Related Experiment Video
Updated: Sep 1, 2025
06:57
Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
3.2K
Neurogenic Thoracic Outlet Syndrome—Presentation, Diagnosis, and Treatment.
Nora F Dengler1, Maria T Pedro, Thomas Kretschmer
1Department of Neurosurgery, Charité-Universitätsmedizin Berlin; District Hospital of Günzburg, Neurosurgical Department of the University of Ulm; Department of Neurosurgery and Neurorestauration, Klinikum Klagenfurt Am Wörthersee, Klagenfurt, Austria; Peripheral Nerve Unit Nord, Christliches Krankenhaus Quakenbrück GmbH, Quakenbrück; Department of Neurosurgery, Helios Klinikum Erfurt.
Deutsches Arzteblatt International
|August 18, 2022
Summary
Neurogenic thoracic outlet syndrome (nTOS) is common, but treatment research is limited. Physiotherapy shows some benefit, while surgery offers significant improvement for many patients with nTOS.
Area of Science:
- Medical research
- Clinical neurology
- Surgical outcomes
Background:
- Thoracic outlet syndrome (TOS) involves neurovascular compression at the chest-neck transition.
- Neurogenic TOS (nTOS) presents with sensorimotor symptoms in the upper extremities, often movement-related.
- nTOS is the most prevalent form of TOS, with estimated incidence and prevalence rates.
Purpose of the Study:
- To outline the clinical presentation patterns of nTOS.
- To provide an overview of diagnostic approaches for nTOS.
- To review current treatment strategies for nTOS.
Main Methods:
- A selective literature search was conducted.
- Included studies comprised prospective observational studies and randomized controlled trials (RCTs).
- Systematic reviews and meta-analyses were also considered.
Main Results:
- No multicenter RCTs exist for nTOS treatment.
- Physiotherapy demonstrates positive effects in 27-59% of cases.
- Surgery yields significant benefits in 56-90% of patients after conservative treatment failure, with supraclavicular decompression showing variable outcomes.
Conclusions:
- Treatment studies for nTOS are limited in quality and quantity.
- Surgical management approaches vary widely based on surgeon and patient factors.
- Standardized classification and comparative studies are needed for better interpretation of nTOS treatment outcomes.
Related Concept Videos
01:18Disorders of the Autonomic Nervous System
793
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...
Raynaud's disease, also known as Raynaud's...
793
01:22Spinal Nerves: Plexus I
1.2K
Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
1.2K
01:21Spinal Nerves: Plexus II
799
The plexuses of the lower body include the lumbar, sacral, and coccygeal plexuses, which innervate the abdomen, pelvis, legs, and coccygeal region. These plexuses control the transmission of sensory information and coordinate motor functions of the lower body.
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
799
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
19
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...
19
01:15Thoracic Aorta
692
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,...
692
01:17The Thoracic Cage: Sternum
3.1K
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...
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...
3.1K