Thoracic outlet syndrome

2002 ◽  
pp. 61-74 ◽  
Author(s):  
Christine Novak
Keyword(s):  
Thoracic Outlet Syndrome

Thoracic Outlet Syndrome

1990 ◽  
Vol 9 (2) ◽  
pp. 297-310
Author(s):  
Sumner E. Karas
Keyword(s):  
Thoracic Outlet Syndrome

Our Surgical Strategy for Thoracic Outlet Syndrome

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Yasuhiro Nakajima
Keyword(s):  
Brachial Plexus ◽  
Thoracic Outlet Syndrome ◽  
Vascular Compression ◽  
Compression Tests ◽  
Provocation Tests ◽  
Diagnosis Method ◽  
Tunnel Syndrome ◽  
Electrophysiological Examination ◽  
Sensory Neural ◽  
Plexus Block

Surgical treatment for thoracic outlet syndrome (TOS) is a very controversial surgery because objective diagnosis, such as image and electrophysiological examination, is very difficult. Clinical provocation tests including brachial plexus compression tests, such as Morley and Roos, and vascular compression tests, such as Wright and Eden ,are not high in specificity and are likely to be positive even in healthy persons and patients with carpal tunnel syndrome. We place emphasis on the laterality of latency and amplitude in the sensory neural action potential (SNAP) of the medial antebrachial cutaneous nerve and ulnar nerve. After enough stretching exercises of scapular stabilizers and brachial plexus block, we always select surgery. In this presentation, I would like to show our diagnosis method and treatment strategy including surgery.

Thirty-year experience of transaxillary resection of first rib for thoracic outlet syndrome

2020 ◽  
Vol 39 (1) ◽  
Author(s):  
Francesco Stilo ◽  
Nunzio Montelione ◽  
Filippo Benedetto ◽  
Domenico Spinelli ◽  
Rossella C. Vigliotti ◽  
...  
Keyword(s):  
Thoracic Outlet Syndrome ◽  
First Rib

Validity of ultrasonography in two patients with vascular thoracic outlet syndrome

Choonpa Igaku ◽  
2016 ◽  
Vol 43 (6) ◽  
pp. 759-763
Author(s):  
Tsuyoshi TABATA ◽  
Naoaki TANJI ◽  
Takeshi SASAKI ◽  
Tsutomu INAOKA ◽  
Kazuhiro SIMIZU ◽  
...  
Keyword(s):  
Thoracic Outlet Syndrome

scholarly journals Arterial Digital Pulse Photoplethysmography in Patients with Suspected Thoracic Outlet Syndrome: A Study of the “Ca+Pra” Maneuver

Diagnostics ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 1128
Author(s):  
Jeanne Hersant ◽  
Pierre Ramondou ◽  
Francine Thouveny ◽  
Mickael Daligault ◽  
Mathieu Feuilloy ◽  
...  
Keyword(s):  
Thoracic Outlet Syndrome ◽  
Pulse Amplitude ◽  
Receiver Operating Characteristics ◽  
Upper Limbs ◽  
Operating Characteristics ◽  
Digital Pulse ◽  
Arterial Inflow ◽  
Receiver Operating

The level of pulse amplitude (PA) change in arterial digital pulse plethysmography (A-PPG) that should be used to diagnose thoracic outlet syndrome (TOS) is debated. We hypothesized that a modification of the Roos test (by moving the arms forward, mimicking a prayer position (“Pra”)) releasing an eventual compression that occurs in the surrender/candlestick position (“Ca”) would facilitate interpretation of A-PPG results. In 52 subjects, we determined the optimal PA change from rest to predict compression at imaging (ultrasonography +/− angiography) with receiver operating characteristics (ROC). “Pra”-PA was set as 100%, and PA was expressed in normalized amplitude (NA) units. Imaging found arterial compression in 23 upper limbs. The area under ROC was 0.765 ± 0.065 (p < 0.0001), resulting in a 91.4% sensitivity and a 60.9% specificity for an increase of fewer than 3 NA from rest during “Ca”, while results were 17.4% and 98.8%, respectively, for the 75% PA decrease previously proposed in the literature. A-PPG during a “Ca+Pra” test provides demonstrable proof of inflow impairment and increases the sensitivity of A-PPG for the detection of arterial compression as determined by imaging. The absence of an increase in PA during the “Ca” phase of the “Ca+Pra” maneuver should be considered indicative of arterial inflow impairment.

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