Thoracic-outlet-Syndrom

Abstract

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.

Thoracic Outlet Syndrome in Sport: A Systematic Review

“…TOS is still poorly understood especially N-TOS, due to the lack of strong diagnostic criteria and exams, poor specificity and high variability of symptoms with many differential diagnoses ( Fouasson-Chailloux et al, 2021b ). This difficulty increases because of the low frequency of TOS, making it difficult to recognize and inducing delay of management ( Dragu et al, 2009 ). TOS is also a constructed entity, grouping heterogeneous manifestations, which need specific treatments according to the type and the localization of the compression, the pathophysiology and the patient expectation.…”

Langzeitergebnisse nach Rekonstruktion von Fingerdefekten mittels Cross-Finger-Lappenplastik

“…Aufgrund des dünnen Haut-und Weichteilmantels der Hand können bereits kleine Weichteilverletzungen der Finger in funktionell relevanten Defekten mit freiliegenden Sehnen und Gefäß-Nervenbündeln resultieren. Wenn dies der Fall ist, spricht man von einem lappenpflichtigen Defekt [1]. Die Voraussetzungen an die rekonstruktiven Verfahren im Bereich der palmaren Finger sind klar definiert.…”