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Lower trunk brachial plexus compression neuropathy due to cervical rib in young athletes

Hand Surgery Section, Department of Orthopaedic Surgery and Rehabilitation, University of Oklahoma, Health Sciences Center, and Hand/Micro Surgery Center of Baptist Hospital, Oklahoma City, Oklahoma

Compression by a cervical rib may result in neurologic and/or vascular symptoms. Two patients are reported with thoracic outlet syndrome (TOS) secondary to cer vical rib. Both patients had vague shoulder pain as well as neurologic manifestations due to compression neu ropathy of the lower trunk of the brachial plexus. One patient was suspected initially to have carpal tunnel syndrome.

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