A Study of Calcification of Costal Cartilages (1st To 7th) In Different Age Groups and Its Effect on Chest Expansion in Both Male and Female
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Background: Costal cartilage calcification progresses with age and shows differences in sexual preponderance. Studies have been done on these parameters. But, few studies have been done encompassing both age, sex and effect of calcification on chest expansion. Aims: 1. To study the incidence of costal cartilage calcification in different age groups in both sexes. 2. To evaluate the effect of costal cartilage calcification on chest expansion in the same population. Materials and methods: Data was analyzed using Chi-Square test with yate’s correction in IBM SSPS statistics 24 and MS excel. Results: In our study, distribution of costal cartilage calcification in different age groups were 3 in the age group of 30-40 years (9%), 5 in 41-50 years (15%), 9 in 51-60 years (26%) &17 cases in 61 to 70 years (50%). The mean chest expansion was 2.331 with SD 0.827 with range of 1cm-4cm & Standard Error of Mean(SEM) 0.0832. Chi squared value was 19.042 with 1 degrees of freedom. Two tailed P value was <0.0001. Conclusions: In both male & female, costal cartilage calcification followed similar distributions with males (56%) being affected more than females (44%). Apart from the age group of 41-50 years, males were affected more than females in all age groups. In both genders, incidence of costal cartilage calcification was low in the age group of 30-40 years & gradually increased with age. Below the chest expansion range of 2.5 cm, the incidence of costal cartilage calcification increases significantly indicating its effect on chest wall rigidity. Since costal cartilage calcification significantly reduces chest wall flexibility with increasing age and increases workload of respiration, it is an important factor to be kept in mind while treating and evaluating the chest Xray of aged patients complaining dyspnea on exertion.
Authors and Affiliations
Dr. Koushik Ray, Dr. Jayati Bardhan, Dr. Kashi Nath Sarkar
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