Frequency of Cervical Ribs in Healthy Asymptomatic Adolescents and Adults, Detected on Chest Radiograph for Medical Fitness Examination at CMH Lahore

Nisar Ahmed; Muhammad Ali Zul Hasnain; Hassan Riaz; Zimar Arshad; Khadijah Tul Kubra; Khushboo Fatima

doi:10.51253/pafmj.v72i4.6641

Authors

Nisar Ahmed Combined Military Hospital, Lahore/National University of Medical Sciences (NUMS) Pakistan
Muhammad Ali Zul Hasnain Combined Military Hospital, Lahore/National University of Medical Sciences (NUMS) Pakistan
Hassan Riaz Combined Military Hospital, Lahore/National University of Medical Sciences (NUMS) Pakistan
Zimar Arshad Combined Military Hospital, Lahore/National University of Medical Sciences (NUMS) Pakistan
Khadijah Tul Kubra Combined Military Hospital, Lahore/National University of Medical Sciences (NUMS) Pakistan
Khushboo Fatima Combined Military Hospital, Lahore/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v72i4.6641

Keywords:

Cervical Ribs, Chest radiograph, Elongated transverse process, Frequency, Prevalence, Thoracic outlet syndrome (TOS)

Abstract

Objective: To determine the frequency of cervical ribs on chest radiographs of asymptomatic candidates undergoing medical fitness.

Study Design: Cross-sectional study.

Place and Duration of Study: Radiology Department Combined Military Hospital Lahore Pakistan from Feb 2020 to Mar 2021.

Methodology: The study was conducted on 4247 chest radiographs of candidates who reported to CMH Lahore for medical examination. The latest chest radiographs of candidates reporting for medical examinations in the CMH Lahore were included. Technically poor radiographs were excluded.

Results: The frequency of cervical ribs was 136 (3.2%) with 14 (5.6%) females and 122 (3.1%) male cases. Among cervical ribs cases, 85 (62.5%) were bilateral, and 51 (38%) were unilateral. Among unilateral cervical ribs, 28 (55%) were right-sided, and 23 (45%) were on the left side.

Conclusion: The frequency of cervical ribs is comparatively higher than in most international studies. The frequency of bilateral cervical ribs and type 4 cervical ribs are higher in females than males.