{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T08:57:18Z","timestamp":1785574638186,"version":"3.56.0"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 17-year-old girl presented with chronic right arm numbness, cramping, burning pain, and weakness. Initial nerve studies showed slowing in the median and ulnar nerves, but an outside magnetic resonance imaging was negative. Repeat magnetic resonance neurography (MRN) revealed right C8 nerve root and lower trunk enlargement, compressed by a fibrous band from a small cervical rib. The lower trunk appeared indented in a \u201csickle\u201d shape\u2014termed the wedge-sickle sign. Surgery confirmed the MRN findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>MRN can depict the wedge-sickle sign previously seen only on ultrasound, potentially improving sensitivity of MRN for detecting thin fibromuscular bands in neurogenic thoracic outlet syndrome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00435","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T18:10:38Z","timestamp":1784225438000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Magnetic Resonance Neurography Detection of the Wedge-Sickle Sign Fibromuscular Bands in Neurogenic Thoracic Outlet Syndrome"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2629-4126","authenticated-orcid":false,"given":"Delaram","family":"Shakoor","sequence":"first","affiliation":[{"name":"Department of Radiology and Imaging, Hospital for Special Surgery, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9381-661X","authenticated-orcid":false,"given":"Ajul","family":"Shah","sequence":"additional","affiliation":[{"name":"The Institute for Advanced Reconstruction, Freehold, New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2847-9378","authenticated-orcid":false,"given":"Ek T.","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Radiology and Imaging, Hospital for Special Surgery, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4966-4580","authenticated-orcid":false,"given":"Sophie","family":"Queler","sequence":"additional","affiliation":[{"name":"Department of Radiology and Imaging, Hospital for Special Surgery, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7183-7508","authenticated-orcid":false,"given":"Maggie","family":"Fung","sequence":"additional","affiliation":[{"name":"GE HealthCare, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9105-5415","authenticated-orcid":false,"given":"Darryl B.","family":"Sneag","sequence":"additional","affiliation":[{"name":"Department of Radiology and Imaging, Hospital for Special Surgery, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7]]},"reference":[{"issue":"6","key":"bib1-20260801","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1227\/neu.0000000000001908","article-title":"Thoracic outlet syndrome part I: systematic review of the literature and consensus on anatomy, diagnosis, and classification of thoracic outlet syndrome by the European Association of Neurosurgical Societies' section of peripheral nerve surgery","volume":"90","author":"Dengler","year":"2022","journal-title":"Neurosurgery."},{"issue":"6","key":"bib2-20260801","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1002\/mus.25536","article-title":"The thoracic outlet syndromes: part 1. 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