Cervical rib: Report of thirty-one cases

Henderson, MS

HERO ID

196216

Reference Type

Journal Article

Year

1914

Language

English

HERO ID 196216
In Press No
Year 1914
Title Cervical rib: Report of thirty-one cases
Authors Henderson, MS
Journal Journal of Bone & Joint Surgery: American Volume
Volume 211
Issue 3
Page Numbers 408-430
Abstract 1. Cervical ribs are congenital deformities rarely causing symptoms until adolescence or later. 2. The deformity is usually bilateral (twenty-four out of thirty-one cases) and is more common in women than in men (twenty-two females and nine males). 3. The size of the cervical rib is not the index to the symptoms. 4. It is estimated that only 10 per cent. of cervical ribs cause symptoms. Out of the thirty-one cases in this report eighteen gave no subjective symptoms. 5. Brachial neuritis may be caused by cervical ribs. This neuritis may be caused by a lack of harmony (embryologically) between the first dorsal rib and the site of exit of the roots of the nerves. The roots of the nerves may have their exit low and be subjected to pressure by a normal first dorsal rib or they may have a normal position and the first rib be high. We have had one case of brachial neuritis associated with tuberculous glands of the neck when during the course of the removal of the glands the first dorsal rib was seen to be high and to impinge on the nerves. It was removed with complete relief from symptoms. 6. The theory of the difference in the site of exit of the nerve roots may explain the lack of symptoms in certain patients having well-developed cervical ribs whereas other patients with smaller cervical ribs give pronounced symptoms.
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Language Text English