scholarly journals Cervical ribs—An anatomical obstacle for upper limb regional blocks

2019 ◽  
Vol 7 (11) ◽  
pp. 2279-2280
Author(s):  
Enrique Moreno ◽  
Dan Sebastian Dirzu ◽  
María Fernanda Bastías Moraga ◽  
Mario Fajardo Pérez
Keyword(s):  
Upper Limb ◽  
Cervical Ribs

scholarly journals Restlessness in right upper limb as sole presentation of restless legs syndrome

2013 ◽  
Vol 04 (01) ◽  
pp. 78-80 ◽  
Author(s):  
Ravi Gupta ◽  
Vivekananda Lahan ◽  
Deepak Goel
Keyword(s):  
Upper Limb ◽  
Restless Legs Syndrome ◽  
Incidental Findings ◽  
Dopaminergic Therapy ◽  
Course Of Disease ◽  
Restless Legs ◽  
The Right ◽  
Cervical Ribs

ABSTRACTRestless legs syndrome (RLS) rarely affects the upper limb during the initial course of disease. We present a patient who complained of symptoms suggesting RLS in the right upper limb as the sole manifestation of illness. Bilateral cervical ribs and depression were co‑incidental findings. Patient responded well to dopaminergic therapy.

scholarly journals Cervical Rib Surgery: A Study of 20 Cases

1970 ◽  
Vol 17 (1) ◽  
pp. 10-12 ◽  
Author(s):  
M Lutfor Rahman ◽  
G Mohammod ◽  
I Alam ◽  
MS Ali
Keyword(s):  
Upper Limb ◽  
Thoracic Outlet Syndrome ◽  
Small Study ◽  
Fibrous Band ◽  
Private Hospitals ◽  
Cervical Rib ◽  
Orthopedic Surgeon ◽  
Diagnosis And Management ◽  
Initial Surgery ◽  
Cervical Ribs

Cervical ribs give rise to vascular and neurogenic manifestation in the upper limb due to stretching and friction of neurovascular bundle in the base of the neck by numerous mechanisms that includes cervical ribs, anomalous ligament & hypertrophy of the scalenus anticus muscle. Controversy surrounds the diagnosis and management of thoracic outlet syndrome with or without cervical ribs. This is a small study of 20 cases carried out from 1994 to 2003 at RMCH, and some private hospitals. Out of them, 15 patients (75%) were male and 5 patients (25%) were female. The age of the patients was between 15 to 48 years (mean age 33 years) Unilateral cervical ribs were present in 75% cases and the rest 25% had bilateral cervical ribs. Only 3 patients presented with gangrenous upper limb. One of the patient attended to orthopedic surgeon first and amputation was planned. All the patient were treated through supra clavicular approach by excision of cervical ribs together with fibrous band. Only one patient did not respond to this initial surgery as symptoms persist and re-operation done by excision of first-rib and ultimately that patient become symptom free. In this study, authors explained their own experience of various way of presentation of cervical ribs, aetiology, different modalities of the treatment and their out come.     doi: 10.3329/taj.v17i1.3482 TAJ 2004; 17(1) : 10-12  

scholarly journals Cervical Rib causing Thrombosis of Subclavian Atery

2010 ◽  
Vol 49 (178) ◽  
Author(s):  
P Sharma ◽  
I Rasheed ◽  
MA Ansari ◽  
GS Gurung ◽  
SP Chataut
Keyword(s):  
Subclavian Artery ◽  
Upper Limb ◽  
Unusual Case ◽  
Left Subclavian Artery ◽  
Color Doppler ◽  
Doppler Studies ◽  
Complete Occlusion ◽  
X Ray ◽  
Cervical Rib ◽  
Cervical Ribs

We describe here an unusual case of thrombosis of left subclavian artery in a patient with cervical rib. The patient presented with features of ischaemia of left upper limb. X-ray chest revealed bilateral cervical ribs, longer on the left side. Color Doppler studies showed echogenic thrombus within the left subclavian artery. Angiography revealed complete occlusion of left subclavian artery. Embolectomy was done. She was planned for excision of rib. KEYWORDS:  cervical rib, thrombosis of subclavian artery.

Reflex Responses in Upper Limb Muscles to Cutaneous Stimuli

1993 ◽  
Vol 20 (04) ◽  
pp. 271-278 ◽  
Author(s):  
R. Chen
Keyword(s):  
Stimulus Intensity ◽  
Upper Limb ◽  
Healthy Subjects ◽  
Voluntary Contraction ◽  
Cutaneous Reflexes ◽  
Focal Lesions ◽  
Normal Ranges ◽  
Conduction Velocities ◽  
Limb Muscles ◽  
Biphasic Responses

ABSTRACT:Cutaneous reflexes in the upper limb were elicited by stimulating digital nerves and recorded by averaging rectified EMG from proximal and distal upper limb muscles during voluntary contraction. Distal muscles often showed a triphasic response: an inhibition with onset about 50 ms (Il) followed by a facilitation with onset about 60 ms (E2) followed by another inhibition with onset about 80 ms (12). Proximal muscles generally showed biphasic responses beginning with facilitation or inhibition with onset at about 40 ms. Normal ranges for the amplitude of these components were established from recordings on 22 arms of 11 healthy subjects. An attempt was made to determine the alterent fibers responsible for the various components by varying the stimulus intensity, by causing ischemic block of larger fibers and by estimating the afferent conduction velocities. The central pathways mediating these reflexes were examined by estimating central delays and by studying patients with focal lesions

Mangling upper limb injuries in industry

Injury ◽  
1999 ◽  
Vol 30 ◽  
pp. S
Author(s):  
D RING
Keyword(s):  
Upper Limb ◽  
Limb Injuries
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