{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T14:57:16Z","timestamp":1761058636096},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[1988,5,1]],"date-time":"1988-05-01T00:00:00Z","timestamp":578448000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1988,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Excision of a cervical rib in patients with the thoracic outlet syndrome has been the subject of debate. One surgeon's experience of 23 cervical rib excisions is presented. Ten operations produced a complete cure, eleven improvement, and two no change in the patient's condition. Of 15 cases with neurological symptoms alone, 9 were cured, 5 improved and 1 was not helped; in contrast, of 8 patients with vascular symptoms, I was cured, 6 were improved and I was not helped. We conclude that cervical rib resection is the correct treatment for patients whose symptoms are predominantly neurological. Rib resection alone may not be sufficient in patients with vascular symptoms. The management of a cervical rib with vascular involvement is discussed.<\/jats:p>","DOI":"10.1002\/bjs.1800750512","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T10:49:56Z","timestamp":1172918996000},"page":"431-433","source":"Crossref","is-referenced-by-count":32,"title":["Results of excision of a cervical rib in patients with the thoracic outlet syndrome"],"prefix":"10.1093","volume":"75","author":[{"given":"S C W","family":"Brown","sequence":"first","affiliation":[{"name":"University Department of Surgery, University Hospital of South Manchester , West Didsbury, Manchester M20 OPX,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Charlesworth","sequence":"additional","affiliation":[{"name":"University Department of Surgery, University Hospital of South Manchester , West Didsbury, Manchester M20 OPX,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1988,5,1]]},"reference":[{"key":"2024092806072864900_bib1","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1016\/S0140-6736(02)44765-4","article-title":"Exostosis of the left transverse process of the seventh cervical vertebra surrounded by blood vessels and nerves: successful removal","volume":"i","author":"Coote","year":"1861","journal-title":"Lancet"},{"key":"2024092806072864900_bib2","first-page":"1274","article-title":"Thoracic outlet compression syndrome","volume":"i","author":"Gilliatt","year":"1976","journal-title":"Br Med J"},{"journal-title":"Uber die Halsrippen des Menschen mit vergleichend anatomischen Bemerkungen. St. Petersberg","year":"1869","author":"Gruber","key":"2024092806072864900_bib3"},{"key":"2024092806072864900_bib4","first-page":"165","article-title":"The symptoms due to cervical ribs","volume":"14","author":"Thorburn","year":"1907","journal-title":"The Medical Chronicle"},{"key":"2024092806072864900_bib5","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1084\/jem.24.3.271","article-title":"An experimental study of circumscribed dilatation of an artery immediately distal to a partially occluding band, and its bearing on the dilation of the subclavian artery observed in certain cases of cervical rib","volume":"24","author":"Halstead","year":"1917","journal-title":"J Exp Med"},{"key":"2024092806072864900_bib6","first-page":"259","article-title":"Two cases of thrombosis of subclavian artery, with contralateral hemiplegia of sudden onset, probably embolic","volume":"50","author":"Symonds","year":"1927","journal-title":"Brain"},{"key":"2024092806072864900_bib7","first-page":"643","article-title":"Congenital malformations of the first rib","volume":"81","author":"White","year":"1945","journal-title":"Surg Gynecol Obstet"},{"key":"2024092806072864900_bib8","first-page":"7","article-title":"Management of cervical ribs","author":"Lewis","year":"1973","journal-title":"Surgery Digest"},{"key":"2024092806072864900_bib9","first-page":"97","article-title":"Surgical anatomy of the thoracic outlet syndrome","volume":"150","author":"Pollak","year":"1980","journal-title":"Surg Gynecol Obstet"},{"key":"2024092806072864900_bib10","first-page":"135","article-title":"The subclavian artery in 16 patients with complete cervical ribs","volume":"16","author":"Short","year":"1975","journal-title":"J Cardiovasc Surg"},{"key":"2024092806072864900_bib11","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1177\/153857448001400111","article-title":"Reassessment of the significance of cervical rib in the thoracic outlet syndrome overlooking the ribs, failure to demonstrate them, and their role in arterial compression","volume":"14","author":"Martinez","year":"1980","journal-title":"Vasc Surg"},{"key":"2024092806072864900_bib12","first-page":"546","article-title":"Cervical ribs: symptoms. differential diagnosis and indications for section of the insertion of the scalenus anticus muscle","volume":"16","author":"Adson","year":"1951","journal-title":"J Int Coll Surgeons"},{"key":"2024092806072864900_bib13","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1016\/0002-9343(70)90072-0","article-title":"Unilateral Raynaud's phenomenon caused by cervical-first rib anomalies","volume":"48","author":"Swinton","year":"1970","journal-title":"Am J Med"},{"key":"2024092806072864900_bib14","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1097\/00000658-192785060-00005","article-title":"Cervical rib: a method of anterior approach for relief of symptoms by division of the scalenus anticus","volume":"85","author":"Adson","year":"1927","journal-title":"Ann Surg"},{"key":"2024092806072864900_bib15","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1016\/S0140-6736(00)72668-7","article-title":"Costoclavicular compression of the subclavian artery and vein","volume":"ii","author":"Falconer","year":"1943","journal-title":"Lancet"},{"key":"2024092806072864900_bib16","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/0002-8703(45)90593-X","article-title":"The neurovascular syndrome produced by hyperabduction of the arms","volume":"29","author":"Wright","year":"1945","journal-title":"Am Heart J"},{"key":"2024092806072864900_bib17","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1016\/0002-9610(76)90456-6","article-title":"Congenital anomalies associated with thoracic outlet syndrome","volume":"132","author":"Roos","year":"1976","journal-title":"Am J Surg"},{"key":"2024092806072864900_bib18","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1016\/0002-9610(72)90213-9","article-title":"Vascular complications of the thoracic outlet syndrome","volume":"123","author":"Judy","year":"1972","journal-title":"Am J Surg"},{"key":"2024092806072864900_bib19","first-page":"327","article-title":"Observations upon maladies in which the blood supply to the digits ceases intermittently or permanently and upon bilateral gangrene of digits. Observations relevant to so called Raynaud's disease'","volume":"1","author":"Lewis","year":"1934","journal-title":"Clin Sci"},{"key":"2024092806072864900_bib20","first-page":"644","article-title":"Staging of arterial complications of cervical rib: guidelines for surgical management","volume":"95","author":"Scher","year":"1984","journal-title":"Surgery"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800750512","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/75\/5\/431\/59386672\/bjs1800750512.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/75\/5\/431\/59386672\/bjs1800750512.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T06:07:35Z","timestamp":1727503655000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/75\/5\/431\/6183988"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1988,5,1]]},"references-count":20,"journal-issue":{"issue":"5","published-online":{"date-parts":[[1988,5,1]]},"published-print":{"date-parts":[[1988,5,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800750512","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"type":"print","value":"0007-1323"},{"type":"electronic","value":"1365-2168"}],"subject":[],"published-other":{"date-parts":[[1988,5]]},"published":{"date-parts":[[1988,5,1]]}}}