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July 26, 1919


JAMA. 1919;73(4):288. doi:10.1001/jama.1919.02610300052024

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To the Editor:  —Dr. Church, in his paper on "The Neurology of Cervical Ribs" (The Journal, July 5, 1919, p. 1), says: "No textbook on nervous diseases makes the slightest detailed mention of cervical ribs in connection with brachial plexus disorders," etc. In the second edition of Jelliffe and White, Diseases of the Nervous System, 1917, is a discussion of the subject, and (p. 366) a roentgenogram with the caption: "Double cervical rib causing mixed type of brachial palsy." In several places the relation of cervical rib to brachial plexus disorders is given in detail. Dr. Church further states that cervical ribs have never been observed in the first, second or third ribs. In the textbook just mentioned will be found in the section on cervical rib (p. 378): "Thomas Murphy has recorded a case in which the symptoms were due to the pressure of the first rib. A similar

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