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《Journal of Practical Hand Surgery》 2007-01
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Analysis of 13 cases with cervical rib syndrome

SONG Zhi-fei, REN Jie, CHEN Hui, et al ( Department of Orthopedic, The Gulou Hospital Affiliated to Nanjing University Medical College, Nanjing, 210008, China)  
Objective To investgate the clinical features and treatment methods of cervical rib syndrome.Methods The clinical manifestations, the surgical findings and managements of 13 patients with cervical rib syndrome were analyzed. All patients were divided into three groups by the compressed part of brachial plexus:inferior trunk compressed in 8 patients, both median and inferior trunks compressed in 3 and all three trunks compressed in 2. Lower cervical mass was existed in all 13 cases. All patiens were operated on, and incomplete cervical rib were found in 4 cases, complete cervical rib in 7, and the cerrical rib formed from two segments in 2. Furthurmore,anomalies were found in anterior,middle and small scalene muscle as well as fibrous band. These anormal factors together resulted in the compression to brachial plexus especially the inferior trunk.Results All of 13 patients were followed up from 6 months to 5 years plus 3 months. The excellent results were achieved in 6 cases, good in 5 and fair in 2 cases.Conclusion The meaning is different between cervical rib syndrome and cervical rib. There were 4 forms of the cervical rib: over-length of transverse process, incomplete cervical rib, complete cervical rib and other special shapes. The clinical features of cervical rib syndrome included motor and sensory disorders over the area distributed by the inferior trunck of brachial plexus, and lower cervical mass. The compression of the inferior trunck of brachial plexus is the main clinical type. Surgical management was the chief treatment. The compressed tissues such as cervical rib should be removed or cut off. It is suggested to take the cervical rib syndrome as a special form of the thoracic outlet syndrome for deeply research.
【CateGory Index】: R655.1
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