Scientific articlePseudarthrosis of Cervical Rib: An Unusual Cause of Thoracic Outlet Syndrome
Section snippets
Case Report
A 14-year-old right-hand-dominant girl presented to us with pain over the right side of the neck radiating to the right upper limb for 6 months. The patient was apparently normal until 6 months earlier, when she sustained a blunt trauma injury to the right side of the neck while swimming. She initially had pain over the neck region with occasional radiation to the hand, but she was able to do her daily activities. Two months earlier the pain had become very severe with radiation to the whole
Discussion
Thoracic outlet syndrome is one of the most controversial topics in hand surgery practice. Controversies start with its incidence, cause, and diagnostic tests, and continue with its management. This is mainly because of the varied clinical manifestations and lack of a definitive clinical test to prove the diagnosis. Because of the lack of objective findings in many TOS cases, some physicians have denied the existence of neurogenic TOS.1 Some authors believe that it is overdiagnosed, whereas
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Osteoid Osteoma of the rib presenting as thoracic outlet syndrome
2013, Annals of Thoracic SurgeryCitation Excerpt :Among the surgical techniques, the supraclavicular surgical approach can be preferred because it provides good exposure of the nerves and vessels, has fewer rates of complication and less blood loss, and has a shorter postoperative hospital stay [5]. From the epidemiologic aspect, TOS is mostly diagnosed in the third and fourth decades and is more common in women [5]. Osteoid osteoma (OO), introduced by Jaffe in 1935, is a common benign tumor of the long bones but is rare in the flat bones such as ribs.
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