Braun R M
Johns Hopkins Med J. 1979 Sep;145(3):94-7.
Arterial injury and brachial plexus nerve compression have been reported in association with surgical procedures in the area of the thoracic outlet. An initial report of iatrogenic injury was related to the operative correction of Sprengel's deformity, which required lowering of the scapula in a child. Compression of the neurovascular bundle between the clavicle and the first rib occurred during this surgical migration. The developmental anatomy of the costo-clavicular area and the descent of the upper limb from its initial cervical position are reviewed. This relationship between the clavicle and the first rib may also be altered by surgical procedures carried out on adults. Two cases of the iatrogenic injury to the brachial plexus are reported in association with operations performed in the area of the clavicle. Correction of these injuries resulted when the costoclavicular space was re-established.
据报道，在胸廓出口区域进行手术时会发生动脉损伤和臂丛神经受压。关于医源性损伤的最初报告与Sprengel畸形的手术矫正有关，该手术需要降低儿童的肩胛骨。在此手术移位过程中，锁骨和第一肋骨之间的神经血管束受到压迫。本文回顾了肋锁区域的发育解剖结构以及上肢从其最初的颈部位置下降的过程。锁骨和第一肋骨之间的这种关系也可能因对成人进行的手术而改变。本文报告了两例与锁骨区域手术相关的臂丛神经医源性损伤病例。当肋锁间隙重新建立时，这些损伤得到了纠正。
