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Updated: Mar 1, 2026

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
Thoracic Outlet Syndrome: Getting It Right So You Don't Have to Do It Again
Alan J Micev1, Joshua M Abzug, A Lee Osterman
1Fellow, The Philadelphia Hand Center, Thomas Jefferson University, Philadelphia, Pennsylvania.
Abstract:
Thoracic outlet syndrome is a disorder caused by thoracic outlet compression of the brachial plexus and/or the subclavian vessels. The characteristics of thoracic outlet syndrome are highly variable. Objective tests, such as electrodiagnostic studies, are often unreliable in characterizing thoracic outlet syndrome. The existence of thoracic outlet syndrome as a discrete entity is controversial. Surgeons who accept the existence of thoracic outlet syndrome acknowledge that diagnosis is clinical. The variability and complexity of thoracic outlet syndrome lends itself to mistakes in both diagnosis and surgical treatment.
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