Journal of Trauma and Injury

Case Reports

Traumatic arterial thoracic outlet syndrome after multiple rib fractures not including the first rib in Korea: a case report: Seock Yeol Lee; J Trauma Inj. 2024;37(2):158-160. Published online June 5, 2024; DOI: https://doi.org/10.20408/jti.2023.0081

Abstract PDF: Arterial thoracic outlet syndrome (TOS) resulting from thoracic trauma is an exceedingly rare condition, typically caused by a fracture of the first rib or clavicle. In this report, the author presents a case of traumatic arterial TOS precipitated by multiple left rib fractures, notably excluding the first rib, following a fall from a 2-m high stepladder. The patient was treated successfully with first rib resection via a transaxillary approach, and the postoperative course was uneventful. The literature includes no known reports of traumatic arterial TOS in patients with multiple fractures that spare the first rib, making this the first documented case of its kind. In this instance, the patient sustained fractures to the fourth and fifth ribs. The TOS was likely not a direct result of the multiple rib fractures, which were located some distance from the thoracic outlet. Rather, it is hypothesized that the trauma from these fractures caused a soft tissue injury within the thoracic outlet, which ultimately led to the development of TOS.; Summary

Thoracoscopic Resection of the First Rib for Thoracic Outlet Syndrome: A Case Report: Jae Gul Kang, Soon Ho Chon, Kilsoo Yie, Min Koo Lee, Oh Sang Kwon, Song Hyun Lee, June Raphael Chon; J Trauma Inj. 2017;30(2):63-65. Published online June 30, 2017; DOI: https://doi.org/10.20408/jti.2017.30.2.63

Abstract PDF: Standard open procedures for resection of the first rib in thoracic outlet syndrome can prove to be quite difficult with extensive incisions. A minimal invasive procedure can also be painstaking, but provides an attractive alternative to the more radical open procedures. We report the details of the technique with direct video footage of the procedure performed in a 41-year-old man with thoracic outlet syndrome done entirely by thoracoscopic methods.; Summary

Search