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THIRTY-SEVENTH REPORT OF PROGRESS IN ORTHOPEDIC SURGERY
PHILIP D. WILSON, M.D.;
LLOYD T. BROWN, M.D.;
M. N. SMITH-PETERSEN, M.D.;
RALPH GHORMLEY, M.D.;
MURRAY S. DANFORTH, M.D.;
EDWIN F. CAVE, M.D.;
JOHN G. KUHNS, M.D.;
C. HERMANN BUCHOLZ, M.D.;
GEORGE PERKINS, F.R.C.S.;
ARTHUR VAN DESSEL, M.D.
Arch Surg. 1929;18(1 PART I):163-178.
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CONGENITAL DEFORMITIES
Cervical Rib.—In a study of 303 cases of cervical rib, Adson1 said that the roentgenograms showed this occurring on the right side in 70 cases, on the left side in 91 and on both sides in 143; the discovery was accidental in 167 cases. In 100 cases the symptoms were so mild that surgical treatment was not advised. In 77 of these, there was indefinite pain in the neck and shoulder with slight radiation down the arm and hand. In 12 cases, pain was exaggerated by rotation of the head or by elevation of the chin. There was a slight atrophy over the ulnar distribution in 12 cases. There was evidence of circulatory disturbance in 4 cases.
Operation was performed in 41 cases. The anterior approach with tenotomy of the scalenus anticus is the preferred operation. It is easier and gives the same result as transcervical approach and
. . . [Full Text PDF of this Article]
Author Affiliations
BOSTON; HALLE, GERMANY; LONDON, ENGLAND; LOUVAIN, BELGIUM
Footnotes
Submitted for publication, Nov. 23, 1928.
This Report of Progress is based on a review of 203 articles selected from 409 titles dealing with orthopedic surgery appearing in medical literature between Feb. 25, 1928, and June 9, 1928. Only those papers that seem to represent progress have been selected for note and comment.
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