry dear.Please following advise and try to understand its reasons and you would be relieved of your worries. After review of these 2 complaints from you it seems that the exra curvature of the nipple rib is due to the extra prominence of the nipple rib due to the vit D deficiency since your child hood. And hence you seem to have Rickety Costo-Chondral joint with prominent 4th or 5 th rib just below your right nipple. The weird feeling of dislocation is not be worried,as theses movements with shoulder joint rotation are normal and are due to the movements at the Cost-Chondral joint just outward from the sternum. The extra sponginess or the little more give feeling is due to the movements at the Costo-Chondral joint there. All these problems are due to the osteomalacia due to Vit D3 and Calcium deficiency.Reduced exposure to sunlight adds to it. Treatment- Consult your family doctor and take the following steps- Xray of the Ribs / knee joints / wrist joints for confirming the diagnosis of Rickets Start Tab Vit D3 with Calcium for 4-6 weeks time for adequate therapy Sunbath for 15 minutes daily This would resolve the issues over a time So be rest assured that this would get reduced with the above treatment , which I would advise you to start immediately with the prescription from your family doctor. Hope this would resolve your query with full satisfaction. Welcome for any further query in this regard to ME by direct question at HCM. Write excellent review and hit thanks, to narrate your experience ,which would improve my rating for many other visitor's to HCM. Wishing you fast recovery. Have a good day. Dr.Savaskar M.N. XXXXXXX Surgical Consultant. M.S.Genl-CVTS