Morbidity of First Rib Resection in the Surgical Repair of Thoracic Outlet Syndrome

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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...

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Transaxillary approach in thoracic outlet syndrome: the importance of resection of the first-rib.

OBJECTIVE The aim of this study was to analyze the transaxillary surgical approach and results of thoracic outlet cases in our clinic in the light of the recent literature data. METHODS Between 1996 and 2002 a series of 35 cases diagnosed as thoracic outlet syndrome (TOS) hospitalized and surgically treated in our clinic have been studied retrospectively. RESULTS Twenty-six of our cases wer...

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Video assisted transaxillary first rib resection in treatment of thoracic outlet syndrome (TOS).

A 24-year-old woman presented with a history of swelling and heaviness in her right upper extremity following swimming or any prolonged physical activity involving overhead arm abduction. She noted occasional numbness and paresthesia. Electromyography (EMG) and nerve conduction velocity (NCV) results were normal. Venogram demonstrated high-grade narrowing of the subclavian vein at the thoracic ...

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Arterial Thoracic Outlet Syndrome Treated Successfully with Totally Endoscopic First Rib Resection

Thoracic outlet syndrome (TOS) is a constellation of signs and symptoms caused by compression of the neurovascular structures in the thoracic outlet. TOS may be classified as either neurogenic TOS (NTOS) or vascular TOS: venous TOS (VTOS) or arterial TOS (ATOS), depending on the specific structure being affected. The basis for the surgical treatment of TOS is resection of the first rib, and it ...

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Cervical Rib and Thoracic Outlet Syndrome

A cervical rib is a supernumerary rib that occasionally projects from the lateral mass of the 7th cervical vertebra. Clinically, it can cause obscure nervous or vascular symptoms, and it is difficult to diagnose. Studies have shown the prevalence of cervical ribs to lie between 0.03% on radiographs and 3% in postmortem investigations, depending on the sex and race of the population studied. The...

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ژورنال

عنوان ژورنال: HAND

سال: 2018

ISSN: 1558-9447,1558-9455

DOI: 10.1177/1558944718760037