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Costoclavicular Syndrome

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1. Costoclavicular Syndrome

Costoclavicular Syndrome Costoclavicular Syndrome Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Costoclavicular Syndrome (...) Costoclavicular Syndrome Aka: Costoclavicular Syndrome From Related Chapters II. Mechanism Space between clavicle and first rib narrowed Prolonged downward and backward pressure Example: Heavy backpack on s Worsened by abnormal clavicle Malunion or nonunion III. Symptoms Intermittent hand symptoms IV. Signs Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Costoclavicular Syndrome." Click on the image (or right click) to open the source

2018 FP Notebook

2. Interscalene Block Versus Costoclavicular Block for Shoulder Surgery

Interscalene Block Versus Costoclavicular Block for Shoulder Surgery Interscalene Block Versus Costoclavicular Block for Shoulder Surgery - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Interscalene Block (...) Versus Costoclavicular Block for Shoulder Surgery The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03411343 Recruitment Status : Completed First Posted : January 26, 2018 Last Update Posted : July 10, 2018 Sponsor: University of Chile Information provided by (Responsible Party): Julian Aliste

2018 Clinical Trials

3. Single Versus Double Injection Costoclavicular Block

and, if deemed clinically necessary, by blood work up i.e. transaminases ≥ 100) allergy to local anesthetic pregnancy prior surgery in the infraclavicular costoclavicular region chronic pain syndromes requiring opioid intake at home Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Please refer to this study by its ClinicalTrials.gov (...) Single Versus Double Injection Costoclavicular Block Single Versus Double Injection Costoclavicular Block - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Single Versus Double Injection Costoclavicular Block

2018 Clinical Trials

4. Minimum Effective Volume of Lidocaine Costoclavicular Brachial Plexus Block

Minimum Effective Volume of Lidocaine Costoclavicular Brachial Plexus Block Minimum Effective Volume of Lidocaine Costoclavicular Brachial Plexus Block - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more (...) . Minimum Effective Volume of Lidocaine Costoclavicular Brachial Plexus Block The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02932670 Recruitment Status : Completed First Posted : October 13, 2016 Last Update Posted : March 22, 2017 Sponsor: McGill University Health Center Information provided

2016 Clinical Trials

5. The importance of the costoclavicular space in upper limb primary deep vein thrombosis, a study with magnetic resonance imaging (MRI) technique enhanced by a blood pool agent. (PubMed)

of the subclavian region and evaluate how these factors contribute to primary UEDVT. The secondary objective was to investigate if venous compression correlates with post thrombotic syndrome (PTS).Fifteen patients and 15 controls were enrolled in the study. The subclavian region (the costoclavicular distance and vessel area) was examined by MRI enhanced by a blood-pool contrast agent (Vasovist). The MRI was performed in two arm positions: alongside and elevated. PTS and disability were quantified (...) The importance of the costoclavicular space in upper limb primary deep vein thrombosis, a study with magnetic resonance imaging (MRI) technique enhanced by a blood pool agent. Primary upper extremity deep vein thrombosis (UEDVT) can be divided into idiopathic and effort thrombosis. Anatomical factors probably play an important role in effort thrombosis, whereas the cause remains mostly unknown in idiopathic thrombosis.The primary objective of this study was to examine the anatomy

2014 European journal of internal medicine

6. Costoclavicular Syndrome

Costoclavicular Syndrome Costoclavicular Syndrome Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Costoclavicular Syndrome (...) Costoclavicular Syndrome Aka: Costoclavicular Syndrome From Related Chapters II. Mechanism Space between clavicle and first rib narrowed Prolonged downward and backward pressure Example: Heavy backpack on s Worsened by abnormal clavicle Malunion or nonunion III. Symptoms Intermittent hand symptoms IV. Signs Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Costoclavicular Syndrome." Click on the image (or right click) to open the source

2015 FP Notebook

7. “Functional” Subclavian Arterial Murmur: Possible Relation to Scalenus Anticus Syndrome, Costoclavicular Compression, or the Neurovascular Syndrome of Wright (PubMed)

“Functional” Subclavian Arterial Murmur: Possible Relation to Scalenus Anticus Syndrome, Costoclavicular Compression, or the Neurovascular Syndrome of Wright 17859114 2007 09 17 2008 11 20 0003-4932 127 4 1948 Apr Annals of surgery Ann. Surg. "Functional" Subclavian Arterial Murmur: Possible Relation to Scalenus Anticus Syndrome, Costoclavicular Compression, or the Neurovascular Syndrome of Wright. 688-95 Pomerantz R B RB eng Journal Article United States Ann Surg 0372354 0003-4932 1948 4 1

Full Text available with Trip Pro

1948 Annals of Surgery

8. Thoracic outlet syndrome

that it passes anteriorly rather than posteriorly to the scalenus anticus muscle. The brachial plexus follows the route of the subclavian artery, but it lies a little more posteriorly and laterally. The axillary-subclavian vein traverses the tunnel formed by the clavicle and subclavius muscle anteriorly, the scalenus anticus muscle laterally, the first rib posterior-inferiorly, and the costoclavicular ligament medially. Urschel HC Jr, Patel AN. Paget-Schroetter syndrome therapy: failure of intravenous stents (...) . Ann Thorac Surg. 2003;75:1693-1696. http://www.ncbi.nlm.nih.gov/pubmed/12822601?tool=bestpractice.com The anatomical areas within the thoracic outlet that can typically impart neurovascular compromise include the interscalene triangle, the costoclavicular space, and the subcoracoid space, although it is possible that the sternal-costovertebral bony circle may also be involved. Peet RM, Hendriksen JD, Anderson TP, et al. Thoracic outlet syndrome: evaluation of the therapeutic exercise program. Proc

2018 BMJ Best Practice

9. Imaging in the Diagnosis of Thoracic Outlet Syndrome

Imaging in the Diagnosis of Thoracic Outlet Syndrome Date of origin: 2014 ACR Appropriateness Criteria ® 1 Imaging in the Diagnosis of Thoracic Outlet Syndrome American College of Radiology ACR Appropriateness Criteria ® Clinical Condition: Imaging in the Diagnosis of Thoracic Outlet Syndrome Radiologic Procedure Rating Comments RRL* X-ray chest 8 ? MRA chest without and with IV contrast 8 O CTA chest with IV contrast 7 ??? MRI chest without IV contrast 7 O US duplex Doppler subclavian artery (...) and vein 6 O Digital subtraction angiography upper extremity 5 ? CT chest without IV contrast 3 ??? MRA chest without IV contrast 2 O Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level ACR Appropriateness Criteria ® 2 Imaging in the Diagnosis of Thoracic Outlet Syndrome IMAGING IN THE DIAGNOSIS OF THORACIC OUTLET SYNDROME Expert Panels on Vascular Imaging, Neurologic Imaging and Thoracic Imaging: John M. Moriarty, MB, BCh 1

2014 American College of Radiology

10. Paget-Schroetter syndrome as a result of 1st rib stress fracture due to gym activity presenting with Urschel’s sign – A case report and review of literature (PubMed)

Paget-Schroetter syndrome as a result of 1st rib stress fracture due to gym activity presenting with Urschel’s sign – A case report and review of literature Paget-Schrotter Syndrome (PSS) also known as "effort thrombosis" is a form of primary thrombosis in the subclavian vein at the costoclavicular junction is usually seen in younger patients after repeated strenuous activity of the shoulders and arms. When occurring in younger patients, PSS presents itself with predisposing factors (...) addition to the unusual location in the left upper extremity in our case, the absence of common etiologic factors makes our case of Paget-Schroetter Syndrome a very unique one. This case report aims to discuss the common causes of PSS in order to raise a high index of suspicion in certain groups of patients. This will allow early identification and avoidance of catastrophic outcomes such as pulmonary embolism and stroke.Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

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2018 International journal of surgery case reports

11. All-Endoscopic Brachial Plexus Complete Neurolysis for Idiopathic Neurogenic Thoracic Outlet Syndrome: A Prospective Case Series. (PubMed)

All-Endoscopic Brachial Plexus Complete Neurolysis for Idiopathic Neurogenic Thoracic Outlet Syndrome: A Prospective Case Series. To describe an all-endoscopic technique for infra- and supraclavicular brachial plexus (BP) neurolysis and to assess its functional outcomes for patients suffering from nonspecific neurogenic thoracic outlet syndrome (NTOS).Between January 2010 and January 2013, 36 patients presenting an idiopathic nonspecific NTOS benefited from an endoscopic decompression in our (...) institution. The inclusion criteria were a typical clinical NTOS and failure of a 6-month well-conducted nonsurgical treatment. Preoperative findings about other shoulder conditions and complementary procedures were exclusion criteria. Interscalene, costoclavicular, and retropectoralis minor spaces were released endoscopically. The primary endpoint was the Disability of the Arm, Shoulder and Hand (DASH) score improvement 6 months after the surgery. Postoperative criteria such as pain relief, paresthesia

2017 Arthroscopy

12. Left subclavian artery malperfusion due to thoracic outlet syndrome during total vertebrectomy for invasive lung cancer: a case report (PubMed)

Left subclavian artery malperfusion due to thoracic outlet syndrome during total vertebrectomy for invasive lung cancer: a case report Thoracic outlet syndrome (TOS) can interrupt blood flow to upper limbs by vascular compression. We report a case of a 52-year-old man who presented left subclavian artery malperfusion due to TOS during total vertebrectomy (Th2-4) in the prone position for invasive lung cancer. At the time of resection of the vertebral bodies, his left radial systolic blood (...) the surgery. Retrospective review of his preoperative enhanced computed tomography images suggested a slightly compressed left subclavian artery in the costoclavicular space. Combination of the prone position and a specific upper limb position may be a risk factor for intraoperative TOS. An interarm blood pressure difference is a clue to detect accidental arterial TOS during general anesthesia.

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2017 Ja Clinical Reports

13. Paget-Schroetter syndrome in the absence of common predisposing factors: a case report (PubMed)

Paget-Schroetter syndrome in the absence of common predisposing factors: a case report Paget-Schrotter Syndrome (PSS) also known as "effort thrombosis" is a form of primary thrombosis in the subclavian vein at the costoclavicular junction is usually seen in younger patients after repeated strenuous activity of the shoulders and arms. When occurring in younger patients, PSS presents itself with predisposing factors such as unilateral dull, aching pain in the shoulder or axilla and swelling (...) precautions of left upper extremity immobilization, analgesics in the form of Tylenol 650 mg every 6 h for pain as well as cold compresses. Lovenox 90 mg subcutaneous twice daily (1 mg/kg BID) was started together with warfarin to keep INR 2-3.In addition to the unusual location in the left upper extremity in our case, the absence of common etiologic factors makes our case of Paget-Schroetter Syndrome a very unique one. Presently, there is a lack of guided management of rare conditions such as our case

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2017 Thrombosis journal

14. All-endoscopic Brachial Plexus Complete Neurolysis for Idiopathic Neurogenic Thoracic Outlet Syndrome: Surgical Technique (PubMed)

All-endoscopic Brachial Plexus Complete Neurolysis for Idiopathic Neurogenic Thoracic Outlet Syndrome: Surgical Technique Neurogenic thoracic outlet syndrome is caused by a neurologic compression of the brachial plexus before it reaches the arm. Three anatomic areas are common locations for such an entrapment because of their congenital and/or acquired tightness: the interscalene triangle, the costoclavicular space, and the retropectoralis minor space. Because the compression level usually (...) . Then, by use of an infraclavicular approach, the brachial plexus is released from the costoclavicular space by detaching the subclavian muscle from the clavicle. Finally, the pectoralis minor is released from the coracoid so that the brachial plexus is distally freed. This technique seems to be safe and reproducible, but expert knowledge of the neurovascular anatomy and advanced endoscopic skills are required.

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2017 Arthroscopy techniques

15. Descriptive Anatomy of the Interscalene Triangle and the Costoclavicular Space and Their Relationship to Thoracic Outlet Syndrome: A Study of 60 Cadavers. (PubMed)

Descriptive Anatomy of the Interscalene Triangle and the Costoclavicular Space and Their Relationship to Thoracic Outlet Syndrome: A Study of 60 Cadavers. Thoracic outlet syndrome classically results from constrictions in 1 or more of 3 specific anatomical locations: the interscalene triangle, costoclavicular space, and coracopectoral tunnel. Magnetic resonance and computed tomographic imaging studies suggest that, of the 3 potential locations for constriction, the costoclavicular space (...) is the most susceptible to compression. This study of human cadavers aims to expand on the descriptive anatomy of the interscalene triangle and associated costoclavicular space.The interscalene angle, interscalene triangle base, and costoclavicular space were measured on 120 sides of embalmed human cadavers. Linear distances and angles were measured using a caliper and protractor, respectively. The data were analyzed by calculating the mean, range, and standard deviation.The range for the interscalene

2012 Journal of Manipulative and Physiological Therapeutics

16. Thoracic Outlet Syndrome - Neurogenic

Thoracic Outlet Syndrome - Neurogenic Effective Date October 1, 2010; hyperlink and formatting update September 2016 Page 1 Work-Related Neurogenic Thoracic Outlet Syndrome: Diagnosis and Treatment* TABLE OF CONTENTS I. GUIDELINE SUMMARY II. INTRODUCTION III. ESTABLISHING WORK-RELATEDNESS IV. MAKING THE DIAGNOSIS A. Symptoms and Signs B. Electrodiagnostic Testing C. Other Diagnostic Tests V. TREATMENT A. Conservative Treatment B. Surgical Treatment VI. RETURN TO WORK (RTW) A. Early Assessment B (...) . Returning to Work following Surgery VII. ELECTRODIAGNOSTIC WORKSHEET References *This guideline does not apply to severe or acute traumatic injury of the upper extremities, nor to vascular categories of TOS. 2 I. GUIDELINE SUMMARY Review Criteria for the Diagnosis and Treatment of Work-Related Neurogenic Thoracic Outlet Syndrome (nTOS) CLINICAL FINDINGS CONSERVATIVE TREATMENT SURGICAL TREATMENT SUBJECTIVE (Symptoms) OBJECTIVE (Signs) DIAGNOSTIC AND AND Pain, paresthesias, or weakness affecting the upper

2010 Washington State Department of Labor and Industries

17. Quantitative Assessment of Scalene Muscle Block for the Diagnosis of Suspected Thoracic Outlet Syndrome. (PubMed)

Quantitative Assessment of Scalene Muscle Block for the Diagnosis of Suspected Thoracic Outlet Syndrome. To measure changes in upper limb work and power capacity before and after anterior scalene muscle block (ASMB) to suggest thoracic outlet syndrome caused by costoclavicular space compression.We evaluated 34 patients disabled by symptoms suggesting thoracic outlet syndrome. An ASMB was performed via a supraclavicular injection. The sternocleidomastoid muscle was injected as a control. We (...) work and power measurements after ASMB may draw diagnostic inference regarding a dynamic change in the scalene muscle and the costoclavicular space associated with symptomatic thoracic outlet syndrome.Diagnostic III.Copyright © 2015 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

2015 Journal of Hand Surgery - American

18. Thoracic Outlet Syndrome (Treatment)

, overdiagnosis, overtreatment, and recommendations for management. Muscle Nerve . 1989 May. 12(5):410-9. . DeLisa JA, Gans BM, Walsch NE. Physical Medicine and Rehabilitation Principles and Practice, 4th Ed. Philadelphia, Lippincott Williams & Wilkins . 2005. Dobrusin R. An osteopathic approach to conservative management of thoracic outlet syndromes. J Am Osteopath Assoc . 1989 Aug. 89(8):1046-50, 1053-7. . England JD, Tiel RL. AAEM case report 33: costoclavicular mass syndrome. American Association (...) : Shoulder protraction beginning; the sternomastoid muscles are shortening, drawing the head anteriorly and inferiorly. C: Advanced deformity with adaptive shortening of scalene and pectoralis minor muscles. Also note narrowed costoclavicular space (ribs 1-5 have been relatively elevated). Neurovascular compression is evident at all 3 sites. Scalene focal (left) and regional (right) stress tests for thoracic outlet syndrome. Both tests can be easily combined to enhance the stress effect (may be helpful

2014 eMedicine.com

19. Thoracic Outlet Syndrome (Overview)

Thoracic Outlet Syndrome (Overview) Thoracic Outlet Syndrome: Practice Essentials, Epidemiology, Functional Anatomy Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvOTY0MTItb3ZlcnZpZXc= processing > Thoracic Outlet (...) Syndrome Updated: Jan 10, 2019 Author: Daryl A Rosenbaum, MD; Chief Editor: Sherwin SW Ho, MD Share Email Print Feedback Close Sections Sections Thoracic Outlet Syndrome Overview Practice Essentials Thoracic outlet syndrome is not the name of a single entity but rather a collective title for a variety of conditions attributed to the compression of neurovascular structures as they traverse the thoracic outlet. [ , , , , , ] The thoracic outlet is bordered by the scalene muscles, first rib, and clavicle

2014 eMedicine.com

20. Thoracic Outlet Syndrome (Overview)

, and recommendations for management. Muscle Nerve . 1989 May. 12(5):410-9. . DeLisa JA, Gans BM, Walsch NE. Physical Medicine and Rehabilitation Principles and Practice, 4th Ed. Philadelphia, Lippincott Williams & Wilkins . 2005. Dobrusin R. An osteopathic approach to conservative management of thoracic outlet syndromes. J Am Osteopath Assoc . 1989 Aug. 89(8):1046-50, 1053-7. . England JD, Tiel RL. AAEM case report 33: costoclavicular mass syndrome. American Association of Electrodiagnostic Medicine. Muscle Nerve (...) ; the sternomastoid muscles are shortening, drawing the head anteriorly and inferiorly. C: Advanced deformity with adaptive shortening of scalene and pectoralis minor muscles. Also note narrowed costoclavicular space (ribs 1-5 have been relatively elevated). Neurovascular compression is evident at all 3 sites. Scalene focal (left) and regional (right) stress tests for thoracic outlet syndrome. Both tests can be easily combined to enhance the stress effect (may be helpful in mild cases). Pectoral focal (left

2014 eMedicine.com

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