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Cervical Rib Causing Gangrene and Necessitating Forearm Amputation

Cervical Rib Causing Gangrene and Necessitating Forearm Amputation Abstract Cervical ribs in humans have been described for many centuries. According to Edington,4 the first recorded observation of this entity was probably by Galen. In 1742, Hunauld described a well-documented case of bilateral cervical ribs as an incidental finding. Since then, many writers have recognized the importance of this anomaly in cases manifesting peripheral neuritis, loss of strength, or vascular disturbances of the upper extremities. Extremely few cases have been reported where the vascular disturbances due to a supernumerary rib have become so severe that gangrene developed and subsequent amputation of the involved limb was required. G. Perazzo6 (1933) reviewed 21 cases over the years 1815 to 1933 where gangrene of portions of the upper extremity occurred. He included a case from his own observation. Only four of these cases required amputation of portions of the upper extremities, ranging from the fingers to the entire upper limb. The References 1. Adson, A. W., and Coffey, J. R.: Cervical Rib with Methods of Anterior Approach for Relief of Symptoms with Division of Scalenus Anticus Muscle , Ann. Surg. 85:839-857 ( (June) ) 1927.Crossref 2. Donald, J. M., and Morton, B. F.: The Scalenus Anticus Syndrome With and Without Cervical Ribs , Ann. Surg. 111:709-723 ( (May) ) 1940.Crossref 3. Eden, K. C.: The Vascular Complication of Cervical Ribs and First Cervical Rib Abnormalities , Brit. J. Surg. 27:111-139 ( (July) ) 1939.Crossref 4. Edington, G. H.: Cervical Ribs , Glasgow M. J. 118:298-313 ( (Nov.) ) 1932. 5. Lavenant,: Septième côte cervicale, crises causalgiques et gangrènes de la main, amputation , Paris chir. 15:204-209, 1923. 6. Perazzo, G.: Le Gangrene vacolari dell'arto superiore da costola cervicale , Chir. org. movimento 18:22-36 ( (May) ) 1933. 7. Russell, C. K.: Supernumerary Cervical Ribs and Their Effects on the Brachial Plexus and Subclavian Artery , Med. Rec. N. Y. , 71:253-258, 1907. 8. Samiy, E.: Thrombosis of the Internal Carotid Artery Caused by a Cervical Rib , J. Neurosurg. 12:181-182 ( (March) ) 1955.Crossref 9. Schiassi, B.: Sindromi nervose e vascolari per anomalie dello scheletro , Chir. org. movimento 5:299-352 ( (June) ) 1921. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Cervical Rib Causing Gangrene and Necessitating Forearm Amputation

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Publisher
American Medical Association
Copyright
Copyright © 1956 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1956.01280060039008
Publisher site
See Article on Publisher Site

Abstract

Abstract Cervical ribs in humans have been described for many centuries. According to Edington,4 the first recorded observation of this entity was probably by Galen. In 1742, Hunauld described a well-documented case of bilateral cervical ribs as an incidental finding. Since then, many writers have recognized the importance of this anomaly in cases manifesting peripheral neuritis, loss of strength, or vascular disturbances of the upper extremities. Extremely few cases have been reported where the vascular disturbances due to a supernumerary rib have become so severe that gangrene developed and subsequent amputation of the involved limb was required. G. Perazzo6 (1933) reviewed 21 cases over the years 1815 to 1933 where gangrene of portions of the upper extremity occurred. He included a case from his own observation. Only four of these cases required amputation of portions of the upper extremities, ranging from the fingers to the entire upper limb. The References 1. Adson, A. W., and Coffey, J. R.: Cervical Rib with Methods of Anterior Approach for Relief of Symptoms with Division of Scalenus Anticus Muscle , Ann. Surg. 85:839-857 ( (June) ) 1927.Crossref 2. Donald, J. M., and Morton, B. F.: The Scalenus Anticus Syndrome With and Without Cervical Ribs , Ann. Surg. 111:709-723 ( (May) ) 1940.Crossref 3. Eden, K. C.: The Vascular Complication of Cervical Ribs and First Cervical Rib Abnormalities , Brit. J. Surg. 27:111-139 ( (July) ) 1939.Crossref 4. Edington, G. H.: Cervical Ribs , Glasgow M. J. 118:298-313 ( (Nov.) ) 1932. 5. Lavenant,: Septième côte cervicale, crises causalgiques et gangrènes de la main, amputation , Paris chir. 15:204-209, 1923. 6. Perazzo, G.: Le Gangrene vacolari dell'arto superiore da costola cervicale , Chir. org. movimento 18:22-36 ( (May) ) 1933. 7. Russell, C. K.: Supernumerary Cervical Ribs and Their Effects on the Brachial Plexus and Subclavian Artery , Med. Rec. N. Y. , 71:253-258, 1907. 8. Samiy, E.: Thrombosis of the Internal Carotid Artery Caused by a Cervical Rib , J. Neurosurg. 12:181-182 ( (March) ) 1955.Crossref 9. Schiassi, B.: Sindromi nervose e vascolari per anomalie dello scheletro , Chir. org. movimento 5:299-352 ( (June) ) 1921.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Dec 1, 1956

References

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