Dynamic CT angiography for the diagnosis of patients with thoracic outlet syndrome: Correlation with patient symptoms

Gillet, Romain; Teixeira, Pedro Augusto Gondim; Meyer, J.-B.; Rauch, Aymeric; Raymond, A.; Dap, F.; Blum, Alain

doi:10.1016/j.jcct.2017.11.008

Cited by 18 publications

(17 citation statements)

References 30 publications

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“…It should also be noted that there is evidence that surgical outcomes in those patients presenting with work-associated injuries and with workers' compensation are worse. One study demonstrates 60% of patients remained disabled and unable to continue work-required activities at one year after surgical intervention [31].…”

Section: Updates In Surgical Techniquesmentioning

confidence: 99%

“…Demondion et al first reported positional MRI of the thoracic outlet in a proof-of-concept study using 5 cadavers and 12 healthy volunteers [31]. With a 1.5T magnet, he obtained T1 weighted spin-echo sequences first with the arms alongside the body, then with the arms hyperabducted at 135 degrees.…”

Section: Positional Mrimentioning

confidence: 99%

“…Surgical removal of rib 1 would likely not relieve the symptoms of compression around a more laterally placed trunk. A scalenectomy could place the piercing trunks in danger of damage unless appropriately identified [31]. Scalene botulinum toxin injection could be effective, so US could be applied to preselect patients with piercing variants for this treatment.…”

Section: Diagnosis and Treatment Of Thoracic Outlet Syndrome (Tos)mentioning

confidence: 99%

“…Duplex ultrasound Contrast arteriography Finger plethysmography [5] CT/MR arteriography with provocative manoeuvres [5,26,[28][29][30] -VTOS Duplex ultrasound [5,12,31] CT/MR venography [32] Contrast venography [33] CT/MR venography with provocative manoeuvres [5,26,28] -…”

Section: Atosmentioning

confidence: 99%

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Diagnosis and Treatment of Thoracic Outlet Syndrome

2018

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Section: Updates In Surgical Techniquesmentioning

confidence: 99%

Section: Positional Mrimentioning

confidence: 99%

Section: Diagnosis and Treatment Of Thoracic Outlet Syndrome (Tos)mentioning

confidence: 99%

Section: Atosmentioning

confidence: 99%

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Diagnosis and Treatment of Thoracic Outlet Syndrome

2018

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“…8). 81 Coupled with angiography, KCT can help demonstrate neurovascular entrapment syndromes such as thoracic outlet syndromes 82 and popliteal entrapment syndromes. Multiple different maneuvers can be performed with a single bolus of contrast.…”

Section: Kinematic Ctmentioning

confidence: 99%

Musculoskeletal Imaging: Current Practice and Future Directions

Farrell

Adams

Walsh

et al. 2018

Semin Musculoskelet Radiol

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Musculoskeletal (MSK) radiology plays a crucial role in the diagnosis and management of MSK disorders and has rapidly expanded in tandem with advances in technology and improved access to imaging. Although anatomical imaging remains the mainstay of MSK radiology, significant progress has been made in functional and molecular imaging as well as in hybrid imaging with an expanding armament of technologies becoming available or in development. A vast array of research is occurring in MSK imaging, and this review article highlights some of the most promising current and future clinical applications in development in each of the major imaging modalities. Identifying the clinical utility of these technologies in an era of rising health care costs is an important challenge for MSK radiologists.

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Neurogenic thoracic outlet syndrome in the overhead and throwing athlete: A narrative review

Troyer

Gardner

Bowers

2022

PM&R

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Thoracic outlet syndrome is an important cause of shoulder pain and dysfunction due to compression of neurovascular structures as they traverse the thoracic outlet. Symptoms are most commonly due to compression of the brachial plexus called neurogenic thoracic outlet syndrome (nTOS). Throwing athletes are at increased risk of nTOS because of a variety of biomechanical factors. However, because nTOS symptoms are often nonspecific, delayed diagnosis is common. Neurogenic thoracic outlet largely remains a diagnosis of exclusion with advanced imaging ruling out vascular involvement and diagnostic injections gaining favor in helping localize sites of compression. Although rehabilitation alone may improve symptoms in some athletes, many require surgical treatment for long-term relief. This generally entails decompression of the thoracic outlet by some combination of muscle release, brachial plexus neurolysis, and first rib resection. Outcomes tend to be successful in athletes with most achieving resolution of symptoms and return to athletic activity. NTOS is an important cause of shoulder pain and dysfunction in throwing athletes. The history and physical examination should focus on activities that exacerbate symptoms. Treatment of nTOS generally requires surgical intervention and allows throwing athletes to return to sport.

show abstract

Dynamic CT angiography for the diagnosis of patients with thoracic outlet syndrome: Correlation with patient symptoms

Cited by 18 publications

References 30 publications

Diagnosis and Treatment of Thoracic Outlet Syndrome

Diagnosis and Treatment of Thoracic Outlet Syndrome

Musculoskeletal Imaging: Current Practice and Future Directions

Neurogenic thoracic outlet syndrome in the overhead and throwing athlete: A narrative review

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