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Cervical Rib Syndrome

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1. Cervical Rib Prevalence and its Association with Thoracic Outlet Syndrome: A Meta-Analysis of 141 Studies with Surgical Considerations.

Cervical Rib Prevalence and its Association with Thoracic Outlet Syndrome: A Meta-Analysis of 141 Studies with Surgical Considerations. Cervical ribs (CR) are supernumerary ribs that arise from the seventh cervical vertebra. In the presence of CR, the boundaries of the interscalene triangle can be further constricted and result in neurovascular compression and thoracic outlet syndrome (TOS). The aim of our study was to provide a comprehensive evidence-based assessment of CR prevalence (...) -analysis. CR was significantly more prevalent in patients with TOS than in healthy individuals, with pooled prevalence estimates of 29.5% and 1.1%, respectively. More than half of the patients had unilateral CR in both the healthy and the TOS group. The analysis showed that 51.3% of the symptomatic patients with CR had vascular TOS, and 48.7% had neurogenic TOS. Most CR were surgically excised in women using a supraclavicular approach.CR ribs are frequent findings in patients with TOS. We recommended

2018 World neurosurgery

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

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. Cervical Rib Syndrome

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 (...) Syndrome Aka: Cervical Rib Syndrome From Related Chapters II. Epidemiology Most common neurovascular compression at neck base III. Anatomy Cervical rib (extra rib) arises from C7 Rib narrows interval between scalenes Higher barrier for nerves and vessels to pass over Compression Worsened by sag (in elderly or ) Carrying heavy object in hand Levels C8 to T1 most commonly affected IV. Symptoms Affects hand and inner Pain and along course Hand weakness, numbness, and clumsiness Associated symptoms may

2018 FP Notebook

4. Robotically-Assisted Transthoracic Cervical Rib Resection. (PubMed)

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

5. Arterial Thoracic Outlet Syndrome Treated Successfully with Totally Endoscopic First Rib Resection (PubMed)

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

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2017 Case reports in pulmonology

6. First-Rib Stress Fracture in Overhead Throwing Athletes. (PubMed)

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

7. The significance of cervical ribs in thoracic outlet syndrome. (PubMed)

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

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2013 Journal of Vascular Surgery

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

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

9. An unusual case of the syndrome of cervical rib with subclavian artery thrombosis and cerebellar and cerebral infarctions. (PubMed)

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.

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2012 BMC Neurology

10. Cervical Rib Syndrome

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 (...) Syndrome Aka: Cervical Rib Syndrome From Related Chapters II. Epidemiology Most common neurovascular compression at neck base III. Anatomy Cervical rib (extra rib) arises from C7 Rib narrows interval between scalenes Higher barrier for nerves and vessels to pass over Compression Worsened by sag (in elderly or ) Carrying heavy object in hand Levels C8 to T1 most commonly affected IV. Symptoms Affects hand and inner Pain and along course Hand weakness, numbness, and clumsiness Associated symptoms may

2015 FP Notebook

11. A brachiocephalic vascular syndrome associated with cervical rib. (PubMed)

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

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1966 British medical journal

12. THE SCALENUS ANTICUS SYNDROME WITH AND WITHOUT CERVICAL RIB (PubMed)

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

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1940 Annals of Surgery

13. POSTURE AND THE CERVICAL RIB SYNDROME (PubMed)

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

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1922 Annals of Surgery

14. CERVICAL RIB AND THE SCALENUS ANTICUS SYNDROME (PubMed)

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

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1937 Annals of Surgery

15. CERVICAL RIBS AND THE SCALENUS MUSCLE SYNDROME (PubMed)

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

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1940 Annals of Surgery

16. Thoracic outlet syndrome

that it passes anteriorly rather than posteriorly to the scalenus anticus muscle. The brachial plexus follows the route of the subclavian artery, but it lies a little more posteriorly and laterally. The axillary-subclavian vein traverses the tunnel formed by the clavicle and subclavius muscle anteriorly, the scalenus anticus muscle laterally, the first rib posterior-inferiorly, and the costoclavicular ligament medially. Urschel HC Jr, Patel AN. Paget-Schroetter syndrome therapy: failure of intravenous stents (...) and adjacent areas paraesthesias in arms, hands, and/or fingers circulatory changes in upper extremity upper extremity fatigue hx of clavicular fracture hx of cardiovascular or thoracic surgery palpation of cervical rib subcutaneous venous collateral around shoulders (Urschel's sign) motor weakness hyperhidrosis thenar eminence muscle atrophy exertional pain/claudication supraclavicular systolic bruit blood pressure difference between extremities positive Adson's (scalene) test positive costoclavicular

2018 BMJ Best Practice

17. Thoracic Outlet Syndrome.

, Remy J, Artaud D, Fribourg M, Duhamel A. Functional anatomy of the thoracic outlet: evaluation with spiral CT. Radiology. 1997;205(3):843-851. 23. Smedby O, Rostad H, Klaastad O, Lilleas F, Tillung T, Fosse E. Functional imaging of the thoracic outlet syndrome in an open MR scanner. Eur Radiol. 2000;10(4):597-600. 24. Chang KZ, Likes K, Davis K, Demos J, Freischlag JA. The significance of cervical ribs in thoracic outlet syndrome. J Vasc Surg. 2013;57(3):771-775. 25. Balakrishnan A, Coates P, Parry (...) CA. Thoracic outlet syndrome caused by pseudoarticulation of a cervical rib with the scalene tubercle of the first rib. J Vasc Surg. 2012;55(5):1495. 26. Kirschbaum A, Palade E, Csatari Z, Passlick B. Venous thoracic outlet syndrome caused by a congenital rib malformation. Interact Cardiovasc Thorac Surg. 2012;15(2):328-329. 27. O'Brien PJ, Ramasunder S, Cox MW. Venous thoracic outlet syndrome secondary to first rib osteochondroma in a pediatric patient. J Vasc Surg. 2011;53(3):811-813. ACR

2019 American College of Radiology

18. Clinical Presentation of Cervical Ribs in the Pediatric Population. (PubMed)

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

19. Shaken baby syndrome or non-accidental head injury caused by shaking

Shaken baby syndrome or non-accidental head injury caused by shaking Shaken baby syndrome or non-accidental head injury caused by shaking Update of the guidelines issued by the 2011 hearing commission GUIDELINES TEXT July 2017 CLINICAL PRACTICE GUIDELINE The good practice guidelines (GPG) are defined in the health field as methodically developed proposals to assist the practitioner and the patient to find the most appropriate care in given clinical circumstances. The GPGs are rigorous summaries (...) of studies, the guidelines are based on agreement between experts in the working group after consultation with the reading group. The absence of grading does not mean that the guidelines are not relevant and useful. However, it should prompt additional studies. Shaken baby syndrome HAS/Guidelines department/SOFMER/July 2017 3 Summary Abbreviations and acronyms 5 Introduction 6 Guidelines 7 1. Shaking: diagnostic approach 7 1.1 Importance of identifying NAHI 7 1.2 Lesions and hospital-clinical

2017 HAS Guidelines

20. Cervical rib, subclavian artery aneurysm, axillary and cerebral emboli. (PubMed)

Cervical rib, subclavian artery aneurysm, axillary and cerebral emboli. 5955756 1967 03 09 2018 11 13 0035-9157 59 10 1966 Oct Proceedings of the Royal Society of Medicine Proc. R. Soc. Med. Cervical rib, subclavian artery aneurysm, axillary and cerebral emboli. 1002-4 Davis J M JM Golinger D D eng Case Reports Journal Article England Proc R Soc Med 7505890 0035-9157 IM Adult Aneurysm complications diagnostic imaging surgery Axillary Artery Humans Intracranial Embolism and Thrombosis etiology (...) Male Radiography Subclavian Artery Thoracic Outlet Syndrome complications diagnostic imaging 1966 10 1 1966 10 1 0 1 1966 10 1 0 0 ppublish 5955756 PMC1901096 Br Med J. 1959 Oct 17;2(5154):734-7 14446281

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1966 Proceedings of the Royal Society of Medicine

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