Thoracic outlet syndrome

Kwon, Young Ho; Chung, Haksun

doi:10.5124/jkma.2017.60.12.963

Cited by 4 publications

(1 citation statement)

References 26 publications

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“…흉곽출구증후군은 경늑골, 섬유성 근육띠, 전 사각근, 선천성 상위견갑골 등 흉곽 상부 구조물에 의해 상완신경총, 쇄골하동맥, 쇄골하정맥이 압박 되어 다양한 증상을 유발하는 질환이다. 전형적인 증상은 전완부 내측, 견갑부, 안면, 흉부의 통증이나 감각 이상 및 상지의 근력 약 화이다 [1,2]. 비전형적인 경우에는 두통, 수면장애 등으로 나타나 기도 한다 [3,4].…”

Section: Introductionunclassified

Clinical Efficacy of Scalene Injection for Thoracic Outlet Syndrome

Baek¹,

Kim²,

Shin³

et al. 2021

Arch Hand Microsurg

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Purpose: We introduce the novel treatment technique, scalene injection, and study its clinical efficacy for diagnosis, treatment, and pain control for patients with thoracic outlet syndrome.Methods: Between November 2001 and October 2018, 266 patients were studied retrospectively. To evaluate the efficacy and sustainability, we checked the numerical rating scale (NRS) for pain relief and neck disability index (NDI) for functional improvements, prior to and 1, 12 weeks after the injection. The safety was evaluated by examining side effects for at least 24 hours from the point of injection.Results: NRS was improved from 7.12 to 3.11 at 1 week, and to 3.05 at 12 weeks (p<0.05). NDI was improved from 15.87 to 6.15 at 1 week, and to 6.19 at 12 weeks (p<0.05). There were two cases of convulsion immediately after the injection and were treated with prompt oxygen supply and sedatives. Transient side effects included two cases of dyspnea and one case of nausea and were resolved within 1 hour after. All five cases showed symptoms of side effects on the day of injection and were resolved within a day. A total of 242 patients (91.0%) experienced immediate declines in NRS and 161 patients experienced persistent declines for more than 12 weeks. However, 24 patients (9.0%) showed no improvement and 20 patients (7.5%) experienced increases in NRS.Conclusion: Scalene injection is also effective as a therapeutic method. However, this study suggests that it must be done with monitoring of vital signs in an operating room for any possible complications and side effects.

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Section: Introductionunclassified

Clinical Efficacy of Scalene Injection for Thoracic Outlet Syndrome

Baek¹,

Kim²,

Shin³

et al. 2021

Arch Hand Microsurg

Self Cite

View full text Add to dashboard Cite

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A Case Report of Korean Medicine Treatment for a Wrist Drop Patient with Thoracic Outlet Syndrome Admitted to Korean Medicine Hospital

Min

Kang

Ahn

et al. 2022

J Korean Med Rehabil

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The purpose of this study is to report the effects of Korean medicine treatment in wrist drop patient with thoracic outlet syndrome. We treated the patient for 8 days using Korean medicine treatment such as herbal medicine, acupuncture, Chuna manual therapy and pharmacopuncture. Changes in the numerical rating scale (NRS), EuroQol five dimension (EQ-5D) index, and symptoms were measured for assessment. After 8 days hospitalization, NRS decreased from 5 to 3, EQ-5D index and the symptoms of the patient also were improved. In conclusion, this case shows that Korean medicine treatment can be an effective treatment for wrist drop with thoracic outlet syndrome.

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Common peripheral neuropathies of the upper extremity

Baek

Kim

2017

J Korean Med Assoc

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Thoracic outlet syndrome

Cited by 4 publications

References 26 publications

Clinical Efficacy of Scalene Injection for Thoracic Outlet Syndrome

Clinical Efficacy of Scalene Injection for Thoracic Outlet Syndrome

A Case Report of Korean Medicine Treatment for a Wrist Drop Patient with Thoracic Outlet Syndrome Admitted to Korean Medicine Hospital

Common peripheral neuropathies of the upper extremity

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