Supraclavicular decompression for neurogenic thoracic outlet syndrome in adolescent and adult populations

Abstract

Adolescents undergoing supraclavicular decompression for NTOS had more favorable preoperative characteristics and enhanced 3-month and 6-month functional outcomes than adults. Further study is needed to delineate the age-dependent and independent factors that promote optimal surgical outcomes for NTOS.

Early effectiveness of isolated pectoralis minor tenotomy in selected patients with neurogenic thoracic outlet syndrome

“…[11][12][13] The QuickDASH, an 11-item survey scored on a 0 to 100 scale, is designed and validated for quantifying the degree of disability in a variety of upper extremity musculoskeletal disorders, including NTOS. [14][15][16] The CBSQ is a 14-item survey scored on a 0 to 120 scale that was developed for evaluation of patients with NTOS and related disorders to measure functional disturbances resulting from the performance of certain activities. The VAS is a widely used standard method for pain assessment.…”

“…a composite measure scored on a 0 to 100 scale, with higher numbers indicating a greater degree of disability, as previously described. 16 All patients not previously treated for NTOS, and those for whom previous physical therapy did not appear to have been suitably targeted toward NTOS, underwent a 4-to 6-week course of NTOS-specific physical therapy overseen by a therapist with appropriate experience and expertise. 2,17,18 Surgical treatment.…”

Thoracic Outlet Syndrome

“…In the appropriate patient population, surgical intervention may reliably improve symptoms and quality of life. 26,27 Nonsurgical Nonsurgical management is the initial treatment strategy for neurogenic TOS; it has shown good results in some series. Novak et al 28 reported that 25 of 42 patients with neurogenic TOS experienced symptomatic relief after at least 6 months of physical therapy.…”

Cervical Rib and Thoracic Outlet Syndrome

“…This procedure not only relieves pain but also is cosmetically acceptable [72]. Adolescents undergoing supraclavicular decompression of "nTOS" are reported to have more favorable preoperative characteristics and more enhanced 3-month and 6-month functional outcomes than adults [73]. Supraclavicular approach for FRR remains an essential step in the management of the TOS particularly when there are no bony abnormalities, it has a minimal morbidity and an excellent outcome [74].…”