Prevalence of cervical ribs and elongated transverse processes in Kashmiri population

Authors

  • Mudasir Hamid Bhat Department of Radiology, Government Medical College, Srinagar, J&K
  • Tariq Abdullah Mir Department of Medicine, Government Medical College, Srinagar, J&K
  • Ishtiyaq Abdullah Department of Orthopaedics, Government Medical College, Srinagar, J&K

DOI:

https://doi.org/10.18203/2320-6012.ijrms20151437

Keywords:

Cervical rib, Transversomegaly, Hox gene

Abstract

Background: The aim of this study was to describe the prevalence of cervical ribs and elongated transverse process in the Kashmiri population.

Methods: We reviewed 2000 chest x rays of adult patients which were done in a period of 4 months in the department of Radiology, Govt Medical College Hospital, Srinagar, J& K.

Results: The diagnosis of cervical rib was made in a total of 50 radiographs with a prevalence of 2.67%. The prevalence of cervical rib was higher in females (3.1%) as compared to males (2.1%). A total of 67 cervical ribs were seen in 50 patients. Unilateral cervical rib was seen in 33(66.0%) patients, right sided in 20(40.0%) and left sided in 13(26.0%). Bilateral cervical ribs were seen in 17(34.0%) patients. Elongated transverse process was seen in 280 patients constituting a prevalence of 14.96%. The prevalence in females (17.95%) was higher than males (12.15%).

Conclusions: Prevalence of cervical rib and C7 transversomegaly is high in Kashmiri population. Similar results have been noted in Saudi population. Thus it is concluded that in the populations with higher rates of consanguinity, there is high probability of occurrence of cervical ribs because of HOX gene mutations. There is need for many more well designed studies to prove this association. Keeping in mind the high prevalence of cervical rib, patients with unexplained cervical pain need to be evaluated for this entity.

 

References

Brewin J, Hill M, Ellis H. The prevalence of cervical ribs in a London population. Clin Anat. 2009;22(3):331–6.

Gulekon IN BC, Turgut HB. The prevalence of cervical rib in Anatolian population. Gazi Med J. 1999;10:149–52.

Steiner HA. Roentgenologic manifestations and clinical symptoms of rib abnormalities. Radiology. 1943;40:175–8.

Roos DB. Congenital anomalies associated with thoracic outlet syndrome: anatomy, symptoms, diagnosis, and treatment. Am J Surg. 1976;132:771–8.

Bots J, Wijnaendts LC, Delen S, et al. Analysis of cervical ribs in a series of human fetuses. J Anat. 2011;219:403– 09.

Wellik DM, Capecchi MR. Hox10 and Hox11 genes are required to globally pattern the mammalian skeleton. Science. 2003;301:363-7.

Merks JH, Smets AM, Van Rijn RR, Kobes J, Caron HN, Maas M. Prevalence of rib anomalies in normal Caucasian children and childhood cancer patients. Eur J Med Genet. 2005;48:113-29.

Schumacher R, Mai A, Gutjahr P. Association of rib anomalies and malignancy in childhood. Eur J Pediatr. 1992;151:432-4.

Etter LE. Osseous abnormalities of the thoracic cage seen in forty thousand consecutive chest photoroentgenograms. Am J Roentgenol. 1944;51:359-63.

Pionnier R, Depraz A. [Congenital rib abnormalities; statistical study of 10,000 radiographs]. Radiol Clin. 1956;25:170-86.

Steiner HA. Roentgenologic manifestations and clinical symptoms of rib abnormalities. Radiology. 1943;40:175-8.

Gulekon IN, Barut C, Turgut HB. The prevalence of cervical rib in Anatolian population. Gazi Med J. 1999;10:149-52.

Bokhari RF Al-Sayyad MJ, Baeesa SS. Saudi Med J. 2012;Vol. 33 (1):66-9.

Sharma DK, Vishnudutt, Sharma V, Rathore M. Indian Journal of Basic and Applied Medical Research. 2014:3( 2):593-7.

Downloads

Published

2017-01-17

How to Cite

Bhat, M. H., Mir, T. A., & Abdullah, I. (2017). Prevalence of cervical ribs and elongated transverse processes in Kashmiri population. International Journal of Research in Medical Sciences, 3(12), 3763–3765. https://doi.org/10.18203/2320-6012.ijrms20151437

Issue

Section

Original Research Articles