Dog rib cage deformity

Dog rib cage deformity (DRCD) is a musculoskeletal disorder that occurs at the base of the first rib and causes severe shoulder dysfunction and pain. The purpose of this study was to assess the effect of thoracic outlet decompression surgery on pain and disability. Eighteen patients (10 women, 8 men) who underwent thoracic outlet decompression (TOD) surgery were studied. The diagnosis of DRCD was based on clinical symptoms and physical examination findings, and confirmed by Doppler studies. Patients' age was 32.2 ± 9.5 years (range, 20 to 50 years). In the preoperative period, the mean VAS score was 7.6 ± 2.4 and the mean DASH score was 68.3 ± 17.8. At the final visit, the mean VAS score was 0.7 ± 1.3 and the mean DASH score was 4.6 ± 5.8. In this study, the functional capacity was significantly improved after surgery (p <, 0.01). The VAS and DASH scores were decreased after surgery in all patients. In 10 of 18 patients (55.5%), the disability of daily life due to musculoskeletal pain was improved. There was no significant difference in shoulder ROM between the preoperative and postoperative periods. The pain intensity score and functional status of the patients who have undergone thoracic outlet decompression surgery did not differ significantly from those of the age- and sex-matched healthy control population. In conclusion, the results of this study suggest that the functional capacity of the patients with DRCD was improved after surgery. The symptoms of DRCD were related to musculoskeletal pain, and not to the shoulder instability. Moreover, we found that the outcome of surgery was more influenced by the functional status and pain intensity rather than shoulder ROM.

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