Diagnóstico por angiorresonancia magnética del síndrome del estrecho torácico superior

Gómez, Estibaliz; Bastida, Roberto López; Oleaga, Laura; Gorriño, M.; Grande, Domingo

doi:10.1016/s0033-8338(06)75138-4

Cited by 4 publications

(2 citation statements)

References 8 publications

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“…An angioplasty catheter balloon (Fox plus, Abbott) was used with a dilatation cylinder 40 mm in length and 12 mm in diameter when infl ated. Selected diameter of the balloon complies with a mean distance between the fi rst rib and the clavicle as well as with a diameter of v. subclavia during inspiration (11)(12)(13). The catheter was initially introduced up to the attachment site of mm.…”

Section: Methodsmentioning

confidence: 99%

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Plexus brachialis Strain and Compression Deformation in the Costo-Axillary-Brachial Region: A Cadaveric Study

Vasiļevskis

Skuja²,

Evansa³

et al. 2011

Medicina

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Objective. The aim of this study was to clarify the role of different mechanisms in nerve injury during arm abduction positions. The tasks were to determine the strain deformation of the plexus brachialis during arm abduction, to measure the pressures in the neurovascular bundle in the cervico-costoclavicular-axillary area, and evaluate the histological changes of nerve after the stretch test. Material and Methods. During the cadaveric study on 7 specimens 7–20 h after death, strain deformation of plexus brachialis as well as compression deformation caused by the surrounding structures of the neurovascular bundle were investigated in the arm abduction position of 0°, 90°, 12°, 150°, and 180°. One nerve sample was studied histologically after 15% stretch on the bench. Results. The relative strain deformation of 3%–23% was documented during 0° to 180° abduction tests. The strain deformation from 0° to 90° was significant (P<0.001). The mean pressure change in the bundle was 13.6 mm Hg at 90°, 53.7 mm Hg at 120°, 73.4 mm Hg at 150°, and 89.0 mm Hg at 180° arm abduction. An increase in pressure was significant in the intervals: 0°–90° (P<0.001), 91°–120° (P<0.001), 121°–150° (P<0.001) and 151°–180° (P<0.05). Conclusions. Nerve traction and tissue compression arising during the arm abduction above 90° were found to be sufficient to induce lesions in neural bundles of the plexus brachialis.

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Section: Methodsmentioning

confidence: 99%

“…Further, nerves divide and do not function as a one unit anymore. We measured strain of the peripheral nerves in the upper arm during arm abduction; however, it has been determined that it does not present an equal deformation along all nerve axons, and the plexus seems to be deformed more than separate peripheral nerves (13).…”

Section: A B a Bmentioning

confidence: 99%

Plexus brachialis Strain and Compression Deformation in the Costo-Axillary-Brachial Region: A Cadaveric Study

Vasiļevskis

Skuja²,

Evansa³

et al. 2011

Medicina

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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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Síndrome de desfiladero cervicotorácico postraumático y traumatismos cervicales menores. Importancia médico-legal

Aso¹,

Monreal²,

Quiñones³

et al. 2009

Revista Española de Medicina Legal

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Diagnóstico por angiorresonancia magnética del síndrome del estrecho torácico superior

Cited by 4 publications

References 8 publications

Plexus brachialis Strain and Compression Deformation in the Costo-Axillary-Brachial Region: A Cadaveric Study

Plexus brachialis Strain and Compression Deformation in the Costo-Axillary-Brachial Region: A Cadaveric Study

Thoracic-outlet-Syndrom

Síndrome de desfiladero cervicotorácico postraumático y traumatismos cervicales menores. Importancia médico-legal

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