title: Thoracic outlet syndrome caused by synostosis of the first and second thoracic ribs: 2 case reports and review of the literature.
abstract: We present 2 cases of combined arterial and neurogenic thoracic outlet syndrome triggered by trauma in patients with congenital synostoses of the first and second ribs. These patients were successfully treated with supraclavicular resection of the first and second ribs and scalenectomy. We review these cases and the associated literature on thoracic outlet syndrome and rib synostosis.
authors.affiliation: Department of Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, MD; Hand and Upper Extremity Service, Hospital for Special Surgery, New York, NY; Department of Vascular Surgery, New York-Presbyterian Hospital, New York, NY.
authors.forename: Jay S
authors.initials: JS
authors.lastname: Reidler
authors.affiliation: Department of Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, MD; Hand and Upper Extremity Service, Hospital for Special Surgery, New York, NY; Department of Vascular Surgery, New York-Presbyterian Hospital, New York, NY.
authors.forename: Soumen
authors.initials: S
authors.lastname: Das De
authors.affiliation: Department of Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, MD; Hand and Upper Extremity Service, Hospital for Special Surgery, New York, NY; Department of Vascular Surgery, New York-Presbyterian Hospital, New York, NY.
authors.forename: Joseph J
authors.initials: JJ
authors.lastname: Schreiber
authors.affiliation: Department of Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, MD; Hand and Upper Extremity Service, Hospital for Special Surgery, New York, NY; Department of Vascular Surgery, New York-Presbyterian Hospital, New York, NY.
authors.forename: Darren B
authors.initials: DB
authors.lastname: Schneider
authors.affiliation: Department of Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, MD; Hand and Upper Extremity Service, Hospital for Special Surgery, New York, NY; Department of Vascular Surgery, New York-Presbyterian Hospital, New York, NY. Electronic address: wolfes@hss.edu.
authors.forename: Scott W
authors.initials: SW
authors.lastname: Wolfe
mesh_terms: D000293:Adolescent; D003952:Diagnostic Imaging; D005260:Female; D006801:Humans; D008297:Male; D012272:Ribs / Q000002:abnormalities* / Q000601:surgery*; D013580:Synostosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D013901:Thoracic Outlet Syndrome / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D055815:Young Adult
keywords: Brachial plexus; rib fusion; rib synostosis; subclavian; thoracic outlet syndrome