Coracoclavicular joint: clinical significance and correlation to gender, side and age

Objectives: The aim of this study was to evaluate the incidence of coracoclavicular joint in the Greek population, review the clinical significance for the orthopaedic surgeon and investigate differences between genders, sides and age that may contribute to a better understanding of the accessory joint development. Methods: The study was performed on the scapulae and claviculae of 140 dried skeletons taken from a local ossuary. After exclusion of damaged bones, the sample of the study consisted of 216 pairs of scapulae and claviculae. Each pair of bones was inspected for the existence of a definite articular facet on the conoid tubercle of the clavicle and also on the superomedial surface of the coracoid process of the scapula. A coracoclavicular joint was considered to be present only when both of these structures existed. Pearson’s chi-square test was used to investigate differences between the genders, sides and age of the specimens. Results: Coracoclavicular joint articular facets were found in 14 out of the 216 bone pairs examined (6.5%). A statistical significant difference was found only between the age groups. The coracoclavicular joint surfaces were significantly more frequently found in the elderly age group (p=0.002). No bones from the youngest age group (45–60 years old) demonstrated a coracoclavicular joint surface, whereas three bones from the median age group (61–75 years old) and 11 from the oldest age group (76+ years old) presented accessory joint surfaces. Conclusion: The findings of the present study favor those who claim that the coracoclavicular joint could be the result of degenerative changes. From a clinical point of view, this accessory joint may be incidentally noticed in a plain radiograph in asymptomatic patients, but has also been associated with various clinical manifestations of the shoulder region.

Kaynakça

Standring S, editor. Gray’s Anatomy: the anatomical basis of clinical practice. 39th ed. Philadelphia (PA); Elsevier Churchill Livingstone; 2005. p. 817–9.

Gumina S, Salvatore M, De Santis R, Orsina L, Postacchini F. Coracoclavicular joint: osteologic study of 1020 human clavicles. J Anat 2002;201:513–9.

Olotu Joy E, Oladipo GS, Eroje MA, Edibamode IE. Incidence of coracoclavicular joint in adult Nigerian population. Scientific Research and Essay 2008;3:165–7.

Cockshott WP. The geography of coracoclavicular joints. Skeletal Radiol 1992;21:225–7.

Cho BP, Kang HS. Articular facets of the coracoclavicular joint in Koreans. Acta Anat (Basel) 1998;163:56–62.

Nalla S, Asvat R. Incidence of the coracoclavicular joint in South African populations. J Anat 1995;186:645–9.

Vallois HV. Les anomalies de l’omoplate chez l’homme. Bulletins et Mémoires de la Société d’Anthropologie de Paris 1926;7:20–37.

Gruber W. Die Oberschulterhackenschleibentel (Bursae mucosae supracoradoideae). Memoire de l’Academie Imperiale des Sciences. Series 3, St. Petersburg VII; 1861. p. 1.

Mann RW, Hunt DR. Photographic regional atlas of bone disease: a guide to pathologic and normal variation in the human skeleton. 2nd edition. Springfield: Charles C. Thomas; 2005. p. 137–40.

Bainbridge D, Tarazaga SG. A study of the sex differences in the scapula. The Journal of the Royal Anthropological Institute of Great Britain and Ireland 1956;86:109–34.

Kaur H, Jit I. Brief communication: coracoclavicular joint in Northwest Indians. Am J Phys Anthropol 1991;85:457–60.

Pillay VK. The coraco-clavicular joint. Singapore Med J 1967;8: 207–13.

Lane AW. Some points in the physiology and pathology of the changes produced by pressure on the bony skeleton of the trunk and shoulder girdle. Guy’s Hospital Reports 1886;38:321–434.

Nehme A, Tricoire JL, Giordano G, Rouge D, Chiron P, Puget J. Coracoclavicular joints. Reflections upon incidence, pathophysiology and etiology of the different forms. Surg Radiol Anat 2004;26: 33–8.

Haramati N, Cook RA, Raphael B, McNamara TS, Staron RB, Feldman F. Coraco-clavicular joint: normal variant in humans – a radiographic demonstration in the human and non-human primate. Skeletal Radiol 1994;23:117–9.

Ma FY, Pullen C. A symptomatic coracoclavicular joint successfully treated by surgical excision. J Shoulder Elbow Surg 2006;15:e1–e4.

Frasseto F. Tre casi di articolazione coraco-clavicolare osservati radiograficamente sul vivente. Nota antropologica e clinica. Estratto da La Chirurgia degli organi in movimento. 1921;5:116–24.

Wertheimer LG. Coracoclavicular joint; surgical treatment of a painful syndrome caused by an anomalous joint. J Bone Joint Surg Am 1948;30A:570–8.

Del Valle D, Giordano A. Sindrome doloroso cervicobrachial originado por articulacion coracoclavicular. Operacion-curacion. Revista Argentina Norteamericana Ciencas Medicas 943;1:687–93.

Hama H, Matsusue Y, Ito H, Yamamuro T. Thoracic outlet syndrome associated with an anomalous coracoclavicular joint. A case report. J Bone Joint Surg Am 1993;75:1368–9.

Hall FJ. Coracoclavicular joint. Br Med J 1950;1:766–8.

Paraskevas G, Stavrakas ME, Stoltidou A. Coracoclavicular joint, an osteological study with clinical implications: a case report. Cases J 2009;2:8715.

Moore RD, Renner RR. Coracoclavicular joint. Am J Roentgenol Radium Ther Nucl Med 1957;78:86–8.

Saunders SR. Non-metric skeletal variation. In: Reconstruction of life from the skeleton. Iflcan MY, Kennedy KAR, editors. New York (NY): Alan R. Liss; 1989. p. 95–108.

Kaynak Göster

115 44

Arşiv
Sayıdaki Diğer Makaleler

Views of medical students on anatomy education supported by plastinated cadavers

SELİN BAYKO, İlda Sinem YARKAN, MURAT ÇETKİN, TUNÇ KUTOĞLU

Unusual enlargement of genial tubercle on cone beam computed tomography (CBCT): case report

GÜLDANE MAĞAT, Selçuk HAKBİLEN, Sevgi ÖZCAN ŞENER, ALPARSLAN ESEN

Persistent carotid-vertebrobasilar anastomoses: cases of proatlantal artery Type I and Type II

ÖZHAN ÖZGÜR, GÜNEŞ AYTAÇ, MUZAFFER SİNDEL, HAKKI TİMUR SİNDEL

Castration induces progressive increase in the carotid intima-medial thickness of the male rat

Isaac CHERUIYOT, Beda OLABU, Martin KAMAU, Kevin ONGETI, Pamela MANDELA

X-ray analysis of foramen rotundum for preliminary diagnosis of fossa pterygopalatina lesions

SELMA ÇALIŞKAN, EMRE CAN ÇELEBİOĞLU, Sinem AKKAŞOĞLU, MUSTAFA FEVZİ SARGON

Coracoclavicular joint: clinical significance and correlation to gender, side and age

Trifon TOTLİS, Georgios PAPAROİDAMİS, Konstantinos TRENTZIDIS, Nikolaos OTOUNTZIDIS, Maria PIAGKOU, Konstantinos NATSIS

Demonstration of craniocervical junction abnormalities for diagnosis of atlanto-occipital assimilation using MRI

Ali KOÇ, ÖZGÜR KARABIYIK, Turgut Tursem TOKMAK, Aysel ÖZAŞLAMACI, Mustafa ÖZDEMİR, Gamze TÜRK

Ultrasonographic assessment of spleen, kidney and liver size in licensed football players

MEHMET DEMİR, MURAT BAYKARA, Tolga YİĞİTKANLI, ADEM DOĞANER, MUSTAFA ÇİÇEK, BEHİYE NURTEN AKKEÇECİ, Atilla YOLDAŞ

Incidence of agger nasi and frontal cells and their relation to frontal sinusitis in a Turkish population: a CT study

ADNAN ÖZDEMİR, Serdar ARSLAN

Effect of decompressive surgery on spine balance in congenital lumbar kyphoscoliosis: anatomical aspect with a case report

VANER KÖKSAL, SEDA AVNİOĞLU