Hehne H J, Dunant J H
Z Orthop Ihre Grenzgeb. 1979 Dec;117(6):889-97.
Shoulder girdle compression syndroms appear intermittently and according to body carriage. Very seldom they are caused by neck ribs, mostly by a costoclavicular narrowness. Important for the symptoms is the nerval plexus compression, for diagnostic reasons the blood vessel compression. Essential are provocating tests, subclavia phonogramms and in doubtful cases, angiography. Oszillo- and sonography often fail, EMG and nerval conductive measurement are only of differential diagnostik importance. In all together 120 healthy persons compression was shown phonographically, phlebographically and manometrically in 58--88%. Only the symptomatic and distinct compression are abnormal. Physiotherapy should be applied, only operative decompression is a causal treatment. The transaxilar resection of the first rib with scalenotomy and eventually also resection of a neck rib is by fat better than any other method. This is a report of 112 operated patients.
肩胛带压迫综合征呈间歇性发作，且与身体姿势有关。极少由颈肋引起，大多是由肋锁间隙变窄所致。对于症状而言，神经丛受压很重要，出于诊断原因，血管受压也很重要。激发试验、锁骨下静脉造影以及在疑难病例中进行血管造影至关重要。振荡图和超声检查常常无法得出结果，肌电图和神经传导测量仅具有鉴别诊断意义。在总共120名健康人中，通过静脉造影和压力测量显示有58% - 88%的人存在压迫情况。只有有症状的明显压迫才是异常的。应进行物理治疗，只有手术减压才是病因治疗。经腋窝切除第一肋并进行斜角肌切断术，最终也可切除颈肋，效果比其他任何方法都要好。这是一份关于112例手术患者的报告。
