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Allen S. Russek, M.D.
JAMA. 1952;150(1):25-27. doi:10.1001/jama.1952.03680010031007.
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The scapulocostal syndrome is manifested by the insidious development of pain in the superior or posterior aspect of the shoulder girdle with radiation into one or more of the following regions: (1) the neck and occiput, often associated with severe headache; (2) the upper arm, particularly in the upper triceps and point of insertion of the deltoid muscle; (3) around the chest to the front of the thoracic wall; and (4) down the medial aspect of the forearm into the hand and fingers. Often there is numbness and tingling of the fingers, most commonly the fourth and fifth. The syndrome is caused by long-standing alteration of the relationship between the scapula and the posterior thoracic wall. It is characterized by remissions and exacerbations and may become acute, but it is more often chronic and can persist for years. It is refractory to the usual forms of physical therapy and is


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