Clinical predictors of surgical outcome in patients with thoracic outlet syndrome operated on via transaxillary approach

Yavuzer, Sema; Atinkaya, Cansel; Tokat, Osman

doi:10.1016/j.ejcts.2003.11.021

Cited by 26 publications

(22 citation statements)

References 13 publications

(23 reference statements)

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“…Rippe sowie ferner aufgeworfene Tuberkula am Ansatz des M. scalenus anterior bzw. des M. subclavius als knöcherne Anomalien [3, 5,12,14,15,54,58,59,61,63].…”

Section: äTiologie Und Pathomechanismusunclassified

“…Weitere Zugangswege sind von paraskapulär, transklavikulär, supra-oder infraklavikulär gegeben, werden aber nicht so häufig verwendet, da Zusatzeingriffe wie oben beschrieben nicht ohne Probleme ohne einen weiteren Zugang durchgeführt werden kön-nen. Einen deutlichen Vorteil haben diese Zugangswege jedoch bei notwendigen Rezidiveingriffen [1,61].…”

Section: Operative Zugangswege Und Lagerung Des Patientenunclassified

“…Die Patienten sind unter Einhaltung einer mehrwöchigen Schonfrist des Arms in der Regel beschwerdefrei und arbeitsfähig. In der aktuellen Literatur werden Erfolgsraten der transaxillären Rippenresektion bei gut gesicherten Kompressionssyndromen von 80-90% angegeben [1,2,14,23,25,40,46,58,61].…”

Section: Mögliche Komplikationen Und Postoperative Nachbehandlungunclassified

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Thoracic-outlet-Syndrom

Dragu

Lang

Unglaub

et al. 2008

Chirurg

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The thoracic outlet syndrome (TOS) is a disputed syndrome in the field of the so-called compression syndromes of the upper extremity. This is no surprise, as the TOS is a complex and multifactorial compression syndrome diagnosed by different medical specialities. On average 6.5 physicians of different specialities need 4.3 years to come up with the diagnosis of TOS. The correct diagnosis is of great importance and crucial for successful operative treatment. The necessary diagnostic tests can only be accomplished by team work, especially interdisciplinary cooperation. This expressly includes physiotherapy and not just the medical disciplines. This contribution presents a summary of the approaches and interactions involved in effective diagnosis and treatment of TOS.

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“…Rippe sowie ferner aufgeworfene Tuberkula am Ansatz des M. scalenus anterior bzw. des M. subclavius als knöcherne Anomalien [3, 5,12,14,15,54,58,59,61,63].…”

Section: äTiologie Und Pathomechanismusunclassified

Section: Operative Zugangswege Und Lagerung Des Patientenunclassified

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Thoracic-outlet-Syndrom

Dragu

Lang

Unglaub

et al. 2008

Chirurg

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“…The etiology of TOS is multiple. Potential causes of TOS are a cervical rib, abnormal ligamentous tissue, and hypertrophy of the scalenus anterior muscle [1,2].…”

Section: Introductionmentioning

confidence: 99%

Thoracic Outlet Syndrome Caused by a Pseudoaneurysm After Pseudarthrosis of the Clavicle

Heyn

Ozimek

Sadeghi‐Azandaryani

et al. 2008

Eur J Trauma Emerg Surg

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Clavicle fractures are common, with the majority treated conservatively. If treated conservatively, pseudarthrosis of the clavicle is reported in up to 3% of the cases. In rare cases, pseudarthrosis of the clavicle may cause pseudoaneurysm formation, resulting in compression of the brachial plexus and the adjoining vessels, which may produce neurological symptoms and circulatory disorders. Here, we describe two cases of the late onset of pseudoaneurysm formation after pseudarthrosis of the clavicle. Both cases were remarkable because they showed clinical symptoms of TOS. Therefore, surgical treatment was performed and included claviculectomy, resection of the pseudoaneurysm and interposition grafting with an artificial prosthesis. One year after the operation, both patients showed excellent upper extremity function without any deficit of vascular, sensorial or motorial function. Patient's history and radiological findings are the keys to diagnosis. Without treatment, the prognosis is poor with spontaneous development of bleeding or gangrene. Therefore, surgical treatment has to be performed, especially when neurological symptoms occur.

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“…51,52 If postural abnormalities or muscle imbalances are found, an exercise program that addresses these issues must be implemented to help prevent a reoccurrence of the patient's symptoms. 53 …”

Section: Postoperative Physical Therapymentioning

confidence: 99%

Thoracic outlet syndrome: a controversial clinical condition. Part 2: non-surgical and surgical management

Hooper¹,

Denton²,

McGalliard³

et al. 2010

Journal of Manual & Manipulative Therapy

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Background: Proper management of thoracic outlet syndrome (TOS) requires an understanding of the underlying causes of the disorder. A comprehensive examination process, as described in Part 1 of this review, can reveal the bony and soft tissue abnormalities and mechanical dysfunctions contributing to an individual's TOS symptoms. Objective: Part 2 of this review focuses on management of TOS. Conclusion: The clinician uses clinical examination results to design a rehabilitation program that focuses on correcting specific problems that were previously identified. Disputed neurogenic TOS is best managed with a trial of conservative therapy before surgical treatment options are considered. Cases that are resistant to conservative treatment may require surgical intervention. True neurogenic TOS may require surgical intervention to relieve compression of the neural structures in the thoracic outlet. Surgical management is required for cases of vascular TOS because of the potentially serious complications that may arise from venous or arterial compromise. Post-operative rehabilitation is recommended after surgical decompression to address factors that could lead to a reoccurrence of the patient's symptoms.

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Clinical predictors of surgical outcome in patients with thoracic outlet syndrome operated on via transaxillary approach

Abstract: The shorter duration of symptoms and the presence of a cervical rib may imply an unfavorable surgical outcome in patients with TOS.

Cited by 26 publications

References 13 publications

Thoracic-outlet-Syndrom

Thoracic-outlet-Syndrom

Thoracic Outlet Syndrome Caused by a Pseudoaneurysm After Pseudarthrosis of the Clavicle

Thoracic outlet syndrome: a controversial clinical condition. Part 2: non-surgical and surgical management

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