The Thoracic Outlet Syndrome Is Overdiagnosed

Clinical impact of magnetic resonance neurography in patients with brachial plexus neuropathies

“…The test is particularly limited in the evaluation of deeper (plexus) nerves. 23,24 In addition, lack of anatomic capability lowers its value, since it is often not possible to distinguish spine pathology from plexus pathology, as observed in many of our cases (Figures 2 and 4). MRN provides direct objective evidence and lesion localization information that is essential for pre-surgical planning.…”

Clinical impact of magnetic resonance neurography in patients with brachial plexus neuropathies

“…The test is particularly limited in the evaluation of deeper (plexus) nerves. 23,24 In addition, lack of anatomic capability lowers its value, since it is often not possible to distinguish spine pathology from plexus pathology, as observed in many of our cases (Figures 2 and 4). MRN provides direct objective evidence and lesion localization information that is essential for pre-surgical planning.…”

Perioperative Outcomes of Thoracic Outlet Syndrome Surgical Repair in a Nationally Validated Database

“…For example, Wilbourn suggested that TOS was overdiagnosed due to the variety of symptom presentation and the lack of confirmatory tests. 21 Yet, another study in 1999 in the United Kingdom projected a prevalence of 10 per 100 000 that was higher than what had been previously reported, suggesting earlier underdiagnosis. 22 Despite the recently published reporting standards for TOS, the lack of consensus confirmatory/diagnostic test make the decision for surgical intervention for NTOS relatively hard to justify.…”

“…For example, Wilbourn suggested that TOS was overdiagnosed due to the variety of symptom presentation and the lack of confirmatory tests. 21 Yet, another study in 1999 in the United Kingdom projected a prevalence of 10 per 100 000 that was higher than what had been previously reported, suggesting earlier underdiagnosis. 22…”

Diagnostic Accuracy of Scalene and Pectoralis Minor Muscle Blocks for Thoracic Outlet Syndrome: A Systematic Review and Meta-Analysis

“…Their greatest utility lies in their integration into a broader diagnostic framework, allowing for more accurate diagnosis and informed clinical decision-making. [46][47][48] A multimodal approach incorporating clinical examination, imaging, and electrophysiological testing can significantly enhance patient management, reduce unnecessary procedures, and optimize treatment outcomes, ultimately contributing to better patient-centered care.…”

Clinical impact of magnetic resonance neurography in patients with brachial plexus neuropathies

“…The test is particularly limited in the evaluation of deeper (plexus) nerves. 23,24 In addition, lack of anatomic capability lowers its value, since it is often not possible to distinguish spine pathology from plexus pathology, as observed in many of our cases (Figures 2 and 4). MRN provides direct objective evidence and lesion localization information that is essential for pre-surgical planning.…”

Perioperative Outcomes of Thoracic Outlet Syndrome Surgical Repair in a Nationally Validated Database

“…For example, Wilbourn suggested that TOS was overdiagnosed due to the variety of symptom presentation and the lack of confirmatory tests. 21 Yet, another study in 1999 in the United Kingdom projected a prevalence of 10 per 100 000 that was higher than what had been previously reported, suggesting earlier underdiagnosis. 22 Despite the recently published reporting standards for TOS, the lack of consensus confirmatory/diagnostic test make the decision for surgical intervention for NTOS relatively hard to justify.…”

“…For example, Wilbourn suggested that TOS was overdiagnosed due to the variety of symptom presentation and the lack of confirmatory tests. 21 Yet, another study in 1999 in the United Kingdom projected a prevalence of 10 per 100 000 that was higher than what had been previously reported, suggesting earlier underdiagnosis. 22…”

Diagnostic Accuracy of Scalene and Pectoralis Minor Muscle Blocks for Thoracic Outlet Syndrome: A Systematic Review and Meta-Analysis

“…Their greatest utility lies in their integration into a broader diagnostic framework, allowing for more accurate diagnosis and informed clinical decision-making. [46][47][48] A multimodal approach incorporating clinical examination, imaging, and electrophysiological testing can significantly enhance patient management, reduce unnecessary procedures, and optimize treatment outcomes, ultimately contributing to better patient-centered care.…”

Clinical impact of magnetic resonance neurography in patients with brachial plexus neuropathies

“…The test is particularly limited in the evaluation of deeper (plexus) nerves. 23,24 In addition, lack of anatomic capability lowers its value, since it is often not possible to distinguish spine pathology from plexus pathology, as observed in many of our cases (Figures 2 and 4). MRN provides direct objective evidence and lesion localization information that is essential for pre-surgical planning.…”

Perioperative Outcomes of Thoracic Outlet Syndrome Surgical Repair in a Nationally Validated Database

“…For example, Wilbourn suggested that TOS was overdiagnosed due to the variety of symptom presentation and the lack of confirmatory tests. 21 Yet, another study in 1999 in the United Kingdom projected a prevalence of 10 per 100 000 that was higher than what had been previously reported, suggesting earlier underdiagnosis. 22 Despite the recently published reporting standards for TOS, the lack of consensus confirmatory/diagnostic test make the decision for surgical intervention for NTOS relatively hard to justify.…”

“…For example, Wilbourn suggested that TOS was overdiagnosed due to the variety of symptom presentation and the lack of confirmatory tests. 21 Yet, another study in 1999 in the United Kingdom projected a prevalence of 10 per 100 000 that was higher than what had been previously reported, suggesting earlier underdiagnosis. 22…”

Diagnostic Accuracy of Scalene and Pectoralis Minor Muscle Blocks for Thoracic Outlet Syndrome: A Systematic Review and Meta-Analysis

“…Their greatest utility lies in their integration into a broader diagnostic framework, allowing for more accurate diagnosis and informed clinical decision-making. [46][47][48] A multimodal approach incorporating clinical examination, imaging, and electrophysiological testing can significantly enhance patient management, reduce unnecessary procedures, and optimize treatment outcomes, ultimately contributing to better patient-centered care.…”