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Related Concept Videos

Thoracic Aorta01:15

Thoracic Aorta

The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
The Thoracic Cage: Sternum01:17

The Thoracic Cage: Sternum

The thoracic or rib cage forms the body's thorax (chest) portion. Its primary function in the body is to protect vital organs in the thoracic cavity, such as the heart and the lungs. It consists of 12 pairs of ribs with their costal cartilages and the sternum. The ribs are anchored posteriorly to the 12 thoracic vertebrae (T1-T12).
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid process.
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Pressure Relationships in Thoracic Cavity01:24

Pressure Relationships in Thoracic Cavity

Breathing, otherwise known as pulmonary ventilation, is the process of air movement into and out of the lungs. The main mechanisms propelling pulmonary ventilation are atmospheric pressure (Patm), intra-pulmonary (Ppul ) or intra-alveolar pressure (Palv) within the alveoli, and intrapleural pressure (Pip) within the pleural cavity.
Breathing Mechanisms
Both intra-alveolar and intrapleural pressures rely on specific lung properties. The ability to breathe—allowing air to enter the lungs during...
Portal Hypertension01:22

Portal Hypertension

Portal hypertension is an increase in blood pressure within the portal venous system. Normally, this pressure is less than 5 mmHg. It is considered clinically significant when it rises above 10 mmHg. At this threshold, complications from altered blood flow and venous congestion emerge.EtiologyPortal hypertension arises from conditions that impede blood flow through the liver. The most common cause is cirrhosis, in which chronic liver injury leads to fibrotic scarring. This fibrosis narrows or...
Disorders of the Autonomic Nervous System01:18

Disorders of the Autonomic Nervous System

The autonomic nervous system (ANS) is an intricate network of nerves that controls functions such as the regulation of heart rate, digestion, and blood pressure regulation. When this system malfunctions, it can lead to various disorders that affect multiple bodily functions. One common feature of many autonomic disorders is the involvement of smooth blood vessels, which play a crucial role in regulating blood flow throughout the body.
Raynaud's disease, also known as Raynaud's phenomenon, is a...

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Updated: May 30, 2026

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
06:57

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome

Published on: September 13, 2020

Thoracic outlet syndrome.

Glenn Ozoa1, Daniel Alves, David E Fish

  • 1Beverly Hills Orthopedic Group, Beverly Hills, CA 90212, USA. gozoa@bhorthogroup.com

Physical Medicine and Rehabilitation Clinics of North America
|August 10, 2011
PubMed
Summary

Thoracic outlet syndrome (TOS) involves neurovascular compression in the cervicobrachial region. This review clarifies the pathophysiology, diagnosis, and treatment of vascular, true neurogenic, and disputed neurogenic TOS.

Area of Science:

  • Medicine
  • Neurology
  • Vascular Surgery

Background:

  • Thoracic outlet syndrome (TOS) is a complex condition affecting the cervicobrachial region.
  • It involves compression of neurovascular structures, leading to various symptoms.
  • A consensus classification system aids in understanding TOS subtypes.

Purpose of the Study:

  • To provide an overview of thoracic outlet syndrome (TOS).
  • To elucidate the pathophysiology, diagnostic workup, and treatment strategies for TOS.
  • To clarify the distinctions between vascular, true neurogenic, and disputed neurogenic TOS.

Main Methods:

  • Literature review of TOS pathophysiology, classification, and management.
  • Analysis of diagnostic approaches including clinical presentation and anatomical considerations.

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  • Discussion of treatment modalities for different TOS types.
  • Main Results:

    • TOS is classified into vascular, true neurogenic, and disputed neurogenic types.
    • Vascular TOS involves subclavian artery or vein compression.
    • True neurogenic TOS results from brachial plexus injury, while disputed neurogenic TOS remains controversial.

    Conclusions:

    • Understanding TOS requires differentiating its subtypes based on etiology and presentation.
    • Accurate diagnosis and tailored treatment are crucial for managing TOS.
    • Further research may clarify the nature of disputed neurogenic TOS.