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"Clavicular Duplication Causing Thoracic Outlet Obstruction": Unique Presentation of Unreported Association between Clavicular Duplication and Thoracic Outlet Syndrome.
[thoracic outlet syndrome]
There
are
only
few
reports
of
clavicular
duplication
in
the
literature
and
all
authors
have
agreed
that
duplicated
clavicles
are
clinically
insignificant
.
This
is
the
first
report
of
this
unique
association
.
A
22
-
year
-old
female
student
reported
with
features
of
neurogenic
thoracic
outlet
syndrome
mainly
involving
C
8
-
T
1
components
of
the
brachial
plexus
,
seemingly
originating
from
involvement
in
costo-clavicular
space
.
Radiograph
of
the
shoulder
revealed
clavicular
duplication
.
Neuro-physiological
studies
corroborated
the
diagnosis
.
Patient
responded
well
to
conservative
treatment
and
was
in
follow-up
for
1
year
.
Radiograph
of
the
shoulder
should
be
included
in
the
workup
of
neurogenic
thoracic
outlet
syndrome
and
anomalies
of
clavicle
should
be
looked
into
and
ruled
out
along
with
other
common
causes
.
Patient
and
symptom
directed
approach
with
dedicated
physiotherapy
and
occupational
therapy
is
required
for
optimum
outcome
.
Diseases
Validation
Diseases presenting
"duplication in the literature"
symptom
thoracic outlet syndrome
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