keyword
https://read.qxmd.com/read/37576424/the-role-of-ultrasound-in-venous-thoracic-outlet-syndrome-lesson-based-on-a-case-report
#21
Tiziana Vasile, Renato Farina, Pietro Valerio Foti, Antonio Basile
Thoracic outlet syndrome is a rare neurovascular disease, usually caused by compression of subclavian vessels and/or brachial plexus by a cervical rib or hypertrophic scalene muscles. When the subclavian artery is compressed, it can cause perfusion deficiency with cyanosis and greater fatigue of the upper limb; if the subclavian vein is compressed, it can cause venous congestion with swelling and pain in the upper limb. When compression affects the brachial plexus, it can cause tingling or paresthesia of the upper limb...
2023: Journal of Medical Ultrasound
https://read.qxmd.com/read/37521545/modern-treatment-of-neurogenic-thoracic-outlet-syndrome-pathoanatomy-diagnosis-and-arthroscopic-surgical-technique
#22
REVIEW
Adil S Ahmed, Thibault Lafosse, Alexander R Graf, Anthony L Karzon, Michael B Gottschalk, Eric R Wagner
Compressive pathology in the supraclavicular and infraclavicular fossae is broadly termed "thoracic outlet syndrome," with the large majority being neurogenic in nature. These are challenging conditions for patients and physicians and require robust knowledge of thoracic outlet anatomy and scapulothoracic kinematics to elucidate neurogenic versus vascular disorders. The combination of repetitive overhead activity and scapular dyskinesia leads to contracture of the scalene muscles, subclavius, and pectoralis minor, creating a chronically distalized and protracted scapular posture...
July 2023: Journal of hand surgery global online
https://read.qxmd.com/read/37521542/surgical-approaches-for-thoracic-outlet-syndrome-a-review-of-the-literature
#23
REVIEW
Taku Suzuki, Hiroo Kimura, Noboru Matsumura, Takuji Iwamoto
Thoracic outlet syndrome (TOS) is caused by entrapment of the neurovascular bundle in the interscalene, costoclavicular, or subpectoral minor space. Compression in the interscalene or costoclavicular space with the first rib and scalene muscle leads to vascular and neurogenic TOS, whereas compression in the subpectoral minor space leads to pectoralis minor syndrome. Various surgical approaches exist for the treatment of TOS. The introduction and development of surgical approaches have minimized surgical invasiveness and complications...
July 2023: Journal of hand surgery global online
https://read.qxmd.com/read/37505169/ultrasound-imaging-of-the-phrenic-nerve-at-the-scalene-muscle-level
#24
JOURNAL ARTICLE
Mohamed Abdelmohsen Bedewi, Yomna S Habib, Ayman A Sifey, Mamdouh Ali Kotb, Daifallah Mohammed Almalki, Ali Abdullah AlAseeri, Bader A Alhariqi, Kholoud J Sandougah, Tariq Alfaifi, Salvatore Marsico, Mariam Em Awad, Steven B Soliman
The aim of this study is to utilize ultrasound to evaluate the normal cross-sectional area (CSA) of the phrenic nerve (PN), at the level of the anterior scalene muscle. The study included 62 PNs in 31 healthy subjects (13 men, 18 women); mean age, 36.6 years; mean height, 161.1 cm; mean weight, 69.6 kg; and mean body mass index 25.8 kg/m2. High-resolution ultrasound images of the bilateral PNs were obtained by a radiologist with 15 years of experience in neuromusculoskeletal ultrasound...
July 28, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/37498578/counterstrain-technique-for-anterior-and-middle-scalene-tender-point
#25
JOURNAL ARTICLE
Olivia C Matz, Hannah C Gustafson, Lauren E Hartwell, Laura J Rudberg-Post, Adrian L Woolley
When a patient presents with head, neck, or respiratory concerns, the scalene muscles are not commonly considered. However, somatic dysfunctions of the anterior/middle scalenes (AMS) can be contributing to or causing these medical concerns. Although tender points within the scalene muscles have been documented within the muscle belly, they have not been documented at the insertion site. This article details how to diagnose and treat an AMS tender point with an efficient technique that requires minimal exertion and maximal comfort for both the physician and patient at a new tender point location...
July 28, 2023: Journal of osteopathic medicine
https://read.qxmd.com/read/37452523/topographic-and-morphometric-anatomy-of-the-proximal-part-of-the-dorsal-scapular-nerve
#26
JOURNAL ARTICLE
Beyza Çelikgün, Özcan Gayretli, İlke Ali Gürses, Osman Coşkun, Adnan Öztürk, Ayşin Kale
The dorsal scapular nerve (DSN) entrapment neuropathy has recently been recognized as a common cause of circumscapular pain and cases of winged scapula. Course of the nerve is important because the middle scalene muscle is frequently accessed for surgical treatments. Studies in the literature have not focused on the morphometric relationship of the DSN with the scalene muscles and its relationship with the long thoracic nerve (LTN). The neck regions of 13 adult cadavers were dissected bilaterally. The relationship of DSN with scalene muscles and LTN was evaluated...
July 14, 2023: Clinical Anatomy
https://read.qxmd.com/read/37448504/anterior-selective-scalenectomy-for-periforaminal-exposure-in-the-ventral-supraclavicular-approach
#27
JOURNAL ARTICLE
Filippo Gagliardi, Marzia Medone, Leone Giordano, Silvia Snider, Martina Piloni, Edoardo Pompeo, Francesca Roncelli, Luca Ruffino, Pietro Mortini
AIMS AND OBJECTIVES: Route of choice to access cervical paravertebral lesions with foraminal involvement is the anterolateral corridor with its variants. Main limitation of these techniques is represented by the limited surgical access to periforaminal area due to the bulk generated by the anterior scalene muscle (ASM). Over the years, alternative techniques for ASM surgical management have been developed, which are still today a matter of debate. Most popular include ASM scalene complete section (SCS) and ASM medial detachment (SMD)...
2023: Journal of Craniovertebral Junction and Spine
https://read.qxmd.com/read/37414455/reliable-initial-trauma-ct-findings-of-supraclavicular-brachial-plexus-injury-in-patients-sustaining-blunt-injuries
#28
JOURNAL ARTICLE
M R Povlow, J R Davis, A M Betts, S M Clayton, F J Cloran, J K Aden, J L Ritter
BACKGROUND AND PURPOSE: Traumatic brachial plexus injuries are uncommon but can be debilitating. Early diagnosis is critical. Most patients undergo CT after trauma. We sought to identify correlative CT findings of supraclavicular brachial plexus injuries to discern who may require further evaluation with MR imaging and to measure multireviewer performance for their interpretations. MATERIALS AND METHODS: We identified all MR imaging examinations of the brachial plexus from our institution from January 2010 to January 2021 and included those performed for trauma...
August 2023: AJNR. American Journal of Neuroradiology
https://read.qxmd.com/read/37309624/definition-of-an-effective-site-for-greater-and-third-occipital-nerve-block-in-the-nuchal-region-a-fetal-cadaver-study
#29
JOURNAL ARTICLE
Ummuhan Yagmurkaya, İsmihan İlknur Uysal, Anil Didem Aydin Kabakci
AIM: The suboccipital region is an important area due to having intensive anatomical content. For different clinical applications, it is important to know the course of the nerves in this region and the relationship with the muscles. The aim of this study was to determine the localization of the greater occipital nerve and the third occipital nerve according to palpable bone landmarks and their relationship with muscles in the suboccipital region and to define an effective zone for clinical approaches...
October 5, 2022: Turkish Neurosurgery
https://read.qxmd.com/read/37268551/women-with-migraine-presents-similar-altered-performance-in-the-craniocervical-flexion-test-than-women-with-chronic-nonspecific-neck-pain-an-observational-study
#30
JOURNAL ARTICLE
Marcela Mendes Bragatto, Lidiane Lima Florencio, Amanda Rodrigues, Mariana Tedeschi Benatto, Fabíola Dach, César Fernández-de-Las-Peñas, Débora Bevilaqua-Grossi
BACKGROUND: Although patients with migraine show cervical muscle impairments previous studies investigating motor performance have not characterized the sample of patients with migraine according to the presence/absence of neck pain complaints. OBJECTIVE: To verify if there are differences in the clinical and muscular performance of the superficial neck flexors and extensors during Craniocervical Flexion Test in women with migraine, considering the presence or absence of concomitant symptoms of neck pain...
May 26, 2023: Musculoskeletal Science & Practice
https://read.qxmd.com/read/37192239/novel-ultrasound-guided-injection-method-for-thoracic-outlet-syndrome-based-on-anatomical-features-a-cadaveric-study
#31
JOURNAL ARTICLE
Kyu-Lim Lee, Ji-Hyun Lee, Hye-Won Huh, Hee-Jin Kim
BACKGROUND: Despite the positive effect of botulinum neurotoxin (BoNT) injections in thoracic outlet syndrome (TOS) treatment, there is insufficient anatomical evidence of its use in the anterior scalene (AS) and middle scalene (MS) muscles. OBJECTIVES: This study aimed to provide safer and more effective guidelines for the injection of botulinum neurotoxin into scalene muscles for the treatment of thoracic outlet syndrome. STUDY DESIGN: The study was based on an anatomical study and ultrasound studies...
May 2023: Pain Physician
https://read.qxmd.com/read/37188569/a-procedure-for-measuring-anterior-scalene-morphology-and-quality-with-ultrasound-imaging-an-intra-and-inter-rater-reliability-study
#32
JOURNAL ARTICLE
Juan Antonio Valera-Calero, Sonia Gómez-Sánchez, César Fernández-de-Las-Peñas, Gustavo Plaza-Manzano, Sandra Sánchez-Jorge, Marcos José Navarro-Santana
OBJECTIVE: Ultrasound (US) imaging is an essential tool for clinicians because of its cost-effectiveness and accessibility for assessing multiple muscle metrics including muscle quality, size and shape. Although previous studies highlighted the importance of the anterior scalene muscle (AS) in patients with neck pain, studies analyzing the reliability of US measurements for this muscle are lacking. This study aimed to develop a protocol for assessing AS muscle shape and quality measured with US and investigating its intra- and inter-examiner reliability...
May 13, 2023: Ultrasound in Medicine & Biology
https://read.qxmd.com/read/37120303/endoscopic-assisted-infraclavicular-approach-for-first-rib-resection-in-neurologic-thoracic-outlet-syndrome-a-report-of-two-cases
#33
JOURNAL ARTICLE
Taku Suzuki, Hiroo Kimura, Noboru Matsumura, Takuji Iwamoto
Various reported surgical approaches for the treatment of thoracic outlet syndrome (TOS) exist and no firm evidence exists for any approach. A 16-year-old and a 29-year-old male presented with numbness in the upper limb. Neurologic TOS was diagnosed, and surgery was planned for the resection of the first rib and scalene muscles. Through an infraclavicular incision, open resection of the anterior scalene muscle and the anterior aspect of the first rib was performed. With the assistance of endoscopy, the middle scalene muscles and the posterior aspect of the first rib were resected...
April 2023: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/37116692/botulinum-toxin-type-a-infiltration-in-spasticity-and-cervical-dystonia-muscle-morphology-an-overlooked-factor
#34
JOURNAL ARTICLE
M Murie-Fernández, C Bahamonde, D Graffigna, B Hontanilla
INTRODUCTION: Botulinum toxin type A is used to treat spasticity and dystonia. However, its relationship with muscle morphology has not been studied. The action mechanism of botulinum toxin is based on the inhibition of acetylcholine release. Therefore, larger doses of toxin would be needed to treat larger muscles. This study aims to establish whether there is a discrepancy between muscle morphology and the botulinum toxin doses administered. METHODS: We dissected, and subsequently measured and weighed, muscles from the upper and lower limbs and the head of a fresh cadaver...
April 26, 2023: Neurología
https://read.qxmd.com/read/37104255/surface-electromyography-signal-processing-and-evaluation-on-respiratory-muscles-of-critically-ill-patients-a-systematic-review
#35
JOURNAL ARTICLE
Emanuel Fernandes Ferreira da Silva Junior, Shirley Lima Campos, Wagner Souza Leite, Pedro Vanderlei de Sousa Melo, Rômulo Aquino Coelho Lins, Maria das Graças Rodrigues de Araújo, Marcelo Renato Guerino
BACKGROUND: Surface Electromyography (sEMG) has been used to monitor respiratory muscle function and contractility in several clinical situations, however there is the lack of standardization for the analysis and processing of the signals. OBJECTIVE: To summarize the respiratory muscles most assessed by sEMG in the critical care setting and the assessment procedure details employed on those muscles regarding electrode placement, signal acquisition, and data analysis...
2023: PloS One
https://read.qxmd.com/read/37058018/acute-cervical-radiculopathy-after-anterior-scalene-muscle-massage-a-case-report
#36
JOURNAL ARTICLE
Sung Joon Chung, Yunsoo Soh
RATIONALE: Deep tissue massage (DTM) is a form of therapeutic massage therapy for muscles and is often used to treat musculoskeletal pain. This was an uncommon case of acute cervical radiculopathy that occurred after DTM. PATIENT CONCERNS: A 47-year-old Asian woman with low weight visited our clinic due to complaints of sudden unilateral paralysis, radiating pain in the left shoulder, and wrist weakness after undergoing a 3-minute DTM of the anterior scalene muscle...
April 14, 2023: Medicine (Baltimore)
https://read.qxmd.com/read/37056114/a-new-anatomical-brachial-plexus-variation-during-interscalene-block
#37
I Gungor, M G Ozdemir, G Emmez, M Ucar, A I Kaptan, D B Gunaydin
We aimed to present our anesthetic management for an ultrasound-guided (USG) interscalene block in the presence of a new brachial plexus variation in a 59-year-old male patient underwent shoulder arthroscopy. An accessory muscle between the anterior scalene (ASM) and middle scalene muscle (MSM) was viewed via ultrasound. When four roots that the accessory muscle separated into two groups, which should be normally present between the ASM and MSM were displayed, we decided to use nerve stimulator to perform block...
March 2023: Nigerian Journal of Clinical Practice
https://read.qxmd.com/read/37046956/the-masticatory-structure-and-function-in-children-with-cerebral-palsy-a-pilot-study
#38
JOURNAL ARTICLE
Karolina Szuflak, Roksana Malak, Brittany Fechner, Dorota Sikorska, Włodzimierz Samborski, Ewa Mojs, Karolina Gerreth
(1) Background: Muscle tension around the head and neck influences orofacial functions. The data exist concerning head posture during increased salivation; however, little is known about muscle tightness during this process. This study aims to investigate whether or not any muscles are related to problems with eating, such as drooling in individuals with cerebral palsy; (2) Methods: Nineteen patients between the ages of 1 and 14 were examined prior to the physiotherapy intervention. This intervention lasted three months and consisted of: relaxing muscles via the strain-counterstrain technique, functional exercises based on the NeuroDevelopmental Treatment-Bobath method, and functional exercises for eating; (3) Results: the tone of rectus capitis posterior minor muscle on the left side ( p = 0...
April 4, 2023: Healthcare (Basel, Switzerland)
https://read.qxmd.com/read/37042225/histologic-evidence-of-brachial-plexus-compression-sites-at-the-thoracic-inlet-and-variations-in-formation-of-the-lower-trunk-in-cadavers
#39
JOURNAL ARTICLE
Rafael Felix P Tiongco, A Lee Dellon
BACKGROUND: In thoracic "outlet" syndrome (TOS), pathologic evidence is well documented for vascular but not neurologic compression. We hypothesized that histologic evidence of compression would be identified at sites where the upper trunk was impacted by the anterior scalene muscle and the lower trunk by anatomic anomalies or the first rib. The purpose of this study was to investigate this hypothesis in human cadavers. MATERIALS AND METHODS: Twenty-five cadavers' brachial plexuses were dissected and excised...
April 12, 2023: Microsurgery
https://read.qxmd.com/read/37005902/botulinum-toxin-type-a-outcomes-in-infants-with-refractory-congenital-muscular-torticollis
#40
JOURNAL ARTICLE
Clarice N Sinn, Robert J Rinaldi, Matthew J McLaughlin
PURPOSE: The aim of this study was to determine the effectiveness of botulinum toxin type A (BoNT-A) injections in infants with congenital muscular torticollis (CMT) who were refractory to conservative management. METHODS: This was a retrospective study in which all subjects included were seen between 2004 and 2013 and were deemed appropriate for BoNT-A injections. A total of 291 patients were reviewed for inclusion in the study, and 134 patients met the inclusion criteria...
March 28, 2023: Journal of Pediatric Rehabilitation Medicine
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