0
Journal Contents   |    
CERVICAL RIB (WITH A REPORT OF 6 CASES, ONE OPERATIVE.)
SAMUEL W. BOORSTEIN
JBJS Case Connector, 1922 Oct 01;04(4):687-704
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case
text A A A

Abstract

1. Many cases coming to the orthopaedic surgeon with shoulder trouble may be due to cervical rib.

2. Cases presenting following symptoms: pain, especially on motion, cyanosis, and atrophy of the limb, and no limitation of motion, should make one suspicious of a cervical rib.

3. The fullness of the supraclavicular fossa, besides the x-ray, should help in the diagnosis.

4. The removal of the rib should be practiced by the orthopaedic surgeon for the same reason that he removes the transverse process of last lumbar.

5. Where symptoms have existed over a long period, and especially where paralysis and atrophy form part of the picture, removal of the rib will stop the progressive increase of the symptoms, but may not result in the entire recovery of what has already been lost. This indicates the necessity for early diagnosis, and the desirability of good stereo-radiographs of the neck in every case of persisting pain or lameness of obscure origin.

6. In all cases of shoulder trouble, x-ray of cervical spine should be taken, since, if the cervical rib may not be the sole cause, it may be a contributory cause by interference with the circulation and nerve supply.

Figures in this Article
    This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

    References

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe





    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    02/28/2014
    District of Columbia (DC) - Children's National Medical Center
    12/04/2013
    New York - Icahn School of Medicine at Mount Sinai
    12/31/2013
    S. Carolina - Department of Orthopaedic Surgery Medical Univerity of South Carlonina
    04/02/2014
    W. Virginia - Charleston Area Medical Center