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Thoracic Outlet Syndrome

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2. Thoracic outlet syndrome

Thoracic outlet syndrome Thoracic outlet syndrome - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Thoracic outlet syndrome Last reviewed: February 2019 Last updated: March 2018 Summary Compression of 1 or more of the neurovascular structures traversing the superior aperture of the chest. May affect neurological or vascular structures, or both, depending on the component of the neurovascular bundle predominantly (...) compressed. Types include neurological, arterial, venous, and neurovascular/combined, and patients may present with signs and symptoms of nerve, vein, or artery compression or any combination of these. Neurological is the most common, while arterial, which is relatively rare, is arguably the most important to recognise owing to the risk of ischaemia. Neurological thoracic outlet syndrome primarily develops spontaneously in people in their late teens up to the age of 60 years, and is more common in women

2018 BMJ Best Practice

3. Surgical Thoracic Outlet Decompression for Neurogenic Thoracic Outlet Syndrome

Surgical Thoracic Outlet Decompression for Neurogenic Thoracic Outlet Syndrome Surgical Thoracic Outlet Decompression for Neurogenic Thoracic Outlet Syndrome - 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 (...) . Surgical Thoracic Outlet Decompression for Neurogenic Thoracic Outlet Syndrome (STOPNTOS) 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. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03748602 Recruitment Status : Recruiting First Posted : November 21, 2018 Last Update

2018 Clinical Trials

4. Midterm and long-term follow-up in competitive athletes undergoing thoracic outlet decompression for neurogenic thoracic outlet syndrome. (PubMed)

Midterm and long-term follow-up in competitive athletes undergoing thoracic outlet decompression for neurogenic thoracic outlet syndrome. Neurogenic thoracic outlet syndrome (NTOS) results from compression of the brachial plexus by the clavicle, first rib, and scalene muscles and may develop secondary to repetitive motion of the upper extremity. Athletes routinely perform repetitive motions, and sports requiring significant arm and shoulder use may put the participant at increased risk for NTOS

2017 Journal of Vascular Surgery

5. Treatment for thoracic outlet syndrome. (PubMed)

Treatment for thoracic outlet syndrome. Thoracic outlet syndrome (TOS) is one of the most controversial diagnoses in clinical medicine. Despite many reports of operative and non-operative interventions, rigorous scientific investigation of this syndrome leading to evidence-based management is lacking. This is the first update of a review first published in 2010.To evaluate the beneficial and adverse effects of the available operative and non-operative interventions for the treatment of TOS

2014 Cochrane

6. Physical therapy management, surgical treatment, and patient-reported outcomes measures in a prospective observational cohort of patients with neurogenic thoracic outlet syndrome. (PubMed)

Physical therapy management, surgical treatment, and patient-reported outcomes measures in a prospective observational cohort of patients with neurogenic thoracic outlet syndrome. To assess the results of physical therapy management and surgical treatment in a prospective observational cohort of patients with neurogenic thoracic outlet syndrome (NTOS) using patient-reported outcomes measures.Of 183 new patient referrals from July 1 to December 31, 2015, 150 (82%) met the established clinical

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2019 Journal of Vascular Surgery

7. 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

8. Paget-Schroetter Syndrome Resulting from Thoracic Outlet Syndrome and KAATSU Training (PubMed)

Paget-Schroetter Syndrome Resulting from Thoracic Outlet Syndrome and KAATSU Training A 29-year-old woman who worked as a KAATSU (a type of body exercise that involves blood flow restriction) instructor visited our emergency room with a chief complaint of swelling and left upper limb pain. Chest computed tomography (CT) showed non-uniform contrast images corresponding to the site from the left axillary vein to the left subclavian vein; vascular ultrasonography of the upper limb revealed (...) a thrombotic obstruction at the same site, leading to a diagnosis of Paget-Schroetter syndrome (PSS). We herein report our experience with a case of PSS derived from thoracic outlet syndrome (TOS), in a patient who was a KAATSU instructor.

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2017 Internal Medicine

9. A case of symmetric retrograde thromboembolic cerebral infarction in an 8-year-old child due to arterial thoracic outlet syndrome (PubMed)

A case of symmetric retrograde thromboembolic cerebral infarction in an 8-year-old child due to arterial thoracic outlet syndrome Arterial type of thoracic outlet syndrome belongs to the most unusual mechanisms of stroke in children in the first decade of life. We present a case diagnosed for bilateral and symmetric changes due to retrograde thromboembolic phenomenon. Regarding the age of the patient, the appropriate diagnostics and management are still a matter of debate in pediatric

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2018 Child's Nervous System

10. Harvey Cushing's management of neurogenic thoracic outlet syndrome. (PubMed)

Harvey Cushing's management of neurogenic thoracic outlet syndrome. Harvey Cushing is widely regarded as one of the forefathers of neurosurgery, and is primarily associated with his work on intracranial pathology. However, he had a clinical and academic interest in peripheral nerve surgery. Through the courtesy of the Alan Mason Chesney Medical Archives, the surgical records of the Johns Hopkins Hospital from 1896 to 1912 were reviewed. The records of a single patient undergoing brachial plexus

2018 Journal of Neurosurgery

11. Cervical Rib Prevalence and its Association with Thoracic Outlet Syndrome: A Meta-Analysis of 141 Studies with Surgical Considerations.

Cervical Rib Prevalence and its Association with Thoracic Outlet Syndrome: A Meta-Analysis of 141 Studies with Surgical Considerations. Cervical ribs (CR) are supernumerary ribs that arise from the seventh cervical vertebra. In the presence of CR, the boundaries of the interscalene triangle can be further constricted and result in neurovascular compression and thoracic outlet syndrome (TOS). The aim of our study was to provide a comprehensive evidence-based assessment of CR prevalence

2018 World neurosurgery

12. Amnion membrane improves results in treating neurogenic thoracic outlet syndrome (PubMed)

Amnion membrane improves results in treating neurogenic thoracic outlet syndrome A patient with neurogenic thoracic outlet syndrome was initially treated with scalenectomy, first rib resection, and wrapping of the brachial plexus (BP) with amnion membrane (AM) to prevent postoperative adhesions. Twelve months later, at reoperation for recurrent symptoms, the AM was observed to be intact. The BP had no scar tissue around it. Recurrence was due to scarring around the nerve roots superior

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2018 Journal of Vascular Surgery Cases and Innovative Techniques

13. A DECADE OF EXCELLENT OUTCOMES AFTER SURGICAL INTERVENTION: 538 PATIENTS WITH THORACIC OUTLET SYNDROME (PubMed)

A DECADE OF EXCELLENT OUTCOMES AFTER SURGICAL INTERVENTION: 538 PATIENTS WITH THORACIC OUTLET SYNDROME This review describes the outcomes for patients who underwent first rib resection for all three forms of thoracic outlet syndrome during a period of 10 years. The data were previously published in 2014 and the ACCA presentation, and this manuscript are derived largely from this work (1). Patients treated with first rib section from August 2003 through July 2013 were retrospectively reviewed (...) right-sided procedures. Seventy-five children (aged 18 years or younger) underwent first resection - 25 during the first 5 years, and 50 during the second 5 years. When comparing the second 5-year period with the first 5-year period, more patients had venous thoracic outlet syndrome (48% vs. 37%; P < 0.02). Fewer patients had neurogenic thoracic outlet syndrome (48% vs. 58%; P < 0.05) and improved or fully resolved symptoms increased from 93% to 96%. Complications included 2 vein injuries, 2

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2018 Transactions Of The American Clinical And Climatological Association

14. A Prospective Evaluation of Duplex Ultrasound for Thoracic Outlet Syndrome in High-Performance Musicians Playing Bowed String Instruments (PubMed)

A Prospective Evaluation of Duplex Ultrasound for Thoracic Outlet Syndrome in High-Performance Musicians Playing Bowed String Instruments Thoracic outlet syndrome (TOS) is a neurovascular condition involving the upper extremity, which is known to occur in individuals who perform chronic repetitive upper extremity activities. We prospectively evaluate the incidence of TOS in high-performance musicians who played bowed string musicians. Sixty-four high-performance string instrument musicians from

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2018 Diagnostics

15. Long-Term Functional Outcome of Surgical Treatment for Thoracic Outlet Syndrome (PubMed)

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

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2018 Diagnostics

16. A Patient-Centered Approach to Guide Follow-Up and Adjunctive Testing and Treatment after First Rib Resection for Venous Thoracic Outlet Syndrome Is Safe and Effective (PubMed)

A Patient-Centered Approach to Guide Follow-Up and Adjunctive Testing and Treatment after First Rib Resection for Venous Thoracic Outlet Syndrome Is Safe and Effective Controversies in the treatment of venous thoracic outlet syndrome (VTOS) have been discussed for decades, but still persist. Calls for more objective reporting standards have pushed practice towards comprehensive venous evaluations and interventions after first rib resection (FRR) for all patients. In our practice, we have relied (...) and treatment details, and outcomes were collected. Per "Reporting Standards of the Society for Vascular Surgery for Thoracic Outlet Syndrome", symptoms were described as swelling/discoloration/heaviness, collaterals, concomitant neurogenic symptoms, and functional impairment. Patient-reported response to treatment was defined as complete (no residual symptoms and return to function), partial (any residual symptoms present but no functional impairment), temporary (initial improvement but subsequent

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2018 Diagnostics

17. Extensive or partial first rib resection for thoracic outlet syndrome? The contribution of three‐dimensional imaging to the preoperative planning and the postoperative evaluation (PubMed)

Extensive or partial first rib resection for thoracic outlet syndrome? The contribution of three‐dimensional imaging to the preoperative planning and the postoperative evaluation Transaxillary partial excision of the first rib is associated with minimal morbidity and excellent relief of symptoms of thoracic outlet syndrome due to instant and permanent obviation of the external arterial compression. Three-dimensional imaging offers incremental value of the surgical outcome, highlighting

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2018 Clinical Case Reports

18. The Art of Caring in the Treatment of Thoracic Outlet Syndrome (PubMed)

The Art of Caring in the Treatment of Thoracic Outlet Syndrome Those who diagnose and treat patients with thoracic outlet syndrome, especially those patientswith neurogenic thoracic outlet syndrome, have a practice, which needs to include many modalities todiagnose, treat, and intervene to improve their quality of life for the present and for the future.[...].

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2018 Diagnostics

19. Thoracic Outlet Syndrome: Biomechanical and Exercise Considerations (PubMed)

Thoracic Outlet Syndrome: Biomechanical and Exercise Considerations Thoracic outlet syndrome (TOS) describes a group of disorders that are due to a dynamic compression of blood vessels or nerves, between the clavicle and first rib or cervical vertebral nerve roots. Individuals with TOS typically experience upper limb pain, numbness, tingling, or weakness that is exacerbated by shoulder or neck movement. The causes of TOS vary, and can include abrupt movements, hypertrophy of the neck

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2018 Healthcare

20. Diagnosing Thoracic Outlet Syndrome: Current Approaches and Future Directions (PubMed)

Diagnosing Thoracic Outlet Syndrome: Current Approaches and Future Directions The diagnosis of thoracic outlet syndrome (TOS) has long been a controversial and challenging one. Despite common presentations with pain in the neck and upper extremity, there are a host of presenting patterns that can vary within and between the subdivisions of neurogenic, venous, and arterial TOS. Furthermore, there is a plethora of differential diagnoses, from peripheral compressive neuropathies, to intrinsic

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2018 Diagnostics

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