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https://www.readbyqxmd.com/read/29783723/the-art-of-caring-in-the-treatment-of-thoracic-outlet-syndrome
#1
EDITORIAL
Julie Ann Freischlag
Those who diagnose and treat patients with thoracic outlet syndrome, especially those patientswith neurogenic thoracic outlet syndrome, have a practice, which needs to include many modalities todiagnose, treat, and intervene to improve their quality of life for the present and for the future.[...].
May 19, 2018: Diagnostics
https://www.readbyqxmd.com/read/29772332/outcomes-following-transaxillary-approach-to-cervical-and-first-rib-resection-for-neurogenic-thoracic-outlet-syndrome
#2
Arjun Jayaraj, Audra A Duncan, Manju Kalra, Thomas C Bower, Peter Gloviczki
OBJECTIVE: Cervical rib can often be symptomatic causing neurogenic thoracic outlet syndrome (nTOS). Surgical treatment involves rib resection through a supraclavicular, transaxillary or combined approach. We review outcomes of different approaches and describe our technique of transaxillary resection through a video. METHODS: Single center retrospective review of peri-operative and short-term outcomes in subjects undergoing cervical rib resection for nTOS between 1994 and 2013...
May 14, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29758323/why-do-vascular-surgeons-get-sued-analysis-of-claims-and-outcomes-in-malpractice-litigation
#3
John Phair, Eric B Trestman, Eddie Skripochnik, Evan C Lipsitz, Issam Koleilat, Larry A Scher
OBJECTIVE: To analyze causes and outcomes of malpractice claims against vascular surgeons in the United States. METHODS: Cases entered into the Westlaw database from January 1st 1999 to December 31st 2014 were reviewed. Search terms "vascular" and "surgeon" were used. Data was compiled on the allegation, subject matter and outcome of each case. Additional data including demographics of the defendant was obtained from U.S. News Health Reports on practicing physicians...
May 11, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29752917/robotically-assisted-transthoracic-cervical-rib-resection
#4
Elke Wybaillie, Lieven Maene, Francis Cooreman, Roel Beelen
Several different approaches to perform surgical decompression of the thoracic outlet have been described. We report a unique case of robotically-assisted transthoracic cervical rib resection for neurogenic thoracic outlet syndrome. This minimally invasive technique offers delicate tissue manipulation under optimal visualization of the thoracic outlet structures. Hence, it promotes patient safety and complete surgical decompression.
May 9, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29721343/secondary-chondrosarcoma-presenting-with-symptoms-similar-to-thoracic-outlet-syndrome
#5
Hiroshi Kobayashi, Masachika Ikegami, Tetsuo Ushiku, Masaki Anraku, Takahiro Ohki, Yusuke Shinoda, Sakae Tanaka, Hirotaka Kawano
Thoracic outlet syndrome (TOS) is caused by heterogeneous factors that compress the brachial plexus and subclavian artery; tumor is rarely a cause of TOS. Here, we present the case of a 26-year-old man with secondary chondrosarcoma arising from osteochondroma of the left clavicle causing TOS, with a direct compression of the brachial plexus and subclavian artery. Immediately after surgery, the symptoms of TOS reduced. To our knowledge, this is the first case of a secondary chondrosarcoma of the clavicle causing TOS, which is possibly the key symptom for diagnosing malignant transformation of osteochondroma of the clavicle...
2018: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/29705086/transaxillary-decompression-of-thoracic-outlet-syndrome-patients-presenting-with-cervical-ribs
#6
Hugh A Gelabert, David A Rigberg, Jessica B O'Connell, Sinan Jabori, Juan Carlos Jimenez, Steven Farley
OBJECTIVE: The transaxillary approach to thoracic outlet decompression in the presence of cervical ribs offers the advantage of less manipulation of the brachial plexus and associated nerves. This may result in reduced incidence of perioperative complications, such as nerve injuries. Our objective was to report contemporary data for a series of patients with thoracic outlet syndrome (TOS) and cervical ribs managed through a transaxillary approach. METHODS: We reviewed a prospectively maintained database for all consecutive patients who underwent surgery for TOS and who had a cervical rib...
April 25, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29696329/first-rib-resection-for-thoracic-outlet-syndrome-the-robotic-approach
#7
Gregor J Kocher, Adrian Zehnder, Jon A Lutz, Juerg Schmidli, Ralph A Schmid
OBJECTIVE: First rib resection is a well-recognized treatment option for thoracic outlet syndrome (TOS). In case of a vascular insufficiency that can be provoked and/or progressive neurologic symptoms without response to conservative treatment, surgical decompression of the space between the clavicle and the first rib is indicated. The aim of this paper is to present our experience with a new minimally invasive robotic approach using the da Vinci Surgical System®. METHODS: Between January 2015 and October 2017, eight consecutive first rib resections in seven patients were performed at our institution...
April 25, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29686837/effort-thrombosis-of-the-subclavian-artery-as-a-consequence-of-a-unique-anomaly
#8
Evan R Brownie, Robert W Thompson
Congenital anatomic anomalies and variations are frequent in the thoracic outlet and may be associated with clinical symptoms. Arterial thoracic outlet syndrome (TOS) is characterized by subclavian artery compression and vascular pathology, almost always in the presence of a bony abnormality. We describe here a patient with arterial thromboembolism following a fall on the outstretched arm, who was found to have subclavian artery stenosis and post-stenotic dilatation in the absence of a bony abnormality. Surgical exploration revealed a previously undescribed anomaly in which the subclavian artery passed through the costoclavicular space in front of the anterior scalene muscle, where it was subject to bony compression between the first rib and clavicle...
April 2018: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29672730/the-importance-of-costoclavicular-space-on-possible-compression-of-the-subclavian-artery-in-the-thoracic-outlet-region-a-radio-anatomical-study
#9
Tevfik Kaplan, Ayhan Comert, Ali Firat Esmer, Gökçe Kaan Ataç, Halil Ibrahim Acar, Bulent Ozkurt, Ibrahim Tekdemir, Serdar Han
OBJECTIVES: The purposes of this study were to identify possible compression points along the transit route of the subclavian artery and to provide a detailed anatomical analysis of areas that are involved in the surgical management of the thoracic outlet syndrome (TOS). The results of the current study are based on measurements from cadavers, computed tomography (CT) scans and dry adult first ribs. METHODS: The width and length of the interscalene space and the width of the costoclavicular passage were measured on 18 cervical dissections in 9 cadavers, on 50 dry first ribs and on CT angiography sections from 15 patients whose conditions were not related to TOS...
April 16, 2018: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/29658209/upper-extremity-deep-vein-thrombosis-symptoms-diagnosis-and-treatment
#10
REVIEW
Jaber Mustafa, Ilan Asher, Zev Sthoeger
Upper extremity deep vein thrombosis (UEDVT) is defined as thrombosis of the deep venous system (subclavian, axillary, brachial, ulnar, and radial veins), which drains the upper extremities. It can be caused by thoracic outlet anatomic obstruction, such as Paget-Schroetter syndrome, (primary) or by central intravenous catheters (secondary). UEDVT may be asymptomatic or present with acute severe pain and arm swelling. Clinical suspicion should be confirmed by diagnostic imaging procedures such as duplex ultrasound, computed tomography scan, or magnetic resonance imaging...
January 2018: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/29652235/harvey-cushing-s-management-of-neurogenic-thoracic-outlet-syndrome
#11
Courtney Pendleton, Allan J Belzberg, Robert J Spinner, Alfredo Quinones-Hinojosa
Harvey Cushing is widely regarded as one of the forefathers of neurosurgery, and is primarily associated with his work on intracranial pathology. However, he had a clinical and academic interest in peripheral nerve surgery. Through the courtesy of the Alan Mason Chesney Medical Archives, the surgical records of the Johns Hopkins Hospital from 1896 to 1912 were reviewed. The records of a single patient undergoing brachial plexus exploration and cervical rib resection were selected for detailed review. The operative report and accompanying illustrations demonstrate Cushing's interest in adding approaches to the pathology of the brachial plexus to his operative armamentarium...
April 13, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29628349/thoracic-outlet-syndrome-for-thoracic-surgeons
#12
EDITORIAL
Bryan M Burt
No abstract text is available yet for this article.
March 13, 2018: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29627065/after-a-motor-vehicle-accident-is-it-neurogenic-thoracic-outlet-syndrome-or-ulnar-entrapment-syndrome-how-to-make-the-correct-diagnosis
#13
A Ian Munro, G Duncan McPherson, Wr Eric Jamieson
INTRODUCTION: Analysis of alleged neurogenic thoracic outlet syndrome (NTOS) following motor vehicle collisions (MVC) showed a high rate of incorrect diagnosis. METHODS: Over ten years we saw 263 alleged NTOS following a MVC. Fifty-six (21.3%) had ulnar entrapment syndrome (UES) proved by nerve conduction studies or specific motor weakness. Diagnostic errors were examined. RESULTS: Inadequate physical examination and poor knowledge of neuroanatomy in 56 (100...
March 16, 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29595737/surgical-approach-to-injuries-of-the-cervical-plexus-and-its-peripheral-nerve-branches
#14
David L Brown, A Lee Dellon
BACKGROUND: Located in the neck beneath the sternocleidomastoid muscle, the cervical plexus comprises a coalition of nerves originating from C1 through C4, which provide input to four cutaneous, seven motor, and three cranial nerves and the sympathetic trunk. Sporadic instances of injury to these superficial nerves have been reported. Nevertheless, this specific anatomical cause of neurogenic pain remains incompletely described and underrecognized. METHODS: Twelve patients presented with pain and were diagnosed with various combinations of injury to the lesser occipital, great auricular, transverse cervical, and supraclavicular nerves...
April 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29577003/emergency-repair-of-a-perforated-mycotic-aneurysm-with-a-self-made-pericardial-tube-graft
#15
Nawras Diab, Clarence Pingpoh, Matthias Siepe, Friedhelm Beyersdorf, Ahmed Kharabish, Martin Czerny
A 63-year-old female with a history of kidney transplantation was admitted for emergency repair of a perforated mycotic aneurysm of the right subclavian artery (RSA) in combination with a paravertebral and posterior mediastinal abscess. After resection of the aneurysm and after radical local debridement, orthotopic repair was performed with a self-made pericardial tube graft from the brachiocephalic bifurcation to the thoracic outlet. The paravertebral and posterior mediastinal abscess was drained. The postoperative course was uneventful...
January 2018: Thoracic and Cardiovascular Surgeon Reports
https://www.readbyqxmd.com/read/29573776/commentary-to-accompany-after-motor-vehicle-accidents-is-it-thoracic-outlet-syndrome-or-ulnar-entrapment-syndrome-how-to-make-the-correct-diagnosis
#16
Matthew J Martin
No abstract text is available yet for this article.
March 16, 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29570722/thoracic-dysfunction-in-whiplash-associated-disorders-a-systematic-review
#17
Nicola R Heneghan, Richard Smith, Isaak Tyros, Deborah Falla, Alison Rushton
BACKGROUND: Research investigating Whiplash Associated Disorder (WAD) has largely focused on the cervical spine yet symptoms can be widespread. Thoracic spine pain prevalence is reported ~66%; perhaps unsurprising given the forceful stretch/eccentric loading of posterior structures of the spine, and the thoracic spine's contribution to neck mobility/function. Approximately 50% WAD patients develop chronic pain and disability resulting in high levels of societal and healthcare costs. It is time to look beyond the cervical spine to fully understand anatomical dysfunction in WAD and provide new directions for clinical practice and research...
2018: PloS One
https://www.readbyqxmd.com/read/29564352/management-of-sequelae-of-kawasaki-disease-in-adults
#18
REVIEW
John B Gordon, Jane C Burns
Background: A growing population of young adults is presenting to cardiologists with late manifestations of Kawasaki disease (KD) that include cardiomyopathy, ischemia, and infarction. The management of these conditions differs in important ways from atherosclerotic heart disease, and yet there is little awareness in the adult cardiology community regarding the special challenges posed by the cardiovascular sequelae of KD. Methods: Observations were made on a population of 140 adult KD patients enrolled in the San Diego Adult KD Collaborative Study...
October 31, 2017: Global Cardiology Science & Practice
https://www.readbyqxmd.com/read/29558408/diagnosing-thoracic-outlet-syndrome-current-approaches-and-future-directions
#19
REVIEW
Sebastian Povlsen, Bo Povlsen
The diagnosis of thoracic outlet syndrome (TOS) has long been a controversial and challenging one. Despite common presentations with pain in the neck and upper extremity, there are a host of presenting patterns that can vary within and between the subdivisions of neurogenic, venous, and arterial TOS. Furthermore, there is a plethora of differential diagnoses, from peripheral compressive neuropathies, to intrinsic shoulder pathologies, to pathologies at the cervical spine. Depending on the subdivision of TOS suspected, diagnostic investigations are currently of varying importance, necessitating high dependence on good history taking and clinical examination...
March 20, 2018: Diagnostics
https://www.readbyqxmd.com/read/29538219/a-case-report-on-2-unique-presentations-of-upper-extremity-deep-vein-thrombosis
#20
Muharrem Yunce, Ashwyn Sharma, Evan Braunstein, Michael B Streiff, Ying Wei Lum
RATIONALE: Thoracic outlet syndrome (TOS) is a rare cause of upper extremity deep vein thrombosis (UEDVT). The treatment usually involves catheter directed thrombolysis followed by systemic anticoagulation. Surgical decompression is frequently recommended after anticoagulation for definitive therapy. PATIENT CONCERNS: We report two cases of UEDVT secondary to venous TOS with important clinical presentations. DIAGNOSES: Venous TOS. INTERVENTIONS: One patient was initially treated conservatively but had a recurrent UEDVT...
March 2018: Medicine (Baltimore)
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