Neurogenic Thoracic Outlet Syndrome with Supraclavicular Release: Long-Term Outcome without Rib Resection

Neurogenic thoracic outlet syndrome associated with cervical rib.

A true neurogenic thoracic outlet syndrome (TOS) associated with a cervical rib is considered extremely rare. The authors present their experience with 5 cases of true neurogenic TOS associated with a cervical rib. All patients were female and had a cervical rib confirmed radiographically pre-operatively. Average age was 34,8 years. Although all patients had been treated with several combinatio...

Neurogenic thoracic outlet syndrome

sustained a whiplash injury in a car accident within the year, schedules an office visit for evaluation of pain she has been experiencing for 7 months in the right side of her neck and the trapezius. The pain radiates down the medial aspect of her right arm to the 4th and 5th digits, and it worsens when she brushes her hair or lifts bags of groceries. She feels her quality of life is significan...

32. Neurogenic Thoracic Outlet Syndrome

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...

Updated perspectives on neurogenic thoracic outlet syndrome.

Pain represents a foremost feature of neurogenic thoracic outlet syndrome (NTOS). Similar to other persistent pain conditions, the physical discomfort associated with NTOS can cause severe and often debilitating symptoms. In fact, those suffering from the syndrome report a quality of life impacted as significantly as those with chronic heart failure. This evidence-based literature review focuse...