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Cervical Rib Syndrome

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1. Arterial thoracic outlet syndrome caused by cervical ribs-an unusual case report. Full Text available with Trip Pro

Arterial thoracic outlet syndrome caused by cervical ribs-an unusual case report. Cervical ribs are rare conditions, occurring in 0.05% to 3.0% of the population. This manuscript reports a case of arterial thoracic outlet syndrome (ATOS) associated with this congenital anomaly.We report a 32-year-old female worker presenting pain in her left upper-extremity for 7 months. Her left hand became paler and cold when the temperature decreased, and the symptoms could not be eased through rest (...) , physiotherapy and drugs medication.Compression of left subclavian artery with axillary and brachial arteries thrombosis was confirmed by duplex ultrasound and computed tomography angiography. ATOS caused by cervical ribs was confirmed by medical history, physical examination, and imaging.The patients underwent acute thrombolysis and balloon angioplasty.Symptoms of pain and weakness disappeared after surgery. The patient had not experienced any apparent symptom recurrence at 1-year follow-up.Successful

2019 Medicine

2. Transaxillary decompression of thoracic outlet syndrome patients presenting with cervical ribs. (Abstract)

Transaxillary decompression of thoracic outlet syndrome patients presenting with cervical ribs. The transaxillary approach to thoracic outlet decompression in the presence of cervical ribs offers the advantage of less manipulation of the brachial plexus and associated nerves. This may result in reduced incidence of perioperative complications, such as nerve injuries. Our objective was to report contemporary data for a series of patients with thoracic outlet syndrome (TOS) and cervical ribs (...) managed through a transaxillary approach.We reviewed a prospectively maintained database for all consecutive patients who underwent surgery for TOS and who had a cervical rib. Symptoms, preoperative evaluation, surgical details, complications, and postoperative outcomes form the basis of this report.Between 1997 and 2016, there were 818 patients who underwent 1154 procedures for TOS, including 873 rib resections. Of these, 56 patients underwent 70 resections for first and cervical ribs. Cervical ribs

2018 Journal of Vascular Surgery

3. Rib Hyperostosis as a Risk Factor for Poor Prognosis in Cervical Spine Injury Patients with Diffuse Idiopathic Skeletal Hyperostosis. (Abstract)

Rib Hyperostosis as a Risk Factor for Poor Prognosis in Cervical Spine Injury Patients with Diffuse Idiopathic Skeletal Hyperostosis. Retrospective multi-center study.To identify the morphological features of costovertebral joints and ribs in surgically managed cervical injury patients with diffuse idiopathic skeletal hyperostosis (DISH) and to examine its impact on their vital prognosis.Several reports have indicated that DISH is an independent risk factor for mortality after spinal fracture (...) . The reason for the high mortality in cervical injury patients with DISH is unclear, although some reports have suggested a possible association between pulmonary complications and mortality.From 1999 to 2017, a total of 50 DISH patients (44 male) with cervical spine injuries who underwent spinal surgery were enrolled (average age 74 years). Prognosis and clinical risk factor data were collected; the morphological features of the patients' costovertebral joints and ribs were evaluated with computed

2019 Spine

4. High incidence of cervical ribs indicates vulnerable condition in Late Pleistocene woolly rhinoceroses Full Text available with Trip Pro

High incidence of cervical ribs indicates vulnerable condition in Late Pleistocene woolly rhinoceroses Mammals as a rule have seven cervical vertebrae, a number that remains remarkably constant. Changes of this number are associated with major congenital abnormalities (pleiotropic effects) that are, at least in humans, strongly selected against. Recently, it was found that Late Pleistocene mammoths (Mammuthus primigenius) from the North Sea have an unusually high incidence of abnormal cervical (...) vertebral numbers, approximately ten times higher than that of extant elephants. Abnormal numbers were due to the presence of large cervical ribs on the seventh vertebra, indicating a homeotic change from a cervical rib-less vertebra into a thoracic rib-bearing vertebra. The high incidence of cervical ribs indicates a vulnerable condition and is thought to be due to inbreeding and adverse conditions that may have impacted early pregnancies in declining populations. In this study we investigated

2017 PeerJ

5. Robotically-Assisted Transthoracic Cervical Rib Resection. Full Text available with Trip Pro

Robotically-Assisted Transthoracic Cervical Rib Resection. Several different approaches to surgical decompression of the thoracic outlet have been described. This report describes a unique case of robotically assisted transthoracic cervical rib resection for neurogenic thoracic outlet syndrome. This minimally invasive technique offers delicate tissue manipulation under optimal visualization of the thoracic outlet structures. Hence it promotes patients' safety and complete surgical

2018 Annals of Thoracic Surgery

6. Cervical Rib Syndrome

, either nerve or vessel compression, due to a cervical rib Concepts Disease or Syndrome ( T047 ) MSH SnomedCT 54995001 , 95409006 , 413577001 English Cervical Rib Syndrome , Cervical Rib Syndromes , Syndrome, Cervical Rib , Syndromes, Cervical Rib , cervical rib syndrome (diagnosis) , cervical rib syndrome , Anomalous Cervical Rib Syndrome , Cervical Rib Syndrome [Disease/Finding] , Cervical rib syndrome (disorder) , cervical; syndrome, rib , syndrome; cervical, rib , Cervical rib syndrome -RETIRED (...) Cervical Rib Syndrome Cervical Rib Syndrome Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Cervical Rib Syndrome Cervical Rib

2018 FP Notebook

7. Bilateral cervical ribs in a mixed breed dog Full Text available with Trip Pro

Bilateral cervical ribs in a mixed breed dog A 4-year-old intact female, mixed breed dog was presented with a complaint of dyspnea. Clinical examination revealed symptoms related to disease of the upper airways. Radiographic findings were consistent with tracheal collapse associated with anomalies involving the seventh cervical vertebra and the first ribs bilaterally. Radiographs were highly suggestive of cervical ribs; computed tomography and ultrasound examination allowed complete (...) characterization and better localization of the anomalies with relationship to the adjacent muscle and vasculature. Cervical ribs are malformations widely described in human medicine, but only sporadically in dogs. Herein, we discuss etiological, clinical, diagnostic and therapeutic aspects of cervical ribs and possible correlations between the cervical ribs and other anatomical anomalies noted in this dog.

2017 The Journal of Veterinary Medical Science

8. Arterial Thoracic Outlet Syndrome Treated Successfully with Totally Endoscopic First Rib Resection Full Text available with Trip Pro

be combined with scalenectomy or cervical rib resection. Herein, we describe a case of arterial thoracic outlet syndrome which was successfully treated with totally endoscopic video-assisted thoracoscopic surgery (VATS) first rib resection. (...) Arterial Thoracic Outlet Syndrome Treated Successfully with Totally Endoscopic First Rib Resection Thoracic outlet syndrome (TOS) is a constellation of signs and symptoms caused by compression of the neurovascular structures in the thoracic outlet. TOS may be classified as either neurogenic TOS (NTOS) or vascular TOS: venous TOS (VTOS) or arterial TOS (ATOS), depending on the specific structure being affected. The basis for the surgical treatment of TOS is resection of the first rib, and it may

2017 Case reports in pulmonology

9. First-Rib Stress Fracture in Overhead Throwing Athletes. (Abstract)

back pain. At a mean time of 7.5 months after the initiation of conservative treatment, 17 healing fractures (71%) and 7 nonunion fractures (29%) among throwing athletes with first-rib stress fracture were identified. On image analysis, first-rib stress fractures were classified into 3 types depending on the direction and location of fracture lines: groove, intrascalene, and posterior types. Three symptomatic patients underwent first-rib resection due to thoracic outlet syndrome. On average, 46 (...) % of the first rib was visible on the shoulder radiographs and 97% was visible on the cervical spine radiographs. The Cohen kappa coefficient for the above percentages was 0.87 and the percent agreement was 89.4% for the shoulder, and the Cohen kappa coefficient was 0.80 and the percent agreement was 99.0% for the cervical spine.First-rib stress fracture should be considered when adolescent overhead throwing athletes have acute-onset posterior shoulder pain while swinging the bat or pitching the ball

2019 The Journal of Bone and Joint Surgery. American Volume

10. Spinal deformity changes in children with long-term vertical expandable prosthetic titanium rib (VEPTR) treatment. (Abstract)

Spinal deformity changes in children with long-term vertical expandable prosthetic titanium rib (VEPTR) treatment. In several studies, vertical expandable prosthetic titanium rib (VEPTR) implants have shown good scoliosis control in children with the longest reported follow-up of 3.6 years. For growing rods, recent studies suggest a decreased efficiency of correction starting just after that time. To our knowledge, no long-term results of children with VEPTR treatment are available.This study (...) sample.Patients had a primary VEPTR implantation due to spinal deformity and thoracic insufficiency syndrome and repeated lengthening procedures every 6 months. Clinical data were assessed and radiological parameters were analyzed. The main thoracic scoliotic curve and associated curves as well as kyphosis, lordosis, pelvic obliquity, and spinal length were measured in all radiographs until the end of VEPTR treatment or the last available examination.Development of the different parameters during follow-up

2017 The Spine Journal

11. The significance of cervical ribs in thoracic outlet syndrome. Full Text available with Trip Pro

The significance of cervical ribs in thoracic outlet syndrome. The purpose of this study was to review our operative experience in patients with thoracic outlet syndrome (TOS) resulting from cervical ribs causing clinical symptoms.This study is a retrospective review of a prospectively acquired database of patients with TOS treated with first rib resection and scalenectomy with or without cervical rib resection at the Johns Hopkins Medical Institutions.Between October 2003 and June 2011 (...) , a total of 23 cervical rib resections were performed on 20 patients, three of whom had bilateral cervical ribs resected during separate operations. Seven patients presented with subclavian artery thrombosis. Three of seven patients had subclavian artery aneurysms and underwent cervical rib resection through a supraclavicular approach to facilitate subclavian artery bypass. Five patients presented with an ischemic upper extremity without thrombosis and underwent transaxillary first rib and cervical rib

2013 Journal of Vascular Surgery

12. Cervical Rib Syndrome

, either nerve or vessel compression, due to a cervical rib Concepts Disease or Syndrome ( T047 ) MSH SnomedCT 54995001 , 95409006 , 413577001 English Cervical Rib Syndrome , Cervical Rib Syndromes , Syndrome, Cervical Rib , Syndromes, Cervical Rib , cervical rib syndrome (diagnosis) , cervical rib syndrome , Anomalous Cervical Rib Syndrome , Cervical Rib Syndrome [Disease/Finding] , Cervical rib syndrome (disorder) , cervical; syndrome, rib , syndrome; cervical, rib , Cervical rib syndrome -RETIRED (...) Cervical Rib Syndrome Cervical Rib Syndrome Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Cervical Rib Syndrome Cervical Rib

2015 FP Notebook

13. An unusual case of the syndrome of cervical rib with subclavian artery thrombosis and cerebellar and cerebral infarctions. Full Text available with Trip Pro

An unusual case of the syndrome of cervical rib with subclavian artery thrombosis and cerebellar and cerebral infarctions. Cerebellar and cerebral infarctions caused by the syndrome of cervical rib with thrombosis of subclavian artery are very unusual.We report the case of a 49-year-old male patient with a right cervical rib compression leading to subclavian arterial thrombosis and both cerebellar and cerebral infarctions secondary to retrograde thromboembolisation. Follow-up imaging revealed (...) partial resolution of the thrombosis after combined anti-coagulant and anti-platelet therapy. The cervical rib and first costa were surgically removed to prevent additional events.Cervical rib vascular compression should be promptly diagnosed and treated in order to avoid further complications, including cerebrovascular ischemic events.

2012 BMC Neurology

14. POSTURE AND THE CERVICAL RIB SYNDROME Full Text available with Trip Pro

POSTURE AND THE CERVICAL RIB SYNDROME 17864575 2007 09 17 2008 11 20 0003-4932 75 1 1922 Jan Annals of surgery Ann. Surg. POSTURE AND THE CERVICAL RIB SYNDROME. 105-9 Todd T W TW eng Journal Article United States Ann Surg 0372354 0003-4932 1922 1 1 0 0 1922 1 1 0 1 1922 1 1 0 0 ppublish 17864575 PMC1399839

1922 Annals of Surgery

15. CERVICAL RIB AND THE SCALENUS ANTICUS SYNDROME Full Text available with Trip Pro

CERVICAL RIB AND THE SCALENUS ANTICUS SYNDROME 17856958 2007 09 17 2008 11 20 0003-4932 105 4 1937 Apr Annals of surgery Ann. Surg. CERVICAL RIB AND THE SCALENUS ANTICUS SYNDROME. 556-63 Craig W M WM Knepper P A PA eng Journal Article United States Ann Surg 0372354 0003-4932 1937 4 1 0 0 1937 4 1 0 1 1937 4 1 0 0 ppublish 17856958 PMC1390370

1937 Annals of Surgery

16. CERVICAL RIBS AND THE SCALENUS MUSCLE SYNDROME Full Text available with Trip Pro

CERVICAL RIBS AND THE SCALENUS MUSCLE SYNDROME 17857557 2007 09 17 2018 11 13 0003-4932 111 4 1940 Apr Annals of surgery Ann. Surg. CERVICAL RIBS AND THE SCALENUS MUSCLE SYNDROME. 531-45 Patterson R H RH eng Journal Article United States Ann Surg 0372354 0003-4932 1940 4 1 0 0 1940 4 1 0 1 1940 4 1 0 0 ppublish 17857557 PMC1390771 Ann Surg. 1935 Dec;102(6):972-9 17856690 Ann Surg. 1937 Apr;105(4):556-63 17856958

1940 Annals of Surgery

17. THE SCALENUS ANTICUS SYNDROME WITH AND WITHOUT CERVICAL RIB Full Text available with Trip Pro

THE SCALENUS ANTICUS SYNDROME WITH AND WITHOUT CERVICAL RIB 17857578 2007 09 17 2018 11 13 0003-4932 111 5 1940 May Annals of surgery Ann. Surg. THE SCALENUS ANTICUS SYNDROME WITH AND WITHOUT CERVICAL RIB. 709-23 Donald J M JM Morton B F BF eng Journal Article United States Ann Surg 0372354 0003-4932 1940 5 1 0 0 1940 5 1 0 1 1940 5 1 0 0 ppublish 17857578 PMC1387937 J Anat Physiol. 1910 Jul;44(Pt 4):377-93 17232858 Ann Surg. 1937 Apr;105(4):556-63 17856958 Ann Surg. 1938 May;107(5):708-15

1940 Annals of Surgery

18. A brachiocephalic vascular syndrome associated with cervical rib. Full Text available with Trip Pro

A brachiocephalic vascular syndrome associated with cervical rib. 5939151 1966 09 25 2018 11 13 0007-1447 2 5506 1966 Jul 16 British medical journal Br Med J A brachiocephalic vascular syndrome associated with cervical rib. 140-3 De Villiers J C JC eng Case Reports Journal Article England Br Med J 0372673 0007-1447 AIM IM Adolescent Carotid Artery Diseases etiology Cerebral Angiography Female Hemiplegia etiology Humans Intracranial Embolism and Thrombosis etiology Subclavian Artery Thoracic (...) Outlet Syndrome complications Vascular Surgical Procedures 1966 7 16 1966 7 16 0 1 1966 7 16 0 0 ppublish 5939151 PMC1943675 Q J Med. 1964 Jan;33:133-54 14116852 Br J Surg. 1962 Sep;50:205-9 14006714 J Neurosurg. 1955 Mar;12(2):181-2 14368349 Br Med J. 1963 Oct 5;2(5361):835-7 14063922 Br Med J. 1958 Sep 20;2(5098):709-12 13572875 AMA Arch Intern Med. 1953 Nov;92(5):701-40 13091487 Ned Tijdschr Geneeskd. 1960 Feb 13;104:332-4 14431653 Surgery. 1956 Aug;40(2):428-43 13352131

1966 British medical journal

19. Double Cervical Ribs associated with Vascular Phenomena suggesting Raynaud's Disease Full Text available with Trip Pro

Double Cervical Ribs associated with Vascular Phenomena suggesting Raynaud's Disease 19975713 2010 06 24 2010 06 24 0035-9157 5 Dermatol Sect 1912 Proceedings of the Royal Society of Medicine Proc. R. Soc. Med. Double Cervical Ribs associated with Vascular Phenomena suggesting Raynaud's Disease. 110-3 Fearnsides E G EG Sequeira J H JH eng Journal Article England Proc R Soc Med 7505890 0035-9157 2009 12 9 6 0 1912 1 1 0 0 1912 1 1 0 1 ppublish 19975713 PMC2005864

1912 Proceedings of the Royal Society of Medicine

20. Clinical Presentation of Cervical Ribs in the Pediatric Population. (Abstract)

Clinical Presentation of Cervical Ribs in the Pediatric Population. Cervical ribs may cause thoracic outlet syndrome in adults, but symptoms are poorly described in children. In our series, 88.8% of the 322 children were asymptomatic. The most common symptoms were neck mass and pain. Useful diagnostic tools were cervical spine and chest radiographs. Differential diagnosis of a supraclavicular mass includes cervical ribs.Copyright © 2013 Mosby, Inc. All rights reserved.

2012 Journal of Pediatrics

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