L. J. clein and T. R. swift reported Droopy Shoulder Syndrome (DSS). The patients with DSS had various symptoms and signs. And they demonstrated that the second thoracic spinal body of these patients, was visible in the lateral view of cervical spine X-rays. In this report we studied the relation between the symptoms of DSS and the visibility of the second thoracic spinal body in cervical spine X-rays. Therefore, we examined the lateral view of cervical spine X-rays in 500 cases that came to our department with various disorders between 1988 and middle of 1989. In 52 cases, 10.4% of the total, we could see the second thoracic spinal body. So we did make inquiries about the symptoms of DSS to these cases, and got 42 answers from them. 15 cases of the 42 (36%) had the symptoms of DSS, but other cases had no symptons. We think this rate is very high. But we had had some patients with DSS whose second spinal body were not visible. Because of these results we think the visibility of the second spinal body in cervical spine X-rays is only one of the signs of DSS. And 11 of the 15 cases, who had the symptoms of DSS, were diagnosed as TOS. Therefore, we should have a doubt about combined DSS in female patients with TOS.
