Work-Related Neurogenic Thoracic Outlet Syndrome

Franklin, Gary M.

doi:10.1016/j.pmr.2015.04.004

Cited by 23 publications

(19 citation statements)

References 33 publications

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“…The patients' return to work depends on the type of surgery and when the rehabilitation process starts, as most of them are able to return to work with a light workload within 4 to 6 weeks, and to regular work within 10 to 12 weeks after surgery. 8 However, the authors of the present study report that most of the patients on sick leave do not present good results after a year of surgery, which explains the low level of return to work among the sample of this study.…”

Section: Discussioncontrasting

confidence: 67%

“…7 It is considered one of the most controversial syndromes among the ones that cause pain in the upper limbs, and it is at times associated with surgical interventions, even when there are no clear evidences of a true TOS. [8][9][10] Patients diagnosed with TOS must first undergo conservative treatment that involves strengthening, stretching, and postural correction exercises. And, when possible, they must reduce the intensity of their manual activities/tasks.…”

Section: Introductionmentioning

confidence: 99%

“…Such measures may help in the recovery and stop the progression of the disorder. [8][9][10] Surgical treatment, on the other hand, is reserved for those people who remain in severe and refractory chronic pain for longer than three months, which compromises the patients' quality of life. 11 Thus, considering chronic pain as a disabling symptom for the neurogenic TOS patient, the purpose of this study is to evaluate the quality of life of patients who underwent supraclavicular surgery, and to evaluate whether there was an improvement in the patients' degree of pain.…”

Section: Introductionmentioning

confidence: 99%

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Quality of Life of People with Thoracic Outlet Syndrome after Surgery

et al. 2017

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Keywords► repetitive strain injury ► chronic pain ► surgery ► multidisciplinary team AbstractPurpose To evaluate the quality of life of patients with neurogenic thoracic outlet syndrome (N-TOS) who underwent surgery via the supraclavicular approach. Method Sociodemographic and clinical data were collected, and an evaluation of the pain and quality of life of 29 patients was performed.Results The average age of the patients was 42 years, and most of them were female. All of them had one or more associated pathologies. They all worked in occupations that involved repetitive movement of the upper limbs. The evaluation of the degree of pain showed that the pain remains preponderant and incapacitating in the life of these individuals, who consequently enjoy a low quality of life. Conclusion These patients presented low quality of life, with persistent pain probably resulting from the associated pathologies, in addition to their psychosocial context. Thus, in order to treat the TOS, an intervention of a multidisciplinary team with a holistic view of the patient is required.

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Section: Discussioncontrasting

confidence: 67%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Quality of Life of People with Thoracic Outlet Syndrome after Surgery

et al. 2017

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“…Rarer acquired causes include tumours, hyperostosis, and osteomyelitis. 7,8 Important differential diagnoses for the neurogenic form of TDS include: musculoskeletal disease (such as arthritis or tendonitis) of the cervical spine, shoulder girdle or upper arm, cervical radiculopathy or upper extremity nerve compression, idiopathic brachial plexus inflammation (also known as Parsonage syndrome). Turner and compression of the brachial plexus due to an infiltrative process or mass such as pulmonary apex pancoast tumor.…”

Section: Case Reportmentioning

confidence: 99%

Incidental finding of thoracic outlet syndrome in a case of right tubal ruptured ectopic pregnancy

Chavan

Mahapatra

Ruhil

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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A 30-year-old woman, (multigravida) suffering from lower abdominal pain and slight vaginal bleeding was transferred to our hospital. She came with a pelvic ultrasound report. The provisional diagnosis of right tubal ectopic pregnancy was made. A laparotomy was carried out. Intraoperatively, blood pressure in both the arms were taken which revealed different blood pressure in different arms. A diagnosis of thoracic outlet syndrome was made. No postoperative complications were observed.

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“…All patients should undergo EDx testing before surgical intervention . In 2010, in the state of Washington, because of poor outcome among the majority of workers' compensation patients undergoing surgery for “neurogenic TOS,” a guideline was created requiring objective EDx evidence of brachial plexus involvement …”

Section: Disputed Tosmentioning

confidence: 99%

The thoracic outlet syndromes: Part 2. The arterial, venous, neurovascular, and disputed thoracic outlet syndromes

Ferrante

2017

Muscle and Nerve

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The thoracic outlet syndromes (TOSs) are a group of etiologically and clinically distinct disorders with 1 feature in common: compression of 1 or more neurovascular elements as they traverse the thoracic outlet. The medical literature reflects 5 TOSs: arterial; venous; traumatic neurovascular; true neurogenic; and disputed. Of these, the first 4 demonstrate all of the features expected of a syndrome, whereas disputed TOS does not, causing many experts to doubt its existence altogether. Thus, some categorize disputed TOSs as cervicoscapular pain syndrome rather than as a type of TOS. To better understand these disorders, their distinctions, and the reasoning underlying the categorical change of disputed TOS from a form of TOS to a cervicoscapular pain syndrome, a thorough understanding of the pertinent anatomy, pathology, pathophysiology, and electrodiagnostic manifestations of these pathophysiologies is required. This review of the TOSs is provided in 2 parts. In part 1 we covered general information pertinent to all 5 TOSs and reviewed true neurogenic TOS in detail. In part 2, we review the arterial, venous, traumatic neurovascular, and disputed forms of TOS. Muscle Nerve 56: 663-673, 2017.

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Work-Related Neurogenic Thoracic Outlet Syndrome

Cited by 23 publications

References 33 publications

Quality of Life of People with Thoracic Outlet Syndrome after Surgery

Quality of Life of People with Thoracic Outlet Syndrome after Surgery

Incidental finding of thoracic outlet syndrome in a case of right tubal ruptured ectopic pregnancy

The thoracic outlet syndromes: Part 2. The arterial, venous, neurovascular, and disputed thoracic outlet syndromes

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