V. Barchilon et al., FACTORS AFFECTING THE RATE AND PATTERN OF THE FIRST COSTAL CARTILAGE OSSIFICATION, The American journal of forensic medicine and pathology, 17(3), 1996, pp. 239-247
In the present study, the extent of costochondral ossification of the
first rib was determined from 78 chest roentgenograms of 13 healthy ma
le soldiers subjected to a periodic follow-up. Roentgenography was per
formed at a mean interval of 2.9 years over a 15-year period. Mean sub
ject age was 24 years at the commencement of the study and 37 years at
its termination. Our results show that ossification of the first cost
al cartilage may start early in adult life and progress at individual
rates. The ossification process proceeded from the costal toward the s
ternal end of the cartilage in an anteromedial direction. The morpholo
gical age-related changes ranged from the formation of small osseous i
slands in the cartilage to a complete ossification between the first r
ib and the sternum. The main conclusion of the study is that the degre
e of ossification of the first costal cartilage as an indicator of age
does not provide the precision necessary for anthropological or foren
sic studies.