Functional Results of Cervical Rib Resection for Thoracic Outlet Syndrome: Impact on Professional Activity

Morel, Jessica; Pirvu, Augustin; Elie, Amandine; Gallet, Nicolas; Magné, Julien; Spear, Rafaëlle

doi:10.1016/j.avsg.2018.09.007

Cited by 17 publications

(15 citation statements)

References 30 publications

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“…On the contrary, in our study, all the patients included had a diagnosis of NTOS based on CORE-TOS criteria [ 12 ]. Furthermore, our patients were similar in terms of mean age and sex ratio to previous studies including patients with NTOS [ 39 , 40 ], although in some other studies the age can be slightly lower by a few years [ 5 , 8 , 29 ]. This small difference may be due to divergences in the management strategy of NTOS within the centers, in particular the delay of access to the surgery.…”

Section: Discussionsupporting

confidence: 86%

Shoulder Isokinetic Strength Deficit in Patients with Neurogenic Thoracic Outlet Syndrome

Daley

Pomarès

et al. 2021

Diagnostics

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Neurogenic thoracic outlet syndrome (NTOS) is an impairing painful condition. Patients usually report upper-limb pain, weakness and paresthesia. Shoulder weakness is frequently reported but has never been described with objective strength evaluation. We aimed to compare isokinetic shoulder strength between patients with NTOS and healthy controls. Patients and controls were prospectively evaluated with an isokinetic strength test at 60 and 180°/s, and an endurance test (30 repetitions at 180°/s) of the shoulder rotators. Patients were functionally assessed with QuickDASH questionnaires. One hundred patients and one hundred healthy subjects were included. Seventy-one percent of patients with NTOS were females with a mean age of 39.4 ± 9.6. They were compared to controls, 73% females and the mean age of 38.8 ± 9.8. Patients’ mean QuickDASH was 58.3 ± 13.9. Concerning the peak of strength at 60°/s, the symptomatic limbs of patients with NTOS had significantly 21% and 29% less strength than the control limbs for medial and lateral rotators, respectively (p ≤ 0.001). At 180°/s, the symptomatic limbs had significantly 23% and 20% less strength than the controls for medial and lateral rotators, respectively (p ≤ 0.001). The symptomatic limbs had significantly 45% and 30% less endurance than the controls for medial and lateral rotators, respectively (p ≤ 0.001). These deficits were correlated to the QuickDASH. Patients with NTOS presented a significant deficit of strength and endurance of the shoulder rotators correlated to disability. This highlights the interest in upper-limb strength evaluation in the diagnostic process and the follow-up of NTOS.

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Section: Discussionsupporting

confidence: 86%

Shoulder Isokinetic Strength Deficit in Patients with Neurogenic Thoracic Outlet Syndrome

Daley

Pomarès

et al. 2021

Diagnostics

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“…Immediate treatment of cervical rib syndrome is important to prevent long-term complications of neural and/or vascular compression. 10 Asymptomatic patients in whom a cervical rib is found as an incidental diagnosis should be given guidance on the symptoms of neurovascular compression, so that they can seek appropriate treatment rapidly in the event that symptoms emerge. 2 …”

Section: Discussionmentioning

confidence: 99%

“…O tratamento imediato da síndrome da costela cervical é importante para prevenir complicações a longo prazo decorrentes da compressão neural e/ou compressão vascular 10 . Os pacientes assintomáticos, com diagnóstico incidental de costela cervical, devem ser orientados sobre os sintomas decorrentes da compressão neurovascular para que, em caso de desenvolvimento de sintomas, esses pacientes tenham tratamento rápido e apropriado 2 .…”

Section: Discussionunclassified

Tratamento de oclusão arterial em membro superior causada por costela cervical

et al. 2021

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Resumo A síndrome da costela cervical ocorre quando o triângulo intercostoescalênico é ocupado por uma costela cervical, deslocando o plexo braquial e a artéria subclávia anteriormente, o que pode gerar dor e espasmo muscular. O objetivo deste estudo é discutir sobre o diagnóstico da síndrome da costela cervical e as possibilidades de tratamento. Este desafio terapêutico descreve a condução clínica e cirúrgica de uma paciente de 37 anos com obstrução arterial em membro superior causada por costela cervical.

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“…En los cuadros neurológicos el tratamiento es conservador, incluida la fisioterapia durante 4 a 6 meses, y sólo será quirúrgico cuando éste fracase. En los cuadros vasculares la elección es la trombolisis intracatéter y/o intervención quirúrgica para descompresión de estructuras comprometidas: resección vía transaxilar o supraclavicular, escalenectomía o escalenotomía e incluso supresión de la primera costilla (7,10,15).…”

Section: Discussionunclassified

Masa pulsátil en el cuello: arteria subclavia sobre costilla cervical

García-Rodríguez¹,

Sánchez-Velasco²,

Aldudo-Avilés³

2021

Rev Peru Investig Salud

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Una masa pulsátil en el triángulo posterior del cuello puede inducir preocupación cuando crece y comienza a molestar. Se presenta caso de mujer joven, que consulta por dicho motivo, en la que se identifica una arteria subclavia verticalizada por coexistencia con costilla cervical. Al ser, por el momento, asintomática únicamente requirió una actitud preventiva, además de un seguimiento evolutivo ante la posibilidad del desarrollo de un cuadro compresivo por el síndrome del desfiladero torácico y/o un aneurisma arterial.

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Functional Results of Cervical Rib Resection for Thoracic Outlet Syndrome: Impact on Professional Activity

Cited by 17 publications

References 30 publications

Shoulder Isokinetic Strength Deficit in Patients with Neurogenic Thoracic Outlet Syndrome

Shoulder Isokinetic Strength Deficit in Patients with Neurogenic Thoracic Outlet Syndrome

Tratamento de oclusão arterial em membro superior causada por costela cervical

Masa pulsátil en el cuello: arteria subclavia sobre costilla cervical

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