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Journal of Bone and Joint Surgery - British Volume, Vol 84-B, Issue 1, 116-118.
doi: 10.1302/0301-620X.84B1.12285  
Copyright © 2002 by British Editorial Society of Bone and Joint Surgery
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THORACIC OUTLET SYNDROME CAUSED BY CHRONIC RETROSTERNAL DISLOCATION OF THE CLAVICLE

Successful treatment by transaxillary resection of the first rib

S. Jain, MS, MCh, Honorary Joint Replacement Fellow, Orthopaedics1; D. Monbaliu, MD, Senior House Officer1; and J. F. Thompson, MS, FRCS, Consultant Surgeon, Exeter Vascular Service1

1 Royal Devon & Exeter Hospital (Wonford), Barrack Road, Exeter EX2 5DW, UK.

Correspondence should be sent to Mr S. Jain at 10 Meadowsweet Lane, Roundwell, Barnstaple EX31 3RS, UK.

Traumatic posterior dislocation of the sternoclavicular joint is an unusual injury. We report a rare, late complication in the form of a thoracic outlet syndrome. Resection of the first rib resulted in prompt and complete resolution of the symptoms and would appear to be the appropriate treatment, avoiding the complications associated with resection of the clavicle.






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