Neurogenic thoracic outlet syndrome

Abstract

Current concepts for the diagnosis of neurogenic thoracic outlet syndrome are presented together with the surgical experience and results in series of 51 patients caused by a cervical rib. Surgical treatment is recommended in patients with persistent and disabling symptoms not responding to conservative therapy. In carefully selected patients good to excellent results can be achieved.

Systematic review: The effectiveness of physical treatments on thoracic outlet syndrome in reducing clinical symptoms

“…In Ozcakar et al's study [13]dthe case study of a 17-year-old patient who was diagnosed with TOSdthe pain Quasi-experimental IIb 50 Positive [9] Prospective evaluation IIb 60 Positive [6] Journal/case review III 45 Negative [10] Descriptive study III 50 AE [11] Single-case study III 76 Positive [3] Descriptive prospective study III 36 AE [1] Open noncontrolled study III 52 AE [12] Observational/open noncontrolled trial III 57 Negative [13] Case report III 40 Positive [14] Case report III 50 Positive…”

Outcome of Surgical Treatment for Arterial Thoracic Outlet Syndrome

“…Supraclavicular approach is best for cervical rib excision and for gaining access to the subclavian artery [14,15,[16][17][18]. A combined supraclavicular and infraclavicular approach has also been suggested to allow for access to both the subclavian and axillary arteries, but four of our patients who had arterial reconstruction required a dual approach [19][20][21][22][23]. Immediate post operative period only two patients had hematoma.…”

Conservative treatment of thoracic outlet syndrome (TOS): Creating an evidence-based strategy through critical research appraisal

“…6 The outcome of TOS is dependent on appropriate patient selection for surgery and identification of patients that can benefit from TOS surgery and lead to satisfactory results. [7][8][9][10] Current consensus suggests that surgery should follow after conservative treatment failure or/and vascular complications; therefore, it is underlined that conservative treatment is the first option in the treatment of TOS. 8,9,11,12 Methodology The keywords used were 'Thoracic outlet syndrome' and 'Conservative treatment', or 'Physiotherapy' or 'Physical Therapy', or 'Rehabilitation' and the search was limited to clinical studies in the English and French languages published in the last 20 years.…”