Prevalence of Coracoclavicular Joint in Northern India: Radiological Evidence

Chopra, Jyoti; Rani, Anita; Bajpai, Prashant Kumar; Manik, Punita

doi:10.7860/jcdr/2017/26371.10815

Cited by 6 publications

(15 citation statements)

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“…Since the identification of the joint depends on these, it could be responsible for differences in prevalence observed by different studies. The prevalence of joint was higher on left side in our study, in confirmation to findings of other authors [6,17], and it has been reported by many that unilateral occurrence of joint is more common than bilateral, however few studies reported bilateral occurrence as common one [3,18].…”

Section: Discussionsupporting

confidence: 92%

“…Among various population groups radiological studies report a lower prevalence [14], as compared to osteological (10%) [6,15] and cadaveric studies (30%) [12]. Studies from osteological material in a similar population group as ours, also reported a high prevalence of the joint 10% [4], & 16% [16], although it was less than the prevalence being reported in our study (21.8%), whereas a radiological study in a similar population group reported a much lower prevalence (3.37%) [17]. The occurrence of coracoclavicular joint can be recognized radiologically by the presence of an articular facet on a large bony prominence at the conoid tubercle, which is the radiological criterion for picking up this joint [8].…”

Section: Discussioncontrasting

confidence: 49%

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2018

JHUA

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Coracoclavicular (CCJ) joint a diarthrodial synovial articulation sometimes exists between the conoid tubercle of clavicle & superior surface of coracoid process. It presents with a variable frequency ranging between 0.55% and 30%. This unique entity is usually asymptomatic but may sometimes present with pain or predispose to arthritic changes in neighbouring joints of shoulder region. The study was undertaken to find out the prevalence of this joint in Indian population from osteological samples and included 500 scapulae; 250 right and 250 of left side. Evidence of CCJ was obtained in the form of definitive facets on superior surface of coracoid process. Presence of facets for joint was observed in 21.8% with a higher proportion on left side (26%) as compared to right (17.6%). Facets presented with a spectra of shapes and surface features. CCJ is not rare and likely to have an acquired etiology favoured by genetic and environmental factors.

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Section: Discussionsupporting

confidence: 92%

Section: Discussioncontrasting

confidence: 49%

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2018

JHUA

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“…14 In the study conducted by Chopra, though the joint was more frequently observed in male than female but there were no significant differences. 5 Few other studies also showed that there is no statistically significant difference between genders and the prevalence of CCJ. 10,13,15 The sexual dimorphism in the prevalence of CCJ is yet to be explored.…”

Section: Discussionmentioning

confidence: 94%

“…In a similar study by Chopra, prevalence of CCJ was significantly more on one side than both. 5 On the contrary, few survey reported that bilateral occurrence of joint was more common than unilateral. 10,11,15 Left sided CCJ was predominant in our study than right (p<0.05), which is in agreement with available literatures.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of Coracoclavicular Joint in Patients Visiting Radio-Diagnosis Department at College of Medical Sciences, Chitwan

2019

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Introduction: Coracoclavicular joint (CCJ) is a true synovial joint between superior surface of coracoid process of scapula and conoid tubercle of clavicle. The radiological prevalence of CCJ in various population ranges 0.55% to 21%. The CCJ are mostly discovered incidentally and is rarely associated with any symptom. Sometimes it may present with shoulder pain, limitation of shoulder movement, upper limb paresthesia and osteoarthritis of itself or adjacent acromioclavicular joint. Hence, this study is aiming to determine the prevalence of anomalous CCJ in patient visiting department of Radio-diagnosis in College of Medical Sciences, Bharatpur, Chitwan, Nepal and to observe association of CCJ with laterality, sides and gender. Methods: A total of 1936 digital chest x-rays films were observed for the presence of CCJ, out of which 1097 images were of male and 839 of females. Age of study population ranged from 3 to 90 years. The data obtained were analyzed using Stastical Package for Social Science version (SPSS) 16.0. The prevalence of CCJ was calculated. The cases with CCJ were further analyzed to evaluate the association of CCJ with laterality, sidedness and gender using Chi-square for one-dimensional “goodness of fit” test. Chi-square of Independence was employed to compare the various parameters (laterality and side) with genders. Results: The prevalence of CCJ was 4.6%. CCJ was more frequently observed in male (67.42%) than female (32.57%). Unilateral occurrence of CCJ (55.06%) was slightly more than bilateral (44.94%). Gender difference was not significantly associated with laterality and sidedness of joint (p<0.05). The incidence of CCJ was more in second decade of life in both male and female. Conclusion: CCJ is not rare, hence, knowledge of presence of CCJ as an etiology of shoulder pain is essential for rational therapy and will prevent misdiagnosis.

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A review of the coracoclavicular joint: Description, etiology, and clinical significance

Williamson

2023

Clinical Anatomy

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The coracoclavicular joint (CCJ) is a synovial joint that forms between the conoid tubercle of the clavicle and the coracoid process of the scapula in approximately 2.5% of the population. The number of bilateral to unilateral cases is almost equal.The number of right-sided and left-sided cases is also almost equal. It is found in both males and females but most often in male adults. Very few cases have been identified in juveniles. Found in populations all over the world, the highest frequencies of CCJ are in Asia. The etiology is unknown but it is most likely caused by metaplastic change of the trapezoid and surrounding tissue due to compression and friction of the coracoacromial ligament between the clavicle and coracoid process. Typically asymptomatic, but if so, the most common complaint is anterior should pain exacerbated by extreme abduction. Successful treatment includes steroid injection and surgical excision.

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Prevalence of Coracoclavicular Joint in Northern India: Radiological Evidence

Cited by 6 publications

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Prevalence of Coracoclavicular Joint in Patients Visiting Radio-Diagnosis Department at College of Medical Sciences, Chitwan

A review of the coracoclavicular joint: Description, etiology, and clinical significance

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