0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

FORTY-SIXTH REPORT OF PROGRESS IN ORTHOPEDIC SURGERY

PHILIP D. WILSON, M.D.; LLOYD T. BROWN, M.D.; M. N. SMITH-PETERSEN, M.D.; JOHN G. KUHNS, M.D.; EDWIN F. CAVE, M.D.; RALPH K. GHORMLEY, M.D.; MURRAY S. DANFORTH, M.D.; GEORGE PERKINS; ARTHUR VAN DESSEL, M.D.; C. HERMANN BUCHOLZ, M.D.
Arch Surg. 1932;24(1):158-170. doi:10.1001/archsurg.1932.01160130161012.
Text Size: A A A
Published online

CONGENITAL DEFORMITIES 

Cervical Rib.  —Telford and Stopford1 recorded three cases of cervical rib in which the prominent symptoms were due to thrombotic obliteration of the arteries of the arm. These cases resembled one another in their gradual onset, the initial pallor, coldness and numbness of the limb, the occurrence of gangrene and the cessation of all pulse at a point about the junction of the axillary and brachial arteries, and finally in their complete recovery following the removal of a cervical rib. In no case was the subclavian artery found at operation to be constricted. Telford and Stopford believed the thrombosis to be due to irritation of the sympathetic nerve fibers supplying the peripheral arteries. They demonstrated by histologic sections that these sympathetic nerve fibers lie in the lowest trunk of the brachial plexus, and are therefore liable to compression by a cervical rib. They assumed that the compression

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();