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Congenital Abnormalities, Cervical Ribs, and Related Bony Abnormalities

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Thoracic Outlet Syndrome

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Abstract

The presence of bony abnormalities in the thoracic outlet, most commonly abnormalities of the transverse process of the seventh cervical vertebra, cervical ribs, and abnormalities of the first thoracic ribs, are often responsible for vascular and neurological complications in patients with a diagnosis of thoracic outlet syndrome (TOS). The diagnosis of TOS should be considered if one or more of these bony abnormalities are found in a patient complaining of paresthesias and or pain anywhere in the upper extremities, neck and/or shoulder pain, or noncoronary chest pain. Early diagnosis can prevent vascular and neurological complications.

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Author information

Authors and Affiliations

  1. Department of Medicine, Inova Fairfax Hospital, 3784 B Madison Lane, Falls Church, VA, 22041, USA

    Carlos A. Selmonosky MD

  2. Equipo de Cirugia Vascular, Depto Cirugia, Hospital Militar de Santiago, Av. Larrain 9100, Santiago, 6680481, Chile

    Poblete Raul Silva MD

Authors
  1. Carlos A. Selmonosky MD
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  2. Poblete Raul Silva MD
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Corresponding author

Correspondence to Carlos A. Selmonosky MD .

Editor information

Editors and Affiliations

  1. , Division of Vascular Surgery, University of South Florida, Tampa General Circle, STC 7016 2, Tampa, 33606, Florida, USA

    Karl A. Illig

  2. Barnes-Jewish Hospital, Department of Surgery, Washington University, Queeny Tower Campus Box, St. Louis, 63110, Missouri, USA

    Robert W. Thompson

  3. , Department of Surgery, John Hopkins Medical Institutions, Rutland Avenue - Ross 759 729, Baltimore, 21205, Maryland, USA

    Julie Ann Freischlag

  4. , Department of Thoracic Surgery, Blake 15, Massachusetts General Hospital, Fruit Street 55, Boston, 02114, Massachusetts, USA

    Dean M. Donahue

  5. Neurological Associates of West LA, Wilshire Blvd, Suite 790 2811, Santa Monica, 90403, California, USA

    Sheldon E. Jordan

  6. , Graduate Program in Physical Therapy, UCSF/SFSU, Balmoral Street 2429, Union City, 94587, California, USA

    Peter I. Edgelow

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© 2013 Springer-Verlag London

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Selmonosky, C.A., Silva, P.R. (2013). Congenital Abnormalities, Cervical Ribs, and Related Bony Abnormalities. In: Illig, K., Thompson, R., Freischlag, J., Donahue, D., Jordan, S., Edgelow, P. (eds) Thoracic Outlet Syndrome. Springer, London. https://doi.org/10.1007/978-1-4471-4366-6_81

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  • DOI: https://doi.org/10.1007/978-1-4471-4366-6_81

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4365-9

  • Online ISBN: 978-1-4471-4366-6

  • eBook Packages: MedicineMedicine (R0)

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