Study of Cervical Ribs in Jalalabad, Afghanistan

Authors

  • Abdullah Jan Shinwari Lecturer, Anatomy Department, Medical Faculty, Nangarhar University, Afghanistan
  • Samiullah Sajad Lecturer, Radiology Department, Medical Faculty, Nangarhar University, Afghanistan
  • Mohammad Nasir Nasraty Lecturer, Anatomy Department, Medical Faculty, Nangarhar University, Afghanistan

DOI:

https://doi.org/10.53555/bp.v5i12.1177

Keywords:

Cervical Ribs, age, sex, Jalalabad

Abstract

Background and Purpose: cervical Ribs are congenital variants that are known to cause thoracic outlet syndrome or brachial plexopathy in up to 10% of the affected individuals. We investigated how often cervical ribs are present on cervical spine radiography to determine the incidence in humans and the percentage of reported cervical ribs.

The objectives of this study were to describe the prevalence of the cervical rib in people of the Eastern Region of Afghanistan Jalalabad, and association with gender and trying to assess any changes in the interim.

Methods: This is a cross-sectional hospital-based study that was conducted at Nangarhar University Teaching Hospital, in Radiology and Anatomy Department Jalalabad, Afghanistan in the period between January first, 2019 to August 2019. The study included a radiologic review of 800 sequential chest radiographs of adults from the Digital database looking for the presence of cervical ribs, 390(48.75%) were male and 410(51.25%) were female.

 Results and conclusion: We found 20 (2.5%) persons with cervical rib among 800, 8(40%) male and 12(60%) were female, out of the 5 (25%) left rib, 10(50%) right ribs and 5 (25%) bilateral, statistically There were unilateral predominance. A female to male ratio was 1.5 to 1.

Conclusion: The prevalence of cervical ribs in our population is a little more than that reported in other populations.

Given the potential clinical implication of these anatomic variants, Neuro physician &Radiologist will be more meticulous in Diagnosis cervical ribs when reviewing cervical spine Radiography.

Downloads

Download data is not yet available.

References

Cooper A. On exostosis in surgical essays. In: Cooper A, Travers B, editors. Surgical Essays. 3rd ed. London (UK): Cox and Son; 1818.

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.

Sanders RJ, Hammond SL, Rao NM. Thoracic outlet syndrome:a review. Neurologist 2008; 14: 365-373. Review.

Tubbs RS, Louis RG Jr, Wartmann CT, Lott R, Chua GD, Kelly D, et al. Histopathological basis for neurogenic thoracic outlet syndrome. Laboratory investigation. J Neurosurg Spine 2008; 8: 347-351.

Wellik DM, Capecchi MR. Hox10 and Hox11 genes are required to globally pattern the mammalian skeleton. Science 2003; 301: 363-367.

Corte G, Airoldi I, Briata P, Corsetti MT, Daga A, Massa A, et al. The homeotic gene products in the control of cell differentiation and proliferation. Cancer Detect Prev 1993; 17: 261-266

Merks JH, Smets AM, Van Rijn RR, Kobes J, Caron HN, Maas M, et al. Prevalence of rib anomalies in normal Caucasian children and childhood cancer patients. Eur J Med Genet 2005; 48: 113-129.

Steiner HA. Roentgenologic manifestations and clinical Symptoms of rib abnormalities. Radiology 1943; 40: 175-178.

Leffert RD. Thoracic outlet syndromes. Hand Clin. 1992 May: 8(2):285-97.

Roos DB. Thoracic outlet syndrome is under diagnosed. Muscle Nerve. 1999 Jan: 22(1):126-9, 137-8

Wilbourn AJ. Thoracic outlet syndrome is over diagnosed. Muscle Nerve. 1999 Jan:22(1):130-6,136-7.

Urschel HC, Kourlis H. Thoracic outlet syndrome: a 50-year experience at Baylor

Feugier P, Chevalier JM. The Paget Schroetter syndrome. Acta Chir Belg.2005May-Jun:105(3):256-64.

University Medical Center. Proc (Bayl Univ Med Cent) 2007 Apr: 20(2):125-135.

Colon E, Westdorp R. Vascular compression in the thoracic outlet. Age dependent normative values in noninvasive testing. J Cardiovasc Surg (Torino). 1988 Mar-Apr: 29(2):166-71.

Gulekon IN, Barut C, Turgut HB. The prevalence of cervical rib in Anatolian population. Gazi Med J 1999; 10:149-152.

Erken E, Ozer HT, Gulek B, Durgun B. The association between cervical rib and sacralization. Spine (Phila Pa 1976) 2002; 27: 1659-1664

Al Zahrani HA, Ezzaldin K, Abdulalaal A. Prevalence of cervical ribs in a Saudi population. J Bahrani Med Soc 1997; 1: 1-11.

Etter LE. Osseous abnormalities of the thoracic cage seen in forty thousand consecutive chest photoroentgenograms. Am J Roentgenol 1944; 51: 359-363.

Pionnier R, Depraz A. [Congenital rib abnormalities; statistical study of 10,000 radiographs]. Radiol Clin 1956; 25: 170-186. French.

Steiner HA. Roentgenologic manifestations and clinical symptoms of rib abnormalities. Radiology 1943; 40: 175-178

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: 11-16.

Brewin J, Hill M, Ellis H. The prevalence of cervical ribs in a London population. Clin Anat 2009; 22: 331-336.

Gilliatt RW, Le Quesne PM, Logue V, Sumner AJ. Wasting of the hand associated with a cervical rib or band. J Neurol Neurosurg Psychiatry 1970; 33: 615-624.

Sharma S, Kumar S, Joseph L, Singhal V. Cervical rib with stroke as the initial presentation. Neurol India 2010; 58: 645647.

Downloads

Published

2019-12-31

How to Cite

Shinwari , A. J., Sajad , S., & Nasraty , M. N. (2019). Study of Cervical Ribs in Jalalabad, Afghanistan. International Journal For Research In Biology & Pharmacy, 5(12), 15–21. https://doi.org/10.53555/bp.v5i12.1177