Thoracic outlet syndrome caused by synostosis of the first and second thoracic ribs: 2 case reports and review of the literature

Jay S Reidler; Soumen Das De; Joseph J Schreiber; Darren B Schneider; Scott W Wolfe

doi:10.1016/j.jhsa.2014.08.034

Thoracic outlet syndrome caused by synostosis of the first and second thoracic ribs: 2 case reports and review of the literature

J Hand Surg Am. 2014 Dec;39(12):2444-7. doi: 10.1016/j.jhsa.2014.08.034. Epub 2014 Oct 11.

Authors

Jay S Reidler¹, Soumen Das De¹, Joseph J Schreiber¹, Darren B Schneider¹, Scott W Wolfe²

Affiliations

¹ Department of Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, MD; Hand and Upper Extremity Service, Hospital for Special Surgery, New York, NY; Department of Vascular Surgery, New York-Presbyterian Hospital, New York, NY.
² Department of Orthopaedic Surgery, Johns Hopkins Hospital, Baltimore, MD; Hand and Upper Extremity Service, Hospital for Special Surgery, New York, NY; Department of Vascular Surgery, New York-Presbyterian Hospital, New York, NY. Electronic address: wolfes@hss.edu.

PMID: 25307506
DOI: 10.1016/j.jhsa.2014.08.034

Abstract

We present 2 cases of combined arterial and neurogenic thoracic outlet syndrome triggered by trauma in patients with congenital synostoses of the first and second ribs. These patients were successfully treated with supraclavicular resection of the first and second ribs and scalenectomy. We review these cases and the associated literature on thoracic outlet syndrome and rib synostosis.

Keywords: Brachial plexus; rib fusion; rib synostosis; subclavian; thoracic outlet syndrome.

Publication types

Case Reports
Review

MeSH terms

Adolescent
Diagnostic Imaging
Female
Humans
Male
Ribs / abnormalities*
Ribs / surgery*
Synostosis / complications*
Synostosis / diagnosis
Synostosis / surgery*
Thoracic Outlet Syndrome / diagnosis
Thoracic Outlet Syndrome / etiology*
Thoracic Outlet Syndrome / surgery*
Young Adult