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Compression of the lower trunk of the brachial plexus by a cervical rib in two adolescent girls: case reports and surgical treatment

Lars B Dahlin1,2*, Clas Backman3, Henrik Düppe4, Harukazu Saito5, Anette Chemnitz2, Kasim Abul-Kasim6 and Pavel Maly6

Author Affiliations

1 Hand Surgery, Department of Clinical Sciences in Malmö, Lund University, Malmö, Sweden

2 Department of Hand Surgery, Malmö University Hospital, Malmö, Sweden

3 Department of Hand Surgery, Norrland University Hospital, Umeå, Sweden

4 Department of Orthopaedic Surgery, Malmö University Hospital, Malmö, Sweden

5 Department of Orthopaedic Surgery, Murayama Medical Center, National Hospital Organization, Tokyo, Japan

6 Department of Radiology, Malmö University Hospital, Malmö, Sweden

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Journal of Brachial Plexus and Peripheral Nerve Injury 2009, 4:14 doi:10.1186/1749-7221-4-14

Published: 6 September 2009

Abstract

Presence of a cervical rib in children is extremely rare, particularly when symptoms of compression of the lower trunk of the brachial plexus occur. We present two cases with such a condition, where two young girls, 11 and 16 years of age were treated by resection of the cervical rib after a supraclavicular exploration of the lower trunk of the brachial plexus. The procedure led to successful results, objectively verified with tests in a work simulator, at one year follow-up.