Journal List > J Korean Orthop Assoc > v.43(4) > 1012819

Kim, Shon, Lee, and Kim: Cervical Rib Syndrome - 2 Cases Report -

Abstract

Cerivical rib syndrome, one of four common causes of thoracic outlet syndromes, have similar symptoms which accidentally discovered in simple x-ray and needs to be distinguished with other syndromes. Thoracic outlet syndromes are classified according to anatomical structures that causes symptoms; cervical rib syndrome, scalenus anticus syndrome, costoclavicular syndrome and hyperabduction syndrome. Various treatments for thoracic outlet syndromes have been introduced, such as; conservative care, excision of cervical rib and first rib and release of anterior scalenus muscle by supraclavicular approach and excision of cervical rib and first rib by axillary approach. We would like to report a case on a 16 years old girl and a 21 years old man who had cervical rib syndrome and treated successfully without excision of the first rib but excised cervical rib and released anterior scalenus muscle by supraclavicular approach.

Figures and Tables

Fig. 1
Simple X-ray shows 16 years old women with bilateral cervical ribs.
jkoa-43-510-g001
Fig. 2
3D CT, left distal cervical rib made pseudoarticular joint with left first rib.
jkoa-43-510-g002
Fig. 3
Cervical rib was excised by supraclavicular approach.
jkoa-43-510-g003
Fig. 4
Simple X-ray shows 21 years old man with bilateral cervical ribs.
jkoa-43-510-g004
Fig. 5
3D CT, shows right-side dominant cervical ribs.
jkoa-43-510-g005

References

1. Adson AW. Cervical ribs symptoms, differential diagnosis and indications for section of the insertion of the scalenus anticus muscle. J Int Coll Surg. 1951. 16:546–559.
2. Brannon EW. Cervical rib syndrome. An analysis of nineteen cases and twenty-four operations. J Bone Joint Surg Am. 1963. 45:977–998.
3. Dale WA, Lewis MR. Management of thoracic outlet syndrome. Ann Surg. 1974. 181:575–585.
4. Hempel GK, Rusher AH Jr, Wheeler CG, Hunt DG, Bukhari HI. Supraclavicular resection of the first-rib for thoracic outlet syndrome. Am J Surg. 1981. 141:213–215.
5. Ross DB. The palace for scalenectomy and first-rib resection in thoracic outlet syndrome. Surgery. 1982. 92:1077–1085.
6. Sällström J, Gjöres JE. Surgical treatment of the thoracic outlet syndrome. Acta Chir Scand. 1983. 14:555–560.
7. Smith KF. The thoracic outlet syndrome: a protocol of treatments. J Orthop Sports Physical Therapy. 1979. 1:89.
TOOLS
Similar articles