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January 1953

SURGICAL MANAGEMENT OF SHOULDER GIRDLE SYNDROMES: New Operative Procedure for Hyperabduction, Costoclavicular, Cervical Rib, and Scalenus Anticus Syndromes

Author Affiliations

From the Department of Surgery, New York University Post-Graduate Medical School, and the Fourth Division of Bellevue and University Hospitals.

AMA Arch Surg. 1953;66(1):69-83. doi:10.1001/archsurg.1953.01260030080008

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

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