BEYER and Wright1 in 1951 discussed the neurovascular syndromes of the shoulder girdle from the anatomical and clinical viewpoints and outlined the medical management of them. It was their belief that an accurate differential diagnosis could be made on the basis of a careful history and physical examination and that a favorable response to conservative measures could be expected in the majority of cases.
Although the diagnosis of the cervical rib syndrome was made by Willshire2 in 1860 and by Gruber3 in 1869, it was not until 1905 that Murphy4 described changes in the neurovascular mechanism occurring as a result of pressure between a cervical rib and the scalenus anticus muscle. Naffziger and Grant5 and Ochsner, Gage, and DeBakey6 in 1935, pointed out the fact that the scalenus anticus muscle without a cervical rib could be responsible for pressure on the neurovascular bundle, with
LORD JW. SURGICAL MANAGEMENT OF SHOULDER GIRDLE SYNDROMESNew Operative Procedure for Hyperabduction, Costoclavicular, Cervical Rib, and Scalenus Anticus Syndromes. AMA Arch Surg. 1953;66(1):69-83. doi:10.1001/archsurg.1953.01260030080008