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Thoracic outlet syndromes.

R D Leffert1

  • 1Surgical Upper Extremity Rehabilitation Unit, Massachusetts General Hospital, Boston.

Hand Clinics
|May 1, 1992
PubMed
Summary
This summary is machine-generated.

Thoracic outlet syndrome (TOS) can result from trauma or postural issues, not requiring congenital anomalies for diagnosis. Careful patient selection for surgery is crucial for good outcomes, with surgery reserved for intolerable symptoms.

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Area of Science:

  • Vascular Surgery
  • Orthopedic Surgery
  • Neurology

Background:

  • Thoracic outlet syndrome (TOS) can manifest due to trauma or postural abnormalities.
  • Congenital anomalies like cervical ribs are not essential for TOS diagnosis but are more prevalent in affected individuals.
  • The condition's diagnosis relies heavily on patient history and physical examination over diagnostic tests.

Purpose of the Study:

  • To review the causes, diagnosis, and management of thoracic outlet syndrome (TOS).
  • To emphasize the importance of clinical evaluation in diagnosing TOS.
  • To discuss the role and outcomes of surgical intervention for TOS.

Main Methods:

  • Review of clinical presentation and diagnostic criteria for TOS.
  • Analysis of factors contributing to TOS, including trauma and postural abnormalities.

Related Experiment Videos

  • Evaluation of surgical candidacy and outcomes for TOS patients.

    • Main Results:

    • Patient history and physical examination are paramount for TOS diagnosis.
    • Double crush syndrome can complicate TOS diagnosis and treatment.
    • Careful patient selection for surgery leads to high success rates, but perioperative complications are a concern.

    Conclusions:

    • TOS diagnosis hinges on clinical assessment rather than solely on diagnostic tests.
    • Surgical intervention for TOS should be reserved for patients with intractable symptoms due to potential complications.
    • Effective management of TOS involves understanding its varied causes and judiciously applying treatment options.