Published Dec 14, 2003
nurseygrrl, LPN
445 Posts
My uncle had a question for me last evening. He broke ribs a few times over his life and was concerned about pieces of rib that were missing being that he had pain and a lump in the lower left rib area. Anyhow, his doc told him not to worry because they take parts of your rib cage out during open heart surgery etc. and they grow back! huh? Is this true?
crankyasanoldma
131 Posts
I think he misunderstood the doc- no part of a missing bone will regenerate in the sense you are referring to.
I didn't think so either. I told my uncle that maybe the doc was joking around, but he said no. He said the doc told him that ribs are the only bones that do this.
TLC RN
575 Posts
Isn't bone a connective tissue that will regenerate or repair itself? Like what happens when you break a bone?...the tissue repairs itself by rejoin the two broken bone pieces??? So in theory some of the ribs should be able to regenerate...now if they took a whole rib out, I don't think the entire thing will grow back. But a small portion of it should regenerate itself.
Tootyx121~ I never thought of it that way. Good observation :)
jesusislife82
1 Post
A head-on impact with a fully laden fuel tanker at highway speeds1 is an experience I would hope for none to share. The surprise was to have survived it --God clearly had other plans for me.2
During the 5 ½ months in hospital, and for years afterwards, I had a series of operations to reconstruct various parts of me, particularly the bones of my face.3
These operations often required using my own bone for grafting. I noticed that the plastic surgeon would keep going back to the right side of my ribcage, through the same horizontal scar, actually, to get more bone for these procedures. One day, I asked him why he hadn't 'run out of bone'. He looked at me blankly, and then explained that he and his team took the whole rib out, each time. 'We leave the periosteum intact, so the rib usually just grows right back again'.
Despite having trained and practised as a family doctor, I was intrigued; I had never realised this before. The periosteum (the literal meaning of this word is 'around the bone') is a membrane that covers every bone-it's the reason you can get things stuck between your teeth while gnawing on a leg of lamb, for instance. The periosteum contains cells that can manufacture new bone. Particularly in young people, 'rib periosteum has a remarkable ability to regenerate bone, perhaps more so than any other bone'.4
Thoracic (chest) surgeons routinely remove ribs, and these often grow back, in whole or in part. A lot depends on the care with which the rib is removed; it needs to be 'peeled' out of its periosteum to leave this membrane as intact as possible. A major reason why the rib is the ideal situation for such regeneration is that the attached intercostal muscles provide it with a good blood supply.
When the surgeon originally told me this, my immediate thought was --'Wow, that's really neat, Adam didn't have to walk around with a defect!' In Genesis 2:21, referring to the creation of Eve, we read:
'And the Lord God caused a deep sleep to fall on Adam, and he slept. And He took one of his ribs, and closed up the flesh underneath.'
Surprisingly, some Christians have grown up believing that men have one less rib than women. They have the same number, of course. Some anti-creationists have used the fact that men don't have any missing ribs today to mock a literal Genesis.
For years before my accident, when asked about this, I would give a reply something like this: 'If your father had lost his finger in a circular saw, would you really expect all his children to have one less finger, too? Or all of his sons, but not his daughters? Of course not. The DNA instructions that are passed on from parent to child are in the form of a code, like writing-removing a rib (or finger) would not change the instructions on the code, so all the offspring will have all their ribs (or fingers).'
While all that is still very true and pertinent, this information about rib regrowth adds a new and fascinating dimension. God designed the rib, along with the periosteum. He would certainly have known how to remove the rib in such a way that it would later grow back, just as ribs still do today-without requiring any sort of special miracle.5
Adam would not have had any permanent area of weakness in his rib cage, but would have had, for all of the hundreds of years of his life, the same number of ribs that you and I have today.
KRVRN, BSN, RN
1,334 Posts
Fascinating. I guess your uncle's ribs could have regenerated.
begalli
1,277 Posts
I have broken two major bones in my body. Both bones have "bumps" where the bone grew to join and heal.
My left humerous has a slight bend to it and the bump has diminished over 35 years.
The space between my cracked collarbone is a big bump that consists of bone and calcifications. This is the result of new bone growing and reaching out to it's fractured end trying to join itself back together. For bone to heal it must be immobilized. Because it's impossible to immobolize a collarbone without surgically placing a plate and screws or wearing a body cast, the new bone could not join and my clavicle is considered a healed non-union fracture. It will be forever fractured - it clicks.
This is VERY common with collarbones (especially with athletes) as the surgery is much more risky than just living with a non-union. My rom on the fractured collarbone side is affected and my shoulders are bit asymetrical. (PLEASE - when opening your car door, check to make sure you are NOT flinging your car door open into the path of a bicyclist!).