Post-traumatic thoracic outlet syndrome

Dubuisson, Annie; lamotte, Catherine; Foidart-Dessalle, Marguerite; Khac, Minh-Tuan Nguyen; Racaru, Tudor; Scholtes, Félix; Kaschten, Bruno; Lenelle, Jacques; Martin, Didier

doi:10.1007/s00701-011-1269-x

Cited by 25 publications

(9 citation statements)

References 59 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Clavicular or rib fractures causing TOS have been described, but most frequently in the setting of motor vehicle accidents [6], and infrequently in athletes [7]. In fact, isolated traumatic rib fractures in athletes without resulting TOS are rare, further underscoring the infrequent incidence of subsequent TOS in this population [8, 9].…”

Section: Discussionmentioning

confidence: 99%

Thoracic outlet syndrome as a consequence of isolated atraumatic first rib fracture

Mirza

Duncan

2017

Journal of Surgical Case Reports

View full text Add to dashboard Cite

Neurogenic thoracic outlet syndrome (nTOS) resulting from an isolated first rib fracture is extremely infrequent. We report a case of performance limiting nTOS in a college athlete who was initially evaluated and treated for upper extremity ligamentous injury with only transient improvement. Subsequent noninvasive studies were consistent with TOS physiology and MRA showed a large hypertrophic callus on the first rib adjacent to the brachial plexus. With continued athletic limitations and radiographic findings consistent with TOS, surgical decompression was performed resulting in resolution of symptoms. Although apparent atraumatic isolated first rib fractures are infrequently reported etiologies for TOS in athletes, they are a reasonable consideration in this population with corresponding presentations.

show abstract

Section: Discussionmentioning

confidence: 99%

Thoracic outlet syndrome as a consequence of isolated atraumatic first rib fracture

Mirza

Duncan

2017

Journal of Surgical Case Reports

View full text Add to dashboard Cite

show abstract

“…Therefore, we instructed the patient to pay more attention to performing conservative treatment, including modification of behavior patterns and postural correction after endovascular reconstruction of bilateral upper limbs' blood flow. Many previous studies (22)(23)(24)(25)(26) have also found that conservative treatment should be the initial treatment for TOS except in cases of acute thromboembolism and progressive neurological insufficiency (25,27,28). Whether the surgery treatment is necessary for TOS is still controversial (29).…”

Section: Discussionmentioning

confidence: 99%

Endovascular reconstruction of bilateral upper limbs ischemia in a patient with arterial outlet syndrome: A case report and literature review

et al. 2022

View full text Add to dashboard Cite

BackgroundAcute upper limb ischemia in a patient with thoracic outlet syndrome is a rare but serious clinical disorder. If the disease is not treated promptly due to underdiagnosis, it could lead to distal artery embolization and limb-threatening ischemia. Revascularizing upper extremity arteries in a timely manner could rescue ischemic limbs and improve the patient’s quality of life. We reported here a case of a patient who presented with bilateral upper limb ischemia caused by arterial thoracic outlet syndrome.Case presentationA 63-year-old woman who presented with sudden bilateral upper extremity cold, numbness, pulselessness, and altered temperature sensation was first diagnosed with arterial thoracic outlet syndrome. The patient had performed a lot of pull-up and lat pull-down exercises in the 2 months prior to the onset of the above symptoms. Color Doppler ultrasonography showed thrombosis in the right axillary artery and left subclavian and axillary artery. The patient received Rotarex mechanical thrombectomy combined with drug-coated balloon percutaneous transluminal angioplasty (PTA) to complete revascularization of the upper extremities and achieved a full recovery finally.ConclusionsComplete endovascular revascularization for treating arterial thoracic outlet syndrome is a minimally invasive and effective method, especially for upper extremity ischemic lesions caused by nonbone compression.

show abstract

“…The predisposed thoracic outlet can be decompressed by the sudden force received at this location at the time of injury. Decompression can occur quickly and most often lead to a neurogenic type of TOS, which several authors in the literature [21,117,121,122].…”

Section: Pathophysiology-trauma Of the Shoulder Or Neckmentioning

confidence: 99%

“…TOS can occur after fractures of the FR, the transverse process of C7, or the clavicle; eight patients with developed TOS in this pathomechanism were described by Dubuisson et al [122]. In 1973, Mulder described a few patients who had various forms of TOS after trauma to the collarbone, cervical spine, shoulder, or FR [123].…”

Section: Pathophysiology-trauma Of the Shoulder Or Neckmentioning

confidence: 99%

Congenital, Acquired, and Trauma-Related Risk Factors for Thoracic Outlet Syndrome—Review of the Literature

Maślanka,

Zielinska,

Karauda

et al. 2023

JCM

View full text Add to dashboard Cite

Thoracic outlet syndrome is a group of disorders that affect the upper extremity and neck, resulting in compression of the neurovascular bundle that exits the thoracic outlet. Depending on the type of compressed structure, the arterial, venous, and neurogenic forms of TOS are distinguished. In some populations, e.g., in certain groups of athletes, some sources report incidence rates as high as about 80 cases per 1000 people, while in the general population, it is equal to 2–4 per 1000. Although the pathogenesis of this condition appears relatively simple, there are a very large number of overlapping risk factors that drive such a high incidence in certain risk groups. Undoubtedly, a thorough knowledge of them and their etiology is essential to estimate the risk of TOS or make a quick and accurate diagnosis.

show abstract

Post-traumatic thoracic outlet syndrome

Cited by 25 publications

References 59 publications

Thoracic outlet syndrome as a consequence of isolated atraumatic first rib fracture

Thoracic outlet syndrome as a consequence of isolated atraumatic first rib fracture

Endovascular reconstruction of bilateral upper limbs ischemia in a patient with arterial outlet syndrome: A case report and literature review

Congenital, Acquired, and Trauma-Related Risk Factors for Thoracic Outlet Syndrome—Review of the Literature

Contact Info

Product

Resources

About