Traumatic arterial thoracic outlet syndrome after multiple rib fractures not including the first rib in Korea: a case report
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 th...
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| Language: | English |
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Korean Society of Traumatology
2024-06-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2023-0081.pdf |
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| author | Seock Yeol Lee |
| author_facet | Seock Yeol Lee |
| author_sort | Seock Yeol Lee |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-e814bf50e2fc4fc8949ba90765204a81 |
| institution | DOAJ |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-e814bf50e2fc4fc8949ba90765204a812025-08-20T02:41:23ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832024-06-0137215816010.20408/jti.2023.00811308Traumatic arterial thoracic outlet syndrome after multiple rib fractures not including the first rib in Korea: a case reportSeock Yeol Lee0 Department of Cardiothoracic and Vascular Surgery, Soonchunhyang University Cheonan Hospital, Cheonan, KoreaArterial 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.http://jtraumainj.org/upload/pdf/jti-2023-0081.pdfthoracic outlet syndromerib fracturesarteriespathologic constrictioncase reports |
| spellingShingle | Seock Yeol Lee Traumatic arterial thoracic outlet syndrome after multiple rib fractures not including the first rib in Korea: a case report Journal of Trauma and Injury thoracic outlet syndrome rib fractures arteries pathologic constriction case reports |
| title | Traumatic arterial thoracic outlet syndrome after multiple rib fractures not including the first rib in Korea: a case report |
| title_full | Traumatic arterial thoracic outlet syndrome after multiple rib fractures not including the first rib in Korea: a case report |
| title_fullStr | Traumatic arterial thoracic outlet syndrome after multiple rib fractures not including the first rib in Korea: a case report |
| title_full_unstemmed | Traumatic arterial thoracic outlet syndrome after multiple rib fractures not including the first rib in Korea: a case report |
| title_short | Traumatic arterial thoracic outlet syndrome after multiple rib fractures not including the first rib in Korea: a case report |
| title_sort | traumatic arterial thoracic outlet syndrome after multiple rib fractures not including the first rib in korea a case report |
| topic | thoracic outlet syndrome rib fractures arteries pathologic constriction case reports |
| url | http://jtraumainj.org/upload/pdf/jti-2023-0081.pdf |
| work_keys_str_mv | AT seockyeollee traumaticarterialthoracicoutletsyndromeaftermultipleribfracturesnotincludingthefirstribinkoreaacasereport |