A Severe Case of Thoracic Outlet Syndrome for Conservative Treatments and Surgical Procedure

概要

論文の詳細を見る
In past seven years, since she had been diagnosed thoracic outlet snydrome, has been carried conservative treatments and surgical procedures: total resection of the left 1st rib (1971), resection of scalenus and minor pectal muscles (Jan. 1972), King' operation for left ulnar paresis (Feb. 1972), neurolysis of left ulnar nerve (Mar. 1972), Bristow-McMrray' operation for left shoulder subluxation (Mar. 1973), neurolysis of brachial plexus and lengthening osteotomy of clavicle (May 1973), unscrewing and translocation of coraco-brachial muscle (Jan. 1974), synovectomy for foot inflammation (Jun. 1976), and neurolysis of brachial plexus and partial resection of left clavicle (Mar. 1978).In spite of the many surgical procedures, however, the synptom was remained.In present, she has been the clinical symptoms and signs: 1) repeated swelling and pains on subclavian, elbow and foot regions, 2) edematous and slight cell-inflammation in pathological finding of soft part tissue, 3) normal or slightly increased blood segmentation rate, 4) R. A. (-), C. R. P. (-), and ASLO 20x, and 5) nomal γ-globulin in blood serum. Fibrositis with thoracic outlet symptoms may be suspected.
西日本整形・災害外科学会の論文