Cervical rib
ICD-10 Q76.5 is a billable code used to indicate a diagnosis of cervical rib.
Cervical rib is a congenital anomaly characterized by the presence of an additional rib that arises from the cervical vertebrae, typically the seventh cervical vertebra. This condition can lead to various complications, including thoracic outlet syndrome, which may manifest as pain, numbness, or weakness in the upper extremities due to compression of the brachial plexus or subclavian vessels. Cervical ribs can be asymptomatic or may present with symptoms that necessitate surgical intervention. Diagnosis is often made through imaging studies such as X-rays or MRI, which reveal the presence of the cervical rib. The condition is associated with other congenital malformations, particularly those affecting the musculoskeletal system, such as scoliosis or limb reduction defects. Understanding the implications of cervical ribs is crucial for pediatric patients, as early detection and management can significantly improve outcomes and quality of life.
Pediatric documentation should include a detailed history of symptoms, physical examination findings, and any imaging results. It is essential to document the impact of the cervical rib on the child's daily activities and any interventions undertaken.
Common scenarios include a pediatric patient presenting with upper extremity pain or weakness, or a routine examination revealing an incidental finding of a cervical rib on imaging.
Special considerations include the potential for associated congenital conditions and the need for a multidisciplinary approach to management.
Genetic documentation should include family history, any known genetic syndromes, and results from genetic testing if applicable. It is important to assess for syndromic associations with cervical ribs.
Genetic counseling may be warranted for families with a history of congenital anomalies, particularly if there are multiple affected family members.
Considerations include the evaluation of chromosomal abnormalities that may be associated with cervical ribs and the implications for family planning.
Performed in symptomatic patients with cervical rib causing thoracic outlet syndrome.
Operative report detailing the indication for surgery and findings.
Pediatric surgeons may need to consider growth and development in surgical planning.
Common symptoms include upper extremity pain, numbness, weakness, and in some cases, vascular symptoms due to compression of the subclavian artery or vein.
