Supraclavicular Resection of a Cervical Rib Causing Thoracic Outlet Syndrome : 2-Dimensional Operative Video

Copyright © 2020 by the Congress of Neurological Surgeons..

Presence of a cervical rib results from overdevelopment of the seventh cervical vertebrae.1-3 The cervical rib along with scalene muscles can cause neurogenic thoracic outlet syndrome.4,5 Rib resection is typically done via anterior approach, using either supraclavicular or transaxillary route.6,7 We present an operative video detailing supraclavicular resection of a cervical rib causing neurogenic thoracic outlet syndrome with direct decompression of the lower trunk of the brachial plexus. The patient presented with severe symptoms including hand atrophy. We were able to directly visualize the rib and resect it, along with scalene musculature. We present 3-mo follow-up data noting clinical improvement in neuropathic symptoms.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:19

Enthalten in:

Operative neurosurgery (Hagerstown, Md.) - 19(2020), 5 vom: 15. Okt., Seite E520

Sprache:

Englisch

Beteiligte Personen:

Burks, Stephen Shelby [VerfasserIn]
Wolfe, Erin M [VerfasserIn]
Yoon, Jang Won [VerfasserIn]
Levi, Allan D [VerfasserIn]

Links:

Volltext

Themen:

Cervical rib
Journal Article
Neurogenic thoracic outlet syndrome
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.
Video-Audio Media

Anmerkungen:

Date Completed 21.06.2021

Date Revised 21.06.2021

published: Print

Citation Status MEDLINE

doi:

10.1093/ons/opaa139

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM310277604