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孤立性颈肋骨折:胸廓出口综合征的一种罕见病因。

Isolated cervical rib fracture: a rare etiology of thoracic outlet syndrome.

作者信息

Dar Rayees Ahmad, Wani Sabiya Hamid, Mushtaque Majid

机构信息

Department of General and Minimal Invasive Surgery, Sher-i-Kashmir Institute of Medical Sciences, Soura, 190011 Srinagar, J&K, India.

出版信息

Case Rep Surg. 2011;2011:163792. doi: 10.1155/2011/163792. Epub 2011 Oct 20.

DOI:10.1155/2011/163792
PMID:22606572
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3350001/
Abstract

Isolated fracture of a cervical rib is a very rare entity and usually presents as a painless swelling or as thoracic outlet syndrome. We describe a case of a 45-year-old woman with history of fall two months back. She presented with symptoms of neurogenic thoracic outlet syndrome for one month. Isolated left cervical rib fracture was documented on X-ray cervical spine. Her fractured cervical rib was resected through a supraclavicular approach, and symptoms resolved completely in the postoperative period.

摘要

孤立性颈肋骨折是一种非常罕见的情况,通常表现为无痛性肿胀或胸廓出口综合征。我们描述一例45岁女性病例,她在两个月前有跌倒史。她出现神经源性胸廓出口综合征症状已有一个月。颈椎X线片显示孤立性左侧颈肋骨折。通过锁骨上入路切除了她骨折的颈肋,术后症状完全缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b557/3350001/97a418e86a5f/CRIM.SURGERY2011-163792.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b557/3350001/97a418e86a5f/CRIM.SURGERY2011-163792.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b557/3350001/97a418e86a5f/CRIM.SURGERY2011-163792.001.jpg

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本文引用的文献

1
Pseudarthrosis of cervical rib: an unusual cause of thoracic outlet syndrome.颈肋假关节:胸廓出口综合征的一种罕见病因。
J Hand Surg Am. 2010 Dec;35(12):2018-21. doi: 10.1016/j.jhsa.2010.08.012. Epub 2010 Nov 12.
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Arterial thrombosis associated with cervical ribs; surgical considerations; report of a case and review of the literature.与颈肋相关的动脉血栓形成;手术考量;病例报告及文献综述
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Management of cervical ribs and anomalous first ribs causing neurogenic thoracic outlet syndrome.颈肋及导致神经源性胸廓出口综合征的异常第一肋的处理
J Vasc Surg. 2002 Jul;36(1):51-6. doi: 10.1067/mva.2002.123750.
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Aust N Z J Surg. 1980 Apr;50(2):125-30. doi: 10.1111/j.1445-2197.1980.tb06648.x.
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Lower trunk brachial plexus compression neuropathy due to cervical rib in young athletes.年轻运动员中因颈肋导致的下干臂丛神经卡压性神经病
Am J Sports Med. 1988 Jan-Feb;16(1):77-9. doi: 10.1177/036354658801600114.