Supraclavicular Resection of a Cervical Rib Causing Thoracic Outlet Syndrome: 2-Dimensional Operative Video
Abstract
Presence of a cervical rib results from overdevelopment of the seventh cervical vertebrae. 1-3 The cervical rib along with scalene muscles can cause neurogenic thoracic outlet syndrome. 4,5 Rib resection is typically done via anterior approach, using either supraclavicular or transaxillary route. 6,7 We present an operative video detailing supraclavicular resection of a cervical rib causing neurogenic thoracic outlet syndrome with direct decompression of the lower trunk of the brachial plexus. The patient presented with severe symptoms including hand atrophy. We were able to directly visualize the rib and resect it, along with scalene musculature. We present 3-mo follow-up data noting clinical improvement in neuropathic symptoms.
Document Details
- Document Type
- Pub Defense Publication
- Publication Date
- May 23, 2020
- Source ID
- 10.1093/ons/opaa139
Entities
People
- Allan D Levi
- Erin M Wolfe
- Jang Won Yoon
- Stephen Shelby Burks
Organizations
- University of Miami