Anterior resection of first rib for thoracic outlet syndrome

Graham, Galen; Lincoln, Beth

doi:10.1016/s0002-9610(73)80075-3

Cited by 11 publications

(1 citation statement)

References 12 publications

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“…Arteriograms and venograms are now performed only when presenting symptoms are on a vascular basis, and occasionally in patients with cervical ribS. [24][25][26] Although nerve conduction studies have been reported to be valuable in diagnosing thoracic outlet syndrome, 13,27-29 the experience in this investigation revealed the inconsistency reported by others. 12,14,24,30,31 Depending frequently on the interest and expertise of the examiner, electromyography and nerve conduction testing have been quite helpful in some cases, but completely worthless in others.…”

Section: Methodsmentioning

confidence: 99%

Thoracic Outlet Syndrome With Negative Adson's and Hyperabduction Maneuvers

Youmans

Smiley

1980

Vascular Surgery

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The thoracic outlet syndrome is a prevalent entity. Most cases respond to conservative methods of therapy. Surgical decompression, when necessary, is effective in the majority of cases, and morbidity and mortality are low. The diagnosis of thoracic outlet compression syndrome is usually made on the basis of an adequate history and physical examination. Neuroelectric studies are inconsistently helpful. The predominant symptoms are neurologic, not vascular. Pulse obliteration does indicate some element of anatomic tightness. However, without symptom reproduction, pulse change has no diagnostic relationship to thoracic outlet syndrome. Conversely, the inability to obliterate or diminish the radial pulse in positions of thoracic outlet tightness, when symptoms are reproduced in those positions, has no correlation to the results of decompression.

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Section: Methodsmentioning

confidence: 99%

Thoracic Outlet Syndrome With Negative Adson's and Hyperabduction Maneuvers

Youmans

Smiley

1980

Vascular Surgery

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Thoracic outlet syndrome surgery causing severe brachial plexopathy

Wilbourn

1988

Muscle and Nerve

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Hundreds of first rib resections are performed yearly in the United States to treat a controversial type of neurogenic thoracic outlet syndrome (NTOS). This surgery was thought to be devoid of serious neurological complications until 1982. However, that year Dale unearthed the rather astounding fact that the members of a single surgical society were aware of nearly 300 brachial plexus injuries resulting in motor deficits that had occurred during such operations, although almost none had been reported in the literature. In this report the features of the two main types of NTOS ("true" and "disputed") are discussed. The history of brachial plexus injury occurring during TOS surgery is traced back to the late nineteenth century. The clinical and electrophysiological features of eight patients who sustained such injuries are described in detail, the literature on this topic is reviewed, and the location and causes for these injuries are discussed.

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Diseases of the Great Vessels and the Thoracic Outlet

Melby

Thompson

2008

Surgery

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Anterior resection of first rib for thoracic outlet syndrome

Cited by 11 publications

References 12 publications

Thoracic Outlet Syndrome With Negative Adson's and Hyperabduction Maneuvers

Thoracic Outlet Syndrome With Negative Adson's and Hyperabduction Maneuvers

Thoracic outlet syndrome surgery causing severe brachial plexopathy

Diseases of the Great Vessels and the Thoracic Outlet

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