IJAR.2017.533
Type of Article: Original Research
Volume 6; Issue 1.3 (March 2018)
Page No.: 4994-4998
DOI: https://dx.doi.org/10.16965/ijar.2017.533
CERVICAL RIBS: A STUDY ON RADIOGRAPHS IN A TERTIARY CARE HOSPITAL OF ASSAM
Sushant Agarwal 1, Pradipta Ray Choudhury *2, Abhamoni Baro 3, Prabahita Baruah 4, Debabrat Nath 5.
1 Registrar, Department of Radiology, Gauhati Medical College and Hospital, Guwahati, Assam, India.
*2 Assistant Professor, Department of Anatomy, Silchar Medical College and Hospital, Silchar, Assam, India.
3 Senior Resident, Department of Endocrinology, Gauhati Medical College and Hospital, Guwahati, Assam, India.
4 Assistant Professor, Department of Anatomy, Silchar Medical College and Hospital, Silchar, Assam, India.
5 Radiographer, Department of Radiology, Gauhati Medical College and Hospital, Guwahati, Assam, India.
Corresponding Author: Dr.Pradipta Ray Choudhury, C/O Swapan Roy, House no.63, Lane No.1, 1st link Road, Silchar-788006, Cachar, Assam, India. M-9401359249, 9401269600. E-Mail:prcanatomist@gmail.com; prabahitabaruah@gmail.com
ABSTRACT:
Introduction: Cervical rib is the extra rib arises from the seventh cervical vertebra. The prevalence of cervical rib depends on the population. Cervical ribs are usually asymptomatic but may cause compression of subclavian artery and brachial plexus. Aim is to study the prevalence of cervical rib with associated gender, age group and laterality (body sides).
Materials and Methods: 8000 plain chest radiographs were studied from the month of January to March, 2017, in which 63 chest radiographs were found with cervical ribs. The particulars of the patients were recorded and data were tabulated and analysed.
Results: prevalence of the cervical rib was found to be 0.79% and female outnumbered male. Discussion: cervical rib is a less studied topic in this part of North-East India and thus, this study was conducted on chest radiographs of the patients of a tertiary hospital of this part of India.
Key words: Cervical Rib, Radiographs, Assam, Prevalence.
REFERENCES
- Spadliński L, Cecot T, Majos A, Stefanczyk L, Pietruszewska W, Wysiadecki G. The Epidemiological, Morphological, And Clinical Aspects Of The Cervical Ribs In Humans. Biomed Res Int. 2016;2016:1-7.
- Collin T, Cox J. Chest wall and Breast. In: Sandring S, ed. In: Grays Anatomy: The Anatomical Basis of Clinical Practice 41st New York: Elsevier Limited; 2016:935.
- Ebite LE, Igbigbi PS, Chisi JE. Prevalence of true cervical rib in adult Malawian population. J Anat. Sci. 2007;1(1):7–9.
- Erken E, Ozer HTE, Gulek B, Durgun B. The association between cervical rib and sacralization. Spine. 2002;27(15):1659–1664.
- Birch R. Thoracic Outlet Syndromes. In: Sandring S, ed. In: Grays Anatomy: The Anatomical Basis of Clinical Practice 41st Elsevier Limited; 2016:e63-64.
- Watkinson JC, Gleeson M. Neck. In: Sandring S. In: Grays Anatomy: The Anatomical Basis of Clinical Practice 41st Elsevier Limited; 2016:473.
- Sadler TW. Langman’s Medical Embryology. 13th Philadelphia: Wolters Kluwer; 2015:154.
- Galis F. Why do almost all mammals have seven cervical vertebrae? Developmental constraints, Hox genes, and cancer. J. Exp. Zool. 1999;285(1):19–26.
- Moore KL, Persaud TVN. The Developing Human: Clinically Oriented Embryology. 8th ed. Philadelphia: Saunders; 2009:350.
- Tubbs RS, Muhleman M, Miller J, et al. Cervical ribs with neurological sequelae in children: a case series. Childs Nerv Syst. 2012;28(4):605–608.
- Wellik DM. Hox genes and vertebrate axial pattern. Current Topics in Developmental Biology. 2009;88:257–278.
- Merks JHM, Smets AM, Van Rijn RR, et al. Prevalence of RIB anomalies in normal Caucasian children and childhood cancer patients. Eur J Med Genet. 2005;48(2):113–129.
- Tryfonidis M, Anjarwalla N, Cole A. Incidence of cervical rib in the white British population and direct comparison with the incidence in the Asian population: A radiological study. J Bone Joint Surg Br. 2010;92 Suppl 4:499.
- Bokhari RF, Al-Sayyad MJ, Baeesa SS. Prevalence of cervical ribs and elongated transverse processes in Saudi Arabia. Saudi Med J. 2012;33:66-9.
- Palma A, Carini F. Variation of the transverse apophysis of the 7th cervical vertebra: Anatomo-radiological study of an isolated population. Arch Ital Anat Embriol. 1990;95:11-6.
- Ezeofor SN, Njeze NR, Aghaji MN, Onuh AC, Obikili EN. The prevalence of cervical ribs in Enugu, Nigeria. Niger J Clin Pract. 2016;19:513-6.
- Sharma DK, Vishnudutt, Sharma V, Rathore M. Prevalence of ‘Cervical Rib’ and its association with gender, body side, handedness and other thoracic bony anomalies in a population of Central India. Int J App Basic Med Res. 2014; 3(2):593–597.
- Gupta A, Gupta DP, Saxena DK, Gupta RP. Cervical rib: It’s prevalence in Indian population around Lucknow (UP). J Anat Soc India. 2012; 61(2):189–191.
- Bhat M, Mir T, Abdullah I. Prevalence of cervical ribs and elongated transverse processes in Kashmiri population. Int. J. Res. Med. Sci. 2015; 12:3763–3765.
- Venkatesan V, Prabhu KP, Kumar BR, Joseph C. Incidence of cervical rib in Chennai population. World Journal of Medical Sciences. 2014; 10(3):250–253.
- Dashti G, Ghasemi N. Evaluation of neurovascular complication of cervical ribs. Anatomical Sciences. 2015; 12(3):111–114.
- Coote H. Exostosis of the left transverse process of the seventh cervical vertebra, surrounded by blood vessels and nerves; successful removal. Lancet. 1861; 1:360–361.
- Uruc V, Ozden R, Kalac A, Basarslan SK, Bayarogulları H. Four cases of unusual complete cervical ribs articulating with the hypertrophied scalene tubercle with different clinical presentations. Neurosurg Q. 2016; 26(1):75–79.