Robotic Transthoracic First Rib Resection for Neurogenic Thoracic Outlet Syndrome

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...

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

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 ...