Thoracoscopy-assisted first rib resection for the treatment of thoracic outlet syndrome caused by fibrous dysplasia: A report of two cases

Rehemutula,Aierken; Zhang,Li; Yu,Cong; Chen,Lin; Gu,Yudong

doi:10.3892/etm.2015.2371

June-2015 Volume 9 Issue 6

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June-2015 Volume 9 Issue 6

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Article

Thoracoscopy-assisted first rib resection for the treatment of thoracic outlet syndrome caused by fibrous dysplasia: A report of two cases

Authors:
- Aierken Rehemutula
- Li Zhang
- Cong Yu
- Lin Chen
- Yudong Gu
View Affiliations / Copyright

Affiliations: Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai 200040, P.R. China
Pages: 2241-2244
|
Published online on: March 19, 2015

https://doi.org/10.3892/etm.2015.2371
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Abstract

This study reports two rare cases of thoracic outlet syndrome (TOS) caused by fibrous dysplasia of the first rib. Two patients, aged 19 and 29 years old, were admitted with TOS in the lower trunk of the brachial plexus caused by an inflated first rib. In these two cases symptoms included hypoesthesia of the anterior medial aspect of the forearm and two fingers in the ulnar side, and progressive weakness of the upper limbs. Surgery was required to resect the first rib. Transaxillary and supraclavicular excisions were challenging to perform due to the involvement of the subclavian vasculature and brachial plexus. Thoracoscopy was used in these cases in order to peel the pleura off the first rib and facilitate resection by the supraclavicular approach. None of the patients exhibited nerve or vascular complications following the surgery.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Thoracoscopy-assisted first rib resection for the treatment of thoracic outlet syndrome caused by fibrous dysplasia: A report of two cases

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