Coraco-clavicular joints with situs inversus

Case contributed by Dr Shailaja Muniraju

Presentation

Routine health check up

Patient Data

Age: 40 years
Gender: Male
Modality: X-ray

Enlarged conoid tubercle of the clavicle is seen to articulate with tubercle on the dorsomedial surface of the coracoid process - Bilateral coraco-clavicular joints – normal variant.

The heart is positioned inversely with right sided aortic arch and gastric shadow, suggestive of dextrocardia with situs inversus.

Special thanks: Dr Anand H K.

 

Case Discussion

Coracoclavicular joint  is a true synovial diarthrosis and is a genetically determined anatomical structure.  Usually asymptomatic.

However they are prone to develop marginal osteophytic lipping, leading to shoulder pain.

 Radiologists must try look for this joint, in the differential diagnosis of unexplained shoulder pain. 

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Case Information

rID: 50613
Case created: 13th Jan 2017
Last edited: 14th Jan 2017
Inclusion in quiz mode: Included

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