Traumatic arterial thoracic outlet syndrome after multiple rib fractures not including the first rib in Korea: a case report

Seock Yeol Lee
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引用次数: 0

Abstract

Arterial thoracic outlet syndrome (TOS) resulting from thoracic trauma is an exceedingly rare condition, typically caused by a fracture of the first rib or clavicle. In this report, the author presents a case of traumatic arterial TOS precipitated by multiple left rib fractures, notably excluding the first rib, following a fall from a 2-m high stepladder. The patient was treated successfully with first rib resection via a transaxillary approach, and the postoperative course was uneventful. The literature includes no known reports of traumatic arterial TOS in patients with multiple fractures that spare the first rib, making this the first documented case of its kind. In this instance, the patient sustained fractures to the fourth and fifth ribs. The TOS was likely not a direct result of the multiple rib fractures, which were located some distance from the thoracic outlet. Rather, it is hypothesized that the trauma from these fractures caused a soft tissue injury within the thoracic outlet, which ultimately led to the development of TOS.
韩国不包括第一肋骨在内的多发性肋骨骨折后的创伤性动脉胸廓出口综合征:病例报告
胸部创伤导致的动脉胸廓出口综合征(TOS)是一种极为罕见的疾病,通常由第一肋骨或锁骨骨折引起。在本报告中,作者介绍了一例外伤性动脉胸廓出口综合征病例,患者从 2 米高的阶梯上跌落,造成左侧多处肋骨骨折,尤其是第一肋骨骨折。患者通过经腋窝入路成功接受了第一根肋骨切除术,术后恢复顺利。文献中没有关于多发性骨折患者发生创伤性动脉TOS而第一肋骨未受损伤的报道,因此这是第一例有文献记载的此类病例。在这个病例中,患者的第四和第五根肋骨骨折。TOS很可能不是多发性肋骨骨折的直接结果,因为多发性肋骨骨折的位置离胸廓出口有一定距离。相反,据推测,这些骨折造成的创伤导致胸廓出口处软组织损伤,最终导致 TOS 的发生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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