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Titolo:
Hypertrophic non-union of the first rib causing thoracic outlet syndrome :A case report
Autore:
Suh, JT; Park, BG; Yoo, CI;
Indirizzi:
Pusan Natl Univ Hosp, Dept Orthopaed Surg, Seo Gu, Pusan 602739, South Korea Pusan Natl Univ Hosp Pusan South Korea 602739 Pusan 602739, South Korea
Titolo Testata:
JOURNAL OF KOREAN MEDICAL SCIENCE
fascicolo: 5, volume: 16, anno: 2001,
pagine: 673 - 676
SICI:
1011-8934(200110)16:5<673:HNOTFR>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
1ST RIB;
Keywords:
hyperostosis; hypertrophic nonunion; ribs; thoracic outlet syndrome;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
9
Recensione:
Indirizzi per estratti:
Indirizzo: Suh, JT Pusan Natl Univ Hosp, Dept Orthopaed Surg, Seo Gu, 1Ga 10 Ami Dong, Pusan 602739, South Korea Pusan Natl Univ Hosp 1Ga 10 Ami Dong Pusan South Korea 602739 rea
Citazione:
J.T. Suh et al., "Hypertrophic non-union of the first rib causing thoracic outlet syndrome :A case report", J KOR MED S, 16(5), 2001, pp. 673-676

Abstract

We experienced a rare case of thoracic outlet syndrome caused by hypertrophic nonunion of the first rib. A diagnosis was made mainly upon provocativetests and imaging studies. Pain and tingling could be reproduced and the radial pulse obliterated by the hyperabduction test. Abundant callus formation on the posterior aspect of the first rib with fracture line was visible on plain radiograph. Two-dimensional computed tomography showed right thoracic outlet narrowing mainly caused by the mass-effect of the callus, Dynamic arteriographic studies revealed an external compression of the right subclavian artery and duplex ultrasonography demonstrated a reduction in right subclavian artery blood flow when the shoulder is in 90 degrees of abduction. Surgery was performed after the conservative management for three monthswhich failed to relieve the patient of his complaints. Resection of the first rib via transaxillary approach was undergone uneventfully in combination with the myotomy of the scalenus anticus muscle. At postoperative one year follow up, the patient was free of symptoms, and had a full range of motion of the right shoulder with no evidence of arterial insufficiency.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/03/20 alle ore 23:09:28