Thoracic Outlet Syndrome Induced by Huge Lipoma: A Case Report

Sul, Junghoon; Lim, Jeongwook; Kang, Shin Kwang; Choi, Sang Hee; Kwon, Hyon-Jo; Youm, Jin-Young

doi:10.13004/kjnt.2019.15.e9

Cited by 5 publications

(5 citation statements)

References 7 publications

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“…The full text of the remaining 68 articles was reviewed and 58 articles were excluded afterward. In total, 10 articles were included, 2 6 7 8 9 10 11 12 13 14 comprising 22 cases of brachial plexus lipoma. Including our three cases, demographics, surgical treatment, and the neurological outcome were analyzed for 25 patients (15 males and 10 females with mean age of 46.7 ± 15.3 years).…”

Section: Resultsmentioning

confidence: 99%

Lipomas as an Extremely Rare Cause for Brachial Plexus Compression: A Case Series and Systematic Review

Gembruch

Ahmadipour

Chihi

et al. 2021

J Brachial Plex Peripher Nerve Inj

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Introduction Brachial plexus lipomas are extremely rare benign tumors that may cause slow progression of neurological deficits leading to thoracic outlet syndrome. Up to now, surgery remains challenging. The aim of this study is to present our surgical treatment regime and long-term neurological outcome in three cases of giant brachial plexus lipomas and to show results of systematic review. Patients and Methods Retrospective analysis of our database “peripheral nerve lesion” to identify patients suffering from brachial plexus lipomas between January 1, 2012, and December 31, 2019. Systematic review was performed for literature published until March 31, 2020, analyzing PubMed, Google Scholar, Scopus, and the Cochrane Collaboration Library independently by two authors. Results Over the past years, three patients suffering from giant brachial plexus lipomas attended to our neurosurgical department. All patients underwent preoperative magnetic resonance imaging (MRI), ultrasound examinations, and electrophysiological testing. Tumors were removed microsurgically via anterior/posterior, supraclavicular/infraclavicular, and combined approaches. The patients were accessed postoperatively by MRI and clinical follow-up. Systematic review of the literature revealed 22 cases, which were analyzed in regard to demographics, surgical treatment, and neurological outcome. Conclusion Brachial plexus lipomas are an extremely rare cause for brachial plexus compression. Total microsurgical removal with intraoperative electrophysiological monitoring is the treatment of choice with excellent long-term MRI and clinical outcome.

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Section: Resultsmentioning

confidence: 99%

Lipomas as an Extremely Rare Cause for Brachial Plexus Compression: A Case Series and Systematic Review

Gembruch

Ahmadipour

Chihi

et al. 2021

J Brachial Plex Peripher Nerve Inj

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“…This compression could have been caused by the bony overgrowth in the costoclavicular space coming from the medial clavicle and the first rib. 5 Treatment for medial clavicle osteitis condensans aims to ease discomfort and enhance functionality. Pain relief and function enhancement are typically pursued through nonsteroidal anti-inflammatory drugs (NSAIDs) and pain medications, coupled with physical therapy to improve range of motion.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment and Short-Term Outcome for a Refractory Case of Medial Clavicle Osteitis Condensans: A Case Report

Dolojan,

Sibonga

2024

PJO

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Medial clavicle osteitis condensans presents as pain and swelling in the sternal end of the clavicle with increased bone density in the radiograph. In this case report, we present a 39-year-old woman with right medial clavicle osteitis condensans who underwent several diagnostic procedures with inconclusive findings. Despite various interventions, including IV antibiotics, steroid injections, and IV pain medications, relief was only temporary. Abnormal bone marrow signals involving the sternal end of the right clavicle on further imaging, together with non-response to treatment, prompted surgical intervention. Medial clavicle and first rib resection were performed resulting in significant improvement in pain and function on short-term follow-up.

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“…(c) pectoralis minor space (space with three trunks, cords of the brachial plexus and a vascular bundle; Sul et al, 2019). Pectoralis minor compression syndrome is a constriction of the elements of the subpectoral tunnel (Ammi et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…Squeezing of the nerves and vessels in the thoracic outlet is referred to as thoracic outlet syndrome. The thoracic outlet is divided into three areas: (a) scalene triangle (C5–C8 and T1 roots, subclavian artery); (b) costoclavicular space (the space between the clavicle, the first rib with trunks of the brachial plexus and the subclavian artery and vein); (c) pectoralis minor space (space with three trunks, cords of the brachial plexus and a vascular bundle; Sul et al, ). Pectoralis minor compression syndrome is a constriction of the elements of the sub‐pectoral tunnel (Ammi et al, ).…”

Section: Discussionmentioning

confidence: 99%

Innervation of the clavicular part of the deltoid muscle by the lateral pectoral nerve

et al. 2020

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Introduction: The innervation pattern of the clavicular head of the deltoid muscle and its corresponding topography was investigated via cadaveric dissection in the present study, focusing on the lateral pectoral nerve. Materials and methods: Fifty-eight upper extremities were dissected and the nerve supplies to the deltoid muscle and the variability of the lateral pectoral and axillary nerves, including their topographical patterns, were noted. Results: The clavicular portion of the deltoid muscle received a deltoid branch from the lateral pectoral nerve in 86.2% of cases. Two topographical patterns of the lateral pectoral nerve were observed, depending on the branching level from the brachial plexus: a proximal variant, where the nerve entered the pectoral region under the clavicle, and a distal variant, where the nerve entered the pectoral region from

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Thoracic Outlet Syndrome Induced by Huge Lipoma: A Case Report

Cited by 5 publications

References 7 publications

Lipomas as an Extremely Rare Cause for Brachial Plexus Compression: A Case Series and Systematic Review

Lipomas as an Extremely Rare Cause for Brachial Plexus Compression: A Case Series and Systematic Review

Surgical Treatment and Short-Term Outcome for a Refractory Case of Medial Clavicle Osteitis Condensans: A Case Report

Innervation of the clavicular part of the deltoid muscle by the lateral pectoral nerve

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