内窥镜辅助锁骨下入路治疗胸廓出口综合征第一肋骨发育不全切除术1例。

Q4 Medicine JBJS case connector Pub Date : 2024-12-05 eCollection Date: 2024-10-01 DOI:10.2106/JBJS.CC.24.00108

Masato Fumoto, Taku Suzuki, Yasuhiro Kiyota, Noboru Matsumura, Takuji Iwamoto, Masaya Nakamura

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引用次数: 0

摘要

病例：25岁男性，颈部及上肢疼痛。他接受了切除左第一肋骨发育不良的手术，这导致了胸廓出口综合征。锁骨下静脉通过锁骨下切口收回，内窥镜背侧插入静脉。在内窥镜的帮助下，切除部分第一肋骨，并从肋骨上释放斜角肌。术前症状改善，术后无并发症。结论：内镜辅助锁骨下入路能充分切除发育不全的第一肋骨，效果满意。该方法可作为切除发育不全的第一肋骨的一种选择。

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Endoscopic-Assisted Infraclavicular Approach for Hypoplastic First Rib Resection in Thoracic Outlet Syndrome: A Case Report.

Case: A 25-year-old man presented with neck and upper-limb pain. He underwent surgery for the resection of a left hypoplastic first rib, which was causing thoracic outlet syndrome. The subclavian vein was retracted through an infraclavicular incision, and an endoscope was inserted dorsally to the vein. With the assistance of endoscopy, the first rib was partially resected, and scalene muscles were released from the rib. The preoperative symptoms improved after surgery without any complications.

Conclusion: The endoscopic-assisted infraclavicular approach enabled sufficient resection of the hypoplastic first rib, leading to satisfactory outcomes. This method can be considered as an option for resecting a hypoplastic first rib.

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.