The rare case of cervical rib fusion to the second rib.
This article reports on 3 patients who presented with arterial thoracic outlet syndrome and were found to have a rare clinical entity. All 3 patients presented with a rare cervical rib, which was also found to be fused to the second rib, with no first rib at all. All underwent transaxillary cervical and second rib resections and anterior scalenectomy. After transaxillary thoracic outlet decompression, all completed physical therapy with complete resolution of symptoms.
Johns Hopkins Hospital, Division of Vascular and Endovascular Surgery, Baltimore, Maryland. Electronic address: khines5@jhmi.edu.
Kathryn
K
Hines
Johns Hopkins Hospital, Division of Vascular and Endovascular Surgery, Baltimore, Maryland.
Emma
E
Graf
Johns Hopkins Hospital, Division of Vascular and Endovascular Surgery, Baltimore, Maryland.
Dianna
D
Liu
Johns Hopkins Hospital, Division of Vascular and Endovascular Surgery, Baltimore, Maryland.
Julie A
JA
Freischlag
D000293:Adolescent; D000328:Adult; D057070:Cervical Rib / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D019299:Decompression, Surgical / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D010027:Osteotomy; D026741:Physical Therapy Modalities; D011859:Radiography; D013901:Thoracic Outlet Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome; D055815:Young Adult