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Thoracic outlet syndrome

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https://www.readbyqxmd.com/read/27849513/venous-thoracic-outlet-syndrome-the-role-of-early-rib-resection
#1
Vienna G Katana, Jeffrey S Weiss
The upper extremity is an uncommon site for deep vein thrombosis and, although most of these thrombotic events are secondary to catheters or indwelling devices, venous thoracic outlet syndrome is an important cause of primary thrombosis. Young, active, otherwise healthy individuals that engage in repetitive upper extremity exercises, such as those required by a military vocation, may be at an increased risk. We present the case of a Naval Officer diagnosed with venous thoracic outlet syndrome whereby a multimodal approach with early surgical decompression was used...
November 2016: Military Medicine
https://www.readbyqxmd.com/read/27813035/-thoracic-outlet-syndrome-a-case-of-scalene-muscle-hypertrophy-in-long-term-follow-up-of-diagnosis-of-cervical-discopathy
#2
Damla Yürük, Güngör Enver Özgencil, Ahmet Yılmaz, Merve Hayriye Kocaoğlu, Sırrı Sinan Bilgin, İbrahim Aşık
Described in this article is diagnosis and treatment of mixed type of thoracic outlet syndrome (TOS) resulting from scalene muscle hypertrophy. Many diseases should be considered in the differential diagnosis to definitively diagnose this syndrome, and it is necessary to ask about activities of daily life, in addition to adding provocative tests to physical examination and examining electrophysiological and imaging results. Once diagnosed, even if complaints decrease with conservative treatment, surgery may be required...
July 2016: Aǧrı: Ağrı (Algoloji) Derneği'nin Yayın Organıdır, the Journal of the Turkish Society of Algology
https://www.readbyqxmd.com/read/27779278/magnetic-resonance-imaging-of-traumatic-and-non-traumatic-brachial-plexopathies
#3
Yiru Lorna Fan, Mohamad Isham Bin Othman, Niraj Dubey, Wilfred Cg Peh
Adult-onset brachial plexopathy can be classified into traumatic and non-traumatic aetiologies. Traumatic brachial plexopathies can affect the pre- or postganglionic segments of the plexus. Non-traumatic brachial plexopathies may be due to neoplasia, radiotherapy, thoracic outlet syndrome and idiopathic neuralgic amyotrophy. Conventional magnetic resonance imaging (MRI) is useful to localise the area of injury or disease, and identify the likely cause. This review discusses some of the common causes of adult-onset brachial plexopathy and their imaging features on MRI...
October 2016: Singapore Medical Journal
https://www.readbyqxmd.com/read/27770081/thoracic-outlet-syndrome-in-a-volleyball-player-due-to-nonunion-of-the-first-rib-fracture
#4
Kathleen T Puttmann, Bhagwan Satiani, Patrick Vaccaro
Fracture of the first rib with ensuing callus formation is a rare cause of thoracic outlet syndrome. We report a case of a 17-year-old female volleyball player who presented with months of chronic arm pain. Radiographic imaging demonstrated nonunion fracture of the first rib. Physical therapy had been unsuccessful in relieving the pain, and surgical management was performed with resection of the first rib through a transaxillary approach with complete resolution of symptoms. Inflammation surrounding such fractures may destroy tissue planes, making dissection more technically difficult...
October 20, 2016: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/27760981/arterial-thoracic-outlet-syndrome-rare-and-triggering
#5
Umar Sadat, Melissa Loja, Ammara Usman, Julie A Freischlag, Kevin Varty
Arterial thoracic outlet syndrome (TOS) is the least common type of TOS. Patient's symptoms, clinical examination and duplex ultrasonography usually suffice in deciding patient's management. Our proposed treatment strategies are based on the Scher classification. The choice of the procedure and approach should depend on surgeon's experience and need for arterial reconstruction.
December 2016: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/27742249/nonunion-of-first-rib-fracture-in-a-softball-player-case-report-of-a-rare-cause-of-thoracic-outlet-syndrome
#6
Bradley L Young, Shawna L Watson, Richard D Meyer, Brent A Ponce
No abstract text is available yet for this article.
November 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27740456/thoracic-outlet-syndromes-the-so-called-neurogenic-types
#7
J Laulan
Neurogenic thoracic outlet syndrome (TOS) is one of the most controversial pain syndromes of the upper limbs. The controversies revolve around both the diagnosis and treatment of the non-specific or subjective subtypes. Their diagnosis rests on a combination of history, suggestive symptoms and clinical examination. Proximal pain is primarily muscular in origin, while distal symptoms may be the result of intermittent nerve compression and/or myofascial pain syndrome. Stringent clinical criteria are required to confirm the diagnosis of subjective TOS...
June 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27694556/thoracic-outlet-syndrome-affecting-high-performance-musicians-playing-bowed-string-instruments
#8
Christopher J Demaree, Kevin Wang, Peter H Lin
Thoracic outlet syndrome, a condition due to neurovascular compression in the upper shoulder region, can be caused by chronic repetitive activity of the upper extremities. Studies have linked upper extremity musculoskeletal disorders to high-performance musicians who play bowed string instruments such as the violin or viola. We report herein a case series of five elite musicians, including three violinists and two violaists, who developed neurogenic thoracic outlet syndrome following years of intense practice...
September 30, 2016: Vascular
https://www.readbyqxmd.com/read/27668528/thoracic-outlet-syndrome-a-significant-family-genetic-phenotypic-presentation
#9
David Janák, Karel Novotný, Miloslav Roček, Vilém Rohn
We report on a very rare case of diagnosis and successful surgical treatment of three young family members with a four-fold presentation of thoracic outlet syndrome. In the relevant family case, we are considering and discussing the population incidence, a possible HOX genes disorder, and a significant phenotypic presentation.
2016: Prague Medical Report
https://www.readbyqxmd.com/read/27668336/arterial-thoracic-outlet-syndrome-rare-and-triggering
#10
Umar Sadat, Melissa Loja, Ammara Usman, Julie A Freischlag, Kevin Varty
Arterial thoracic outlet syndrome (TOS) is the least common type of TOS. Patient's symptoms, clinical examination and duplex ultrasonography usually suffice in deciding patient's management. Our proposed treatment strategies are based on the Scher classification. The choice of the procedure and approach should depend on surgeon's experience and need for arterial reconstruction.
December 2016: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/27666803/outcome-of-surgical-treatment-for-thoracic-outlet-syndrome-systematic-review-and-meta-analysis
#11
REVIEW
Jesse Peek, Cornelis G Vos, Çağdaş Ünlü, Henricus D W M van de Pavoordt, Peter J van den Akker, Jean-Paul P M de Vries
BACKGROUND: Many publications report outcomes of surgical treatment for thoracic outlet syndrome (TOS); however, high-quality reviews and meta-analyses are lacking. This systematic review and meta-analysis summarizes and compares the outcomes and major complications of the surgical procedures for the 3 types of TOS: arterial, venous, and neurogenic. METHODS: MEDLINE, EMBASE, and CINAHL databases, and the Cochrane Database of Systematic Reviews were searched for papers published between January 1980 and February 2015, using the keywords thoracic outlet syndrome, and treatment and surgical...
September 22, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27664077/exercise-enhanced-ultrasound-guided-anterior-scalene-muscle-pectoralis-minor-muscle-blocks-can-facilitate-the-diagnosis-of-neurogenic-thoracic-outlet-syndrome-in-the-high-performance-overhead-athlete
#12
Michael M Bottros, Jacob D AuBuchon, Lauren N McLaughlin, David W Altchek, Karl A Illig, Robert W Thompson
No abstract text is available yet for this article.
September 23, 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27659601/totally-endoscopic-vats-first-rib-resection-for-thoracic-outlet-syndrome
#13
Robert S George, Richard Milton, Nilanjan Chaudhuri, Emmanuel Kefaloyannis, Kostas Papagiannopoulos
BACKGROUND: Thoracic outlet syndrome (TOS) causes neurologic symptoms in 95% of cases and vascular symptoms in 5% of cases. Surgical resection is curative. Endoscopic-assisted transaxillary first rib resection has been previously reported. In this study we report a totally endoscopic video-assisted thoracoscopic surgery (VATS) approach using tailored endoscopic instruments. METHODS: Ten patients (8 women; average age, 32.3 ± 5.6 years) with TOS underwent VATS first rib resection following failure of symptom improvement with physiotherapy...
September 19, 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27639006/diagnosis-and-treatment-of-effort-induced-thrombosis-of-the-axillary-subclavian-vein-due-to-venous-thoracic-outlet-syndrome
#14
REVIEW
Chandu Vemuri, Payam Salehi, Jaime Benarroch-Gampel, Lauren N McLaughlin, Robert W Thompson
Venous thoracic outlet syndrome (VTOS) is uncommon but most frequently occurs in young, active, healthy patients. This condition typically presents as subclavian vein (SCV) effort thrombosis, also known as Paget-Schroetter syndrome. The pathophysiology underlying VTOS is chronic repetitive compression injury of the SCV in the costoclavicular space, resulting in progressive venous scarring, focal stenosis, and eventual thrombosis. Clinical evaluation includes a history and physical examination followed by catheter-based venography, for definitive confirmation of the diagnosis and initial treatment with pharmacomechanical thrombolysis...
October 2016: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/27634612/you-re-the-flight-surgeon
#15
(no author information available yet)
Bozung TK. You're the flight surgeon: venous thoracic outlet syndrome. Aerosp Med Hum Perform. 2016; 87(8):748-751.
August 2016: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/27632823/the-diagnostic-accuracy-of-clinical-diagnostic-tests-for-thoracic-outlet-syndrome
#16
Krista M Hixson, Hannah B Horris, Tamara C Valovich McLeod, Cailee E Welch Bacon
No abstract text is available yet for this article.
August 24, 2016: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/27587803/diagnosis-of-paget-schroetter-syndrome-primary-effort-thrombosis-in-a-recreational-weight-lifter
#17
Lucia C DeLisa, Craig P Hensley, Steven Jackson
BACKGROUND AND PURPOSE: Paget-Schroetter syndrome (PSS) is a rare condition of vein thrombosis that can be manifested in athletes and laborers who overuse their upper extremities. If diagnosed early, PSS can be managed and the symptoms can be fully reversed. Venous duplex ultrasound (US), the modality most commonly used to diagnose deep vein thrombosis (DVT), has high sensitivity and specificity for detecting DVT. This case report describes the differential diagnosis and management of PSS in a weight lifter...
September 1, 2016: Physical Therapy
https://www.readbyqxmd.com/read/27568153/vascular-thoracic-outlet-syndrome
#18
Mohamad Anas Hussain, Badr Aljabri, Mohammed Al-Omran
Two distinct terms are used to describe vascular thoracic outlet syndrome (TOS) depending on which structure is predominantly affected: venous TOS (due to subclavian vein compression) and arterial TOS (due to subclavian artery compression). Although the venous and arterial subtypes of TOS affect only 3% and <1% of all TOS patients respectively, the diagnostic and management approaches to venous and arterial TOS have undergone considerable evolution due to the recent emergence of minimally invasive endovascular techniques such as catheter-directed arterial and venous thrombolysis, and balloon angioplasty...
2016: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27565607/reporting-standards-of-the-society-for-vascular-surgery-for-thoracic-outlet-syndrome
#19
Karl A Illig, Dean Donahue, Audra Duncan, Julie Freischlag, Hugh Gelabert, Kaj Johansen, Sheldon Jordan, Richard Sanders, Robert Thompson
Thoracic outlet syndrome (TOS) is a group of disorders all having in common compression at the thoracic outlet. Three structures are at risk: the brachial plexus, the subclavian vein, and the subclavian artery, producing neurogenic (NTOS), venous (VTOS), and arterial (ATOS) thoracic outlet syndromes, respectively. Each of these three are separate entities, though they can coexist and possibly overlap. The treatment of NTOS, in particular, has been hampered by lack of data, which in turn is the result of inconsistent definitions and diagnosis, uncertainty with regard to treatment options, and lack of consistent outcome measures...
September 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/27565596/reporting-standards-of-the-society-for-vascular-surgery-for-thoracic-outlet-syndrome-executive-summary
#20
Karl A Illig, Dean Donahue, Audra Duncan, Julie Freischlag, Hugh Gelabert, Kaj Johansen, Sheldon Jordan, Richard Sanders, Robert Thompson
Thoracic outlet syndrome (TOS) is a group of disorders all having in common compression at the thoracic outlet. Three structures are at risk: the brachial plexus, the subclavian vein, and the subclavian artery, producing neurogenic (NTOS), venous (VTOS), and arterial (ATOS) thoracic outlet syndromes, respectively. Each of these three are separate entities, though they can coexist and possibly overlap. The treatment of NTOS, in particular, has been hampered by lack of data, which in turn is the result of inconsistent definitions and diagnosis, uncertainty with regard to treatment options, and lack of consistent outcome measures...
September 2016: Journal of Vascular Surgery
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