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DANIEL RUGE, M.D.; NICHOLAS WETZEL, M.D., Ph.D.; JOHN L. BELL, M.D.

AMA Arch Surg. 1960;81(3):367-372.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In the November, 1904, meeting of the Chicago Surgical Society, Dr. J. B. Murphy¹ described the removal of a cervical rib in a patient with symptoms resembling a subclavian aneurysm. He said that there was little in the surgical literature concerning this subject, but gave H. Foote, an English surgeon, credit for the first surgical removal of a cervical rib in 1861. Since that time, many surgeons have been confronted with the problem of compression of neurovascular structures in this region by either cervical rib or the scalenus anticus muscle. The patients usually have symptoms for a long time before objective findings are present. However, we have recently seen four patients who have had ischemic necrosis of the skin or gangrene of the hand without previous symptoms of a cervical rib. In none of these patients was a cervical rib suspected, and surgical therapy was therefore delayed. We have . . . [Full Text PDF of this Article]

Author Affiliations
Chicago

Department of Surgery, Northwestern University Medical School.

Footnotes
Read at the 17th Annual Meeting of the Central Surgical Association, Chicago, Feb. 19, 1960.

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