- Outcomes of venous bypass combined with thoracic outlet decompression for treatment of upper extremity central venous occlusion. [Journal Article]
- JVJ Vasc Surg Venous Lymphat Disord 2019 Jun 05
- CONCLUSIONS: In our experience, venous bypass combined with thoracic outlet decompression achieves symptomatic relief in approximately 90% of patients with symptomatic upper extremity central venous occlusion, with morbidity limited to the perioperative period.
- Unusual cause of medial clavicle pain: osteoarthritis in an abnormal costoclavicular articulation. [Journal Article]
- JSJ Shoulder Elbow Surg 2019; 28(6):e187-e189
- StatPearls: Anatomy, Thorax, Ribs [BOOK]
- BOOKStatPearls Publishing: Treasure Island (FL)
- The ribs are the bony framework of the thoracic cavity. Generally, there are twelve pairs of ribs. Each rib articulates posteriorly with two thoracic vertebrae; by the costovertebral joint. An except…
The ribs are the bony framework of the thoracic cavity. Generally, there are twelve pairs of ribs. Each rib articulates posteriorly with two thoracic vertebrae; by the costovertebral joint. An exception to this rule is that the first rib articulates with the first thoracic vertebra only. According to their attachment to the sternum, the ribs are classified into three groups: true, false, and floating ribs. The true ribs are the ribs that directly articulate with the sternum with their costal cartilages; they are the first seven ribs. The false ribs are the ribs that indirectly articulate with the sternum, as their costal cartilages connect with the seventh costal cartilage; by the costochondral joint; They are the eighth, ninth, and tenth ribs. However, the floating ribs are the ribs that do not articulate with the sternum at all; they are the distal two ribs. The true ribs articulate with the sternum by the sternocostal joints. The first rib is an exception to that rule; it is a synarthrosis. Another thing that is good to know is that the first rib could uniquely articulate with the clavicle by the costoclavicular joint.
- Ultrasound guided costoclavicular approach to brachial plexus: First pediatric report. [Letter]
- JCJ Clin Anesth 2019; 55:136-137
- Brachial plexus paralysis after thoracoscopic esophagectomy for esophageal cancer in the prone position: A thought-provoking case report of an unexpected complication. [Journal Article]
- IJInt J Surg Case Rep 2019; 55:11-14
- CONCLUSIONS: This is the first case of brachial plexus injury during thoracoscopic esophagectomy in the prone position. In prone esophagectomy, managing the patient's position, especially the head and arm positions, is so important to avoid brachial plexus injury due to intraoperative positioning.The clinicians should consider managing the patient's position with anatomical familiarity to avoid brachial plexus injury due to intraoperative positioning.
- Importance of careful identification of the axillary vessels during ultrasound-guided costoclavicular brachial plexus block. [Letter]
- RAReg Anesth Pain Med 2019; 44(1):138-140
- Randomized comparison between interscalene and costoclavicular blocks for arthroscopic shoulder surgery. [Journal Article]
- RAReg Anesth Pain Med 2019 Jan 11
- CONCLUSIONS: Compared to ISB, CCB results in equivalent postoperative analgesia while circumventing the risk of hemidiaphragmatic paralysis. Further confirmatory trials are required. Future studies should also investigate if CCB can provide surgical anesthesia for arthroscopic shoulder surgery.
- Costoclavicular block for shoulder surgery in a patient with tracheobronchopathia osteochondroplastica and COPD. [Letter]
- JCJ Clin Anesth 2019; 55:13-14
- Catheter Fracture of Subclavian Venous Chemoport Device at Costoclavicular Junction: Pinch-off Syndrome. [Case Reports]
- IJIndian J Surg Oncol 2018; 9(4):595-597
- Chemoport is most commonly used venous access devices for instillation of chemotherapeutic drugs in cancer care. Mechanical complications like catheter fracture can lead to serious morbidity, albeit …
Chemoport is most commonly used venous access devices for instillation of chemotherapeutic drugs in cancer care. Mechanical complications like catheter fracture can lead to serious morbidity, albeit occurring rarely. We present a case of a 35-year-old lady, a case of carcinoma breast, who had spontaneous fracture of chemoport access device in subclavian vein at the level of clavicle after four successful cycles of chemotherapy. The fracture was suspected on chest x-ray and was subsequently confirmed on contrast linogram. The patient was successfully managed with endovascular interventional technique without suffering any ill effects. It is a rare presentation of pinch-off syndrome.
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- Improved functional outcome in NTOS patients following resection of the subclavius muscle with radiological signs of nerve impingement: indication of participation of the subclavius in brachial plexus compression. [Journal Article]
- JNJ Neurosurg 2018 Nov 01; :1-11
- CONCLUSIONS: This study revealed that an untreated radiological nerve-compressing subclavius muscle could lead to a relatively lower degree of recovery in the ability to perform overhead activities for NTOS patients postoperatively, suggesting that such subclavius muscles may participate in positional brachial plexus compression during movements narrowing the costoclavicular space. Dividing the muscles could decompress the costoclavicular space more effectively and may lead to better functional recovery.