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Thoracic Outlet Syndrome Associated With a Large Cervical Rib

Department of Surgery, Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, randall.r.de.martino{at}hitchcock.org

David H. Stone, MD

Department of Surgery, Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire

Adam W. Beck, MD

Department of Surgery, Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire

Daniel B. Walsh, MD

Department of Surgery, Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire

This case illustrates the anatomic impact of a large cervical rib as an etiology for thoracic outlet syndrome. Current management remains predicated on astute diagnosis, multidisciplinary therapy including, physical therapy, scalene muscle blockade, and surgical decompression in appropriate cases.

Key Words: thoracic outlet syndrome • cervical rib • surgery

This version was published on August 1, 2009

Vascular and Endovascular Surgery, Vol. 43, No. 4, 393-394 (2009)
DOI: 10.1177/1538574409335917


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