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Thoracic outlet syndrome. TOS can be attributed to one or more of the following factors: [15] Congenital abnormalities are frequently found in persons with TOS. Bone abnormalities include the presence of a cervical rib and a prolonged transverse process. [15]
A cervical rib in humans is an extra rib which arises from the seventh cervical vertebra. Their presence is a congenital abnormality located above the normal first rib. A cervical rib is estimated to occur in 0.2% [6] to 0.5% [7] (1 in 200 to 500) of the population. [8] People may have a cervical rib on the right, left or both sides. [9] [10]
First rib resection is a surgical procedure used in humans to treat thoracic outlet syndrome (TOS) and Paget–Schroetter disease. It involves the surgical removal of a segment of the first rib, which is the rib closest to the head, under the collar bone .
The superior thoracic aperture is essentially a hole surrounded by a bony ring, through which several vital structures pass. It is bounded by: the first thoracic vertebra (T1) posteriorly; the first pair of ribs laterally, forming lateral C-shaped curves posterior to anterior; and the costal cartilage of the first rib and the superior border of the manubrium anteriorly.
The most common location is the midthoracic vertebrae, especially the eighth (T8). [6] Neurologic signs result from severe angulation of the spine, narrowing of the spinal canal, instability of the spine, and luxation or fracture of the vertebrae. Signs include rear limb weakness or paralysis, urinary or fecal incontinence, and spinal pain. [5]
The thoracic cavity (or chest cavity) is the chamber of the body of vertebrates that is protected by the thoracic wall (rib cage and associated skin, muscle, and fascia). The central compartment of the thoracic cavity is the mediastinum .
The rib cage or thoracic cage is an endoskeletal enclosure in the thorax of most vertebrates that comprises the ribs, vertebral column and sternum, which protect the vital organs of the thoracic cavity, such as the heart, lungs and great vessels and support the shoulder girdle to form the core part of the axial skeleton.
In birds, ribs are present as distinct bones only on the thoracic region, although small fused ribs are present on the cervical vertebrae. The thoracic ribs of birds possess a wide projection to the rear; this uncinate process is an attachment for the shoulder muscles. [9] Usually dogs have 26 ribs.