Supraclavicular Scalenectomy for Thoracic Outlet Syndrome—Functional Outcomes Assessed Using the DASH Scoring System

Glynn, Ronan W; Tawfick, Wael; Elsafty, Zahrah; Hynes, Niamh; Sultan, Sherif

doi:10.1177/1538574411434164

Cited by 30 publications

(12 citation statements)

References 23 publications

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“…Several other studies have reported DASH scores after surgical treatment for TOS ranging from 3.5 to 36 [ 11 , 12 , 13 , 14 , 15 , 16 ]. Functional outcome as reported by DASH scores is better in athletes [ 11 ] and in vascular forms of TOS [ 14 , 16 ]. The explanation for the differences in the outcome between vascular forms of TOS and NTOS is that a substantial number of patients with VTOS or ATOS also undergo revascularization procedures.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Functional Outcome of Surgical Treatment for Thoracic Outlet Syndrome

et al. 2018

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First rib resection for thoracic outlet syndrome (TOS) is clinically successful and safe in most patients. However, long-term functional outcomes are still insufficiently known. Long-term functional outcome was assessed using a validated questionnaire. A multicenter retrospective cohort study including all patients who underwent operations for TOS from January 2005 until December 2016. Clinical records were reviewed and the long-term functional outcome was assessed by the 11-item version of the Disability of the Arm, Shoulder, and Hand (QuickDASH) questionnaire. Sixty-two cases of TOS in 56 patients were analyzed: 36 neurogenic TOS, 13 arterial TOS, 7 venous TOS, and 6 combined TOS. There was no 30-day mortality. One reoperation because of bleeding was performed and five patients developed a pneumothorax. Survey response was 73% (n = 41) with a follow-up ranging from 1 to 11 years. Complete relief of symptoms was reported postoperatively in 27 patients (54%), symptoms improved in 90%, and the mean QuickDASH score was 22 (range, 0–86). Long-term functional outcome of surgical treatment of TOS was satisfactory, and surgery was beneficial in 90% of patients, with a low risk of severe morbidity. However, the mean QuickDASH scores remain higher compared with the general population, suggesting some sustained functional impairment despite clinical improvement of symptoms.

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Section: Discussionmentioning

confidence: 99%

Long-Term Functional Outcome of Surgical Treatment for Thoracic Outlet Syndrome

et al. 2018

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“…11,12) All surgical decompressions in our study included scalenectomy for all of the cases, cervical rib excision in 85%, and 1st rib removal in 30% through the supraclavicular approach, which provides good visualization of the thoracic outlet area and excellent exposure for arterial reconstruction if needed and has been shown to have excellent results in many series. [13][14][15][16][17] Only five cases of venous TOS were treated in this series, in which 2 of them presented with acute primary DVT, which had a lower incidence than expected for a vascular TOS since venous cases are more common. 1) The lower number of…”

Section: Disclosure Statementmentioning

confidence: 88%

Surgical Management of Vascular Thoracic Outlet Syndrome: A Teaching Hospital Experience

Aljabri

Al‐Omran

2013

Annals of Vascular Diseases

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“…In addition, to evaluate these patients, the standard care level of the patients with thoracic outlet syndrome affiliated to the Rehabilitation Department of The Brighten and Women's Hospital in 2007 has recommended three general measuring scales, including shoulder pain and disability index (SPADI), simple shoulder test (SST), and American shoulder and elbow surgeons (ASES). Moreover, the "arm, shoulder, and hand" questionnaire has been used in some studies conducted on the patients with thoracic outlet syndrome [20][21][22]. In Table 1, the characteristics of the resources and in Table 2, two characteristics on evaluating the treatment outcomes [23][24][25][26] are presented.…”

Section: Resultsmentioning

confidence: 99%

A Review Study: Clinical Assessment of Patients With Thoracic Outlet Syndrome

Ghamari¹,

Hosseini²,

Layeghi³

et al. 2016

PTJ

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Purpose: Thoracic outlet syndrome is one of the most controversial topics in clinical medicine due to its difficult assessment and management. The appropriate treatment depends on accurate and comprehensive assessment. This study aimed to review the current assessments of these patients. Methods:This study was conducted by review of the articles published between 1990 and 2014. Search was conducted by keywords such as assessment, evaluation, outcome measure, tool, thoracic outlet syndrome, non-surgical treatments, conservative, and rehabilitation. In this regard, internal and external databases, including PubMed, OVID, ProQuest, Web of science, Elsevier, OT seeker, SID, Magiran, Iran Medex, Medlib, and Google scholar were used. Results:The results showed that the most common assessments for these patients in a clinical and research setting included a thorough review of history and subjective evaluation. No specific tools were found for patients with thoracic outlet syndrome but 5 generic outcome measures were suggested to measure the outcome of interventions in these patients. Conclusion:At present, comprehensive evaluation of patients with thoracic outlet syndrome needs different assessments and using the generic questionnaire that is designed for people with orthopedic conditions. Therefore, a comprehensive assessment tool with a holistic view and specific for patients with thoracic outlet syndrome is necessary.

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Supraclavicular Scalenectomy for Thoracic Outlet Syndrome—Functional Outcomes Assessed Using the DASH Scoring System

Abstract: This study reconfirmed the value of supraclavicular approach for TOS, with the vast majority reporting subjective improvement.

Cited by 30 publications

References 23 publications

Long-Term Functional Outcome of Surgical Treatment for Thoracic Outlet Syndrome

Long-Term Functional Outcome of Surgical Treatment for Thoracic Outlet Syndrome

Surgical Management of Vascular Thoracic Outlet Syndrome: A Teaching Hospital Experience

A Review Study: Clinical Assessment of Patients With Thoracic Outlet Syndrome

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