Cervical Rib.—In a study of 303 cases of cervical rib, Adson1 said that the roentgenograms showed this occurring on the right side in 70 cases, on the left side in 91 and on both sides in 143; the discovery was accidental in 167 cases. In 100 cases the symptoms were so mild that surgical treatment was not advised. In 77 of these, there was indefinite pain in the neck and shoulder with slight radiation down the arm and hand. In 12 cases, pain was exaggerated by rotation of the head or by elevation of the chin. There was a slight atrophy over the ulnar distribution in 12 cases. There was evidence of circulatory disturbance in 4 cases.Operation was performed in 41 cases. The anterior approach with tenotomy of the scalenus anticus is the preferred operation. It is easier and gives the same result as transcervical approach and
WILSON PD, BROWN LT, SMITH-PETERSEN MN, et al. THIRTY-SEVENTH REPORT OF PROGRESS IN ORTHOPEDIC SURGERY. Arch Surg. 1929;18(1_PART_I):163–178. doi:10.1001/archsurg.1929.04420010165008
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