Neurogenic Thoracic Outlet and Pectoralis Minor Syndromes in Children

Sanders, Richard J.; Annest, Stephen J.; Goldson, Edward

doi:10.1177/1538574413481858

Cited by 16 publications

(9 citation statements)

References 13 publications

(15 reference statements)

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“…However, when NPMS and NTOS coexist, the success rate for pectoralis minor release alone is closer to 35%. The other 65% may need thoracic outlet decompression at a later date [ 1 , 3 , 15 ].…”

Section: Results Of Surgical Treatmentmentioning

confidence: 99%

Pectoralis Minor Syndrome: Subclavicular Brachial Plexus Compression

Sanders

Annest

2017

Diagnostics

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The diagnosis of brachial plexus compression—either neurogenic thoracic outlet syndrome (NTOS) or neurogenic pectoralis minor syndrome (NPMS)—is based on old fashioned history and physical examination. Tests, such as scalene muscle and pectoralis minor muscle blocks are employed to confirm a diagnosis suspected on clinical findings. Electrodiagnostic studies can confirm a diagnosis of nerve compression, but cannot establish it. This is not a diagnosis of exclusion; the differential and associated diagnoses of upper extremity pain are always considered. Also discussed is conservative and surgical treatment options.

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Section: Results Of Surgical Treatmentmentioning

confidence: 99%

Pectoralis Minor Syndrome: Subclavicular Brachial Plexus Compression

Sanders

Annest

2017

Diagnostics

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“…In 2011, Sanders reported good to excellent results with isolated open Pm release when treating thoracic outlet syndrome [ 20 ]. Later, the same author reported the results of surgical treatment for neurogenic Pm syndrome in children between 11 and 19 years old [ 18 ]. In this younger population, 25% of the shoulders were diagnosed as grade II (isolated Pm syndrome) and 75% as grade III [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

“…Later, the same author reported the results of surgical treatment for neurogenic Pm syndrome in children between 11 and 19 years old [ 18 ]. In this younger population, 25% of the shoulders were diagnosed as grade II (isolated Pm syndrome) and 75% as grade III [ 18 ]. As stated by the authors, the difference between these two degrees far exceeds academic interest, since Pm release is much less invasive that extensile thoracic outlet decompression with first rib resection [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic release of the pectoralis minor tendon from the coracoid for pectoralis minor syndrome

Haeni¹,

Martínez-Catalán

Esper

et al. 2022

J EXP ORTOP

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Purpose The term “pectoralis minor syndrome” refers to this constellation of symptoms that can occur when the pectoralis minor (Pm) is shortened and contracted. Release of the tendon of the Pm from the coracoid has been reported to provide substantial clinical improvement to patients presenting with pectoralis minor syndrome. The purpose of this study was (1) to describe the technique for endoscopic release of pectoralis minor tendon at the subdeltoid space, (2) to classify the pectoralis minor syndrome according to its severity and (3) and to report the short-term outcomes of this procedure in a consecutive series of patients diagnosed with pectoralis minor syndrome. Methods Endoscopic release of the pectoralis minor tendon was performed in a series of 10 patients presenting with pectoralis minor syndrome. There were six females and four males with a median age at the time of surgery of 42 (range from 20 to 58) years. Four shoulders were categorized as grade I (scapular dyskinesis), and six as grade II (intermittent brachial plexopathy). Shoulders were evaluated for pain, motion, satisfaction, subjective shoulder value (SSV), quick-DASH, ASES score, and complications. The mean follow-up time was 19 (range, 6 to 49) months. Results Arthroscopic release of the tendon of the Pm led to substantial resolution of pectoralis minor syndrome symptoms in all but one shoulder, which was considered a failure. Preoperatively, the median VAS for pain was 8.5 (range, 7–10) and the mean SSV was 20% (range, 10% - 50%). At most recent follow-up the mean VAS for pain was 1 (range, 0–6) and the mean SSV 80% (range, 50% - 90%). Before surgery, mean ASES and quick-DASH scores were 19.1 (range, 10–41.6) and 83.1 (range, 71 and 95.5) points respectively. At most recent follow-up, mean ASES and quick-DASH scores were 80.1 (range, 40–100) and 19.3 (range, 2.3–68) points respectively. No surgical complications occurred in any of the shoulder included in this study. Conclusions Endoscopic release of the tendon of the pectoralis minor from the coracoid improves pain, function and patient reported outcomes in the majority of patients presenting with the diagnosis of isolated pectoralis minor syndrome.

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“…Gejala-gejala timbul dari kompresi yang berada di anyaman neurovascular seperti vena subklavia, arteri subklavia serta plexus brachialis (Klaassen et al, 2014) Thoracic Outlet Syndrome (TOS) memiliki insidensi sebesar 1-2% secara global dan juga dapat diklasifikasikan menjadi 3 tipe yaitu) Neurogenic TOS: most common, 90%) Venous TOS: 5% of cases) Arterial TOS: 1%. Neurogenic TOS merupakan tipe TOS yang paling sering terjadi dengan 90% kasus sedangkan Venous TOS 5% dan Arterial TOS menjadi yang paling sedikit dengan 1% kasus (Sanders et al, 2013). Insidensi kasus TOS di dunia adalah antara 3 sampai 80 kasus per 1000 populasi (Jones et al, 2019) Dengan adanya berbagai etiologi yang dapat menyebabkan penyakit ini, maka terapi yang tepat untuk TOS adalah untuk menggunakan pendekatan yang komprehensif dan multidisiplin.…”

Section: Pendahuluanunclassified

Sindrom Outlet Dada

Amper

2020

jiskh

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Background: Thoracic Outlet Syndrome is one of the rarest diseases in the world with not a lot of information behind it. It is a collection of symptoms caused by compression in the neurovascular bundle exiting the Thoracic Outlet. The Thoracic Outlet is a structure under the neck between the first costae and the clavicle. Objective: To know more about Thoracic Outlet Syndrome comprehensively. Methods: Using literature studies from national and international journals by summarizing the topic of discussion and comparing the results presented in the article. Results: Thoracic Outlet Syndrome is a disease with various etiologies. The. The diagnosis of the disease is determined by the symptoms exhibited. Thoracic Outlet Syndrome can be divided into 3 types, which are Arterial Thoracic Outlet Syndrome, Venous Thoracic Outlet Syndrome, and Neurogenic Thoracic Outlet Syndrome. Physical rehabilitation and change in lifestyle remain the first-line treatment for this disease, with complications, surgery is recommended. Conclusion: There are many things still unknown to Thoracic Outlet Syndrome, early diagnosis is essential to diagnose the type of Thoracic Outlet Syndrome to determine the correct treatment for the type.

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Neurogenic Thoracic Outlet and Pectoralis Minor Syndromes in Children

Cited by 16 publications

References 13 publications

Pectoralis Minor Syndrome: Subclavicular Brachial Plexus Compression

Pectoralis Minor Syndrome: Subclavicular Brachial Plexus Compression

Arthroscopic release of the pectoralis minor tendon from the coracoid for pectoralis minor syndrome

Sindrom Outlet Dada

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