A bilobed thoracic outlet mass: Options for resection

First rib resection for neurovascular syndromes of the thoracic outlet.

During the first half of this century, various syndromes attributed to compression of neural and vascular structures in the anatomic area of the thoracic outlet have been described. These include the cervical rib, scalene anticus, costoclavicular, first dorsal rib, and hyperabduction syndromes. This complex array of subdivisions has engendered some confusion in diagnosis and treatment. Although...

Thoracic outlet syndrome part 2: conservative management of thoracic outlet.

Thoracic outlet syndrome (TOS) is a symptom complex attributed to compression of the nerves and vessels as they exit the thoracic outlet. Classified into several sub-types, conservative management is generally recommended as the first stage treatment in favor of surgical intervention. In cases where postural deviations contribute substantially to compression of the thoracic outlet, the rehabili...

Neurogenic thoracic outlet syndromes.

'Neurogenic thoracic outlet syndrome' is a poorly defined and controversial term for a group ofupper extremity nerve compression disorders.' The objective of this article is to summarize current knowledge, review controversies, and formulate a rational management plan for neurogenic thoracic outlet syndromes (NTOS). We will present a balanced perspective that considers thoracic surgical and neu...

Thoracic Outlet Syndrome References

Thoracic outlet syndrome.

"Thoracic outlet syndrome" is a term ascribed to a complex clinical entity encompassing complicated neurovascular signs, symptoms and pathology of the upper extremity. Controversies exist concerning its causes, diagnosis, and treatment despite years of intense study of hundreds of patients. Although there is no universal agreement on the diagnostic and treatment modalities to be applied to each...