Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/1363
Título: Neurogenic Thoracic Outlet Syndrome Associated with Cervical Rib
Autor: Millan, G
Casal, D
Sagaribay, A
Marques, V
Estrela Martins, J
Palavras-chave: Síndrome do Desfiladeiro Torácico
Plexo Braquial
Costela Cervical
Cirurgia
Cervical-Rib
Retrospective Studies
Thoracic Outlet Syndrome
HSJ CPR
HSJ NCIR
HSJ UVM
Data: 2013
Editora: Sociedade Portuguesa de Reumatologia
Citação: Acta Reumatol Port. 2013; 38 (2): 98-103
Resumo: A true neurogenic thoracic outlet syndrome (TOS) associated with a cervical rib is considered extremely rare. The authors present their experience with 5 cases of true neurogenic TOS associated with a cervical rib. All patients were female and had a cervical rib confirmed radiographically pre-operatively. Average age was 34,8 years. Although all patients had been treated with several combinations of diverse drugs and a rehabilitation program before referral to surgery, all described their pain as intense and debilitating before surgical treatment. All patients had pre-operative electromyographic abnormalities. Patients were operated on via a supraclavicular approach and the cervical rib was resected. No intra-operative or postoperative complications were noted. Two years postoperatively, all patients mentioned improvement. However, only 2 were symptomless, and on no medication. In one patient there was significant improvement, and in the remaining 2 patients some residual pain persisted that had to be dealt with pharmacologically. All patients were able to resume their daily life activities. Recovery was poorer in the 2 patients that had been referred to surgery after a longer period of time since the beginning of symptoms.
Peer review: yes
URI: http://hdl.handle.net/10400.17/1363
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