Relief of Costoclavicular Syndrome by Infraclavicular Removal of First Rib

Gol, Alexander; Patrick, D. W.; McNeel, D. P.

doi:10.3171/jns.1968.28.1.0081

Cited by 29 publications

(9 citation statements)

References 3 publications

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“…Our success rate of 9 J per cent compares favourably with other reported series [3,16]. The first-rib resection can be performed via the supraclavicular approach (1], the transaxillary approach popularised by Roos ([ 7], the posterior thoracotomy approach [18], or the infraclavicular approach [19]. A combined supraclavicular and transaxillary approach has also been described [20].…”

Section: Discussionsupporting

confidence: 70%

Supraclavicular First Rib Resection for Treatment of Thoracic Outlet Syndrome

Kk²,

Maudar

1996

Medical Journal Armed Forces India

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Twelve patients with thoracic syndrome were operated during a 15 month period. Eleven patients had features of neurogenic thoracic outlet syndrome, while one presented with arterial ischemia due to distal embolism. The diagnosis was based on tbe characteristic history and positive stress tests. Cervical rib was present in 7 patients. Abnormal nerve conduction studies were present in 7 out of 8 cases. Supraclavicular first rib resection was done in all patients in view of the severity of symptoms. If present, the cervical rib was also excised. There was no major operative complication. Eleven out of twelve patients reported relief of symptoms. Thoracic outlet syndrome is not an uncommon disorder and often goes undiagnosed. Resection of first rib via the supraclavicular approach gives good results in majority oftbe patients who have incapacitating symptoms. MJAF11996; 52 : 83-86 KEY WORDS: Thoracic outlet syndrome; Cervical rib syndrome.

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Section: Discussionsupporting

confidence: 70%

Supraclavicular First Rib Resection for Treatment of Thoracic Outlet Syndrome

Kk²,

Maudar

1996

Medical Journal Armed Forces India

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“…In particular, in disputed TOS the diagnostic and therapeutic processes are even more challenging, as no evident compression to the neurovascular bundle can be identified. Many surgical approaches to the thoracic outlet have been described: transaxillar [20], supraclavicular [8,27], infraclavicular [7], and posterior [9]. Although the largest series reported advocate transaxillary first rib resection as the standard procedure for TOS, with more than 90% success rate [21,28], comparable results have been reported without routine first rib resection [11,23].…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment of thoracic outlet syndrome in young adults: single centre experience with minimum three-year follow-up

Ciampi

Scotti

Gerevini

et al. 2010

International Orthopaedics (SICOT)

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Thoracic outlet syndrome is an often misdiagnosed syndrome which consists of a neurovascular compression at the upper thoracic outlet. The clinical presentation can be variable, ranging from mild symptoms to venous thrombosis and muscle atrophy. Many aetiologies, both congenital and acquired, related either to bony or soft tissue anomalies, have been associated with this syndrome. As a consequence, the diagnosis is often challenging and sometimes it can be obtained only with surgical exploration. Additionally, no specific clinical test is considered diagnostic of thoracic outlet syndrome. However, the recent advances in imaging techniques together with a careful clinical evaluation give the surgeon the chance to recognize the constricting anatomy before surgery in many cases. No standard surgical procedure has been identified; however, in literature the largest series have been treated with transaxillary first rib resection. Here we report our experience in the surgical treatment of this syndrome with a minimum follow-up of three years. Our approach consists of performing a supraclavicular decompression without routine first rib resection. This allows for identifying and removing the constricting anatomy in most cases, with satisfactory results in 96.9% of patients and a low complication rate.

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“…Many surgical approaches to the thoracic outlet have been described (supraclavicular, 3 transaxillary, 4 infraclavicular, 5 and posterior, 6 and anterolateral thoracotomy 7 ), but the extent to which the thoracic outlet is decompressed is still a matter of some debate among surgeons. While there are many advocates for routine first rib resection in all patients via a transaxillary or supraclavicular approach, [8][9][10] some units have reported comparable results using routine scalenectomy with or without fibrous band/cervical rib excision alone.…”

Section: Introductionmentioning

confidence: 99%