Outcome of transaxillary rib resection for thoracic outlet syndrome — a 10 year experience

Early versus Late Surgical Treatment for Neurogenic Thoracic Outlet Syndrome

“…All of our patients with normal electrophysiological results were in group 2 and they showed significant benefit from surgical treatment. This result is in agreement with previous studies as well [24]. …”

“…The more significant improvement in group 2 compared to group 1 could be explained by the presence of patients with muscle wasting and the presence of pathological EMG only in group 1. These results are in agreement with previous studies [15, 23, 24] who reported that lack of improvement after surgery in their patients (according to DASH) was caused by irreversible degeneration of the brachial plexus shown in electrophysiological examination. So, the patients with normal or minimal neurophysiological studies who otherwise meet the criteria for the diagnosis of TOS should not be excluded from being considered for surgical treatment if other indications are convincing.…”

Long-term Outcome Analysis of the Supraclavicular Surgical Release for the Treatment of Thoracic Outlet Syndrome

“…[9][10][11][12] Conversely, secondary deterioration of the initial surgical treatment results of neurogenic TOS has been reported in the literature at 2 to 4 years after surgery, again independent of the surgical approach used. [12][13][14][15][16][17] In view of the reported negative long-term changes after early postoperative improvement, a long-term follow-up analysis seemed necessary to accurately assess the outcome of the presented supraclavicular surgical release technique. The classification into neurogenic or disputed TOS was made preoperatively according to clinical symptoms, motor or sensory weakness, and radiological findings.…”

16.7 Thoracic-Outlet-Syndrom (TOS)

“…Der Anteil des neurogenen TOS beträgt 94 bis 97 %, wobei die DisputedForm die häufigste, aber auch am schwierigsten zu diagnostizierende Form ist (Brantigan und Ross 2004a). Die venöse Kompression ist mit 2 bis 3 % ungefähr doppelt so häufig wie die arterielle Kompression Sanders und Pearce 1989;Sellke und Kelly 1988 (Degeorges et al 2004;Fulford et al 2001;Green et al 1991;Han et al 2003;Leffert und Perlmutter 1999).…”