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Updated: May 22, 2026

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

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Published on: September 13, 2020

Birth Trauma and Thoracic Outlet Syndrome: Preliminary Evidence.

J Blade Hargiss1, Houssam Farres1, Joaquin Sarmiento Falen1

  • 1Division of Vascular and Endovascular Surgery, Mayo Clinic, Jacksonville, FL.

Annals of Vascular Surgery
|May 20, 2026
PubMed
Summary

This study found a significantly higher prevalence of birth trauma, including shoulder dystocia and forceps-assisted delivery, in patients with thoracic outlet syndrome (TOS). These findings suggest birth trauma may be an underrecognized risk factor for TOS development.

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Published on: November 8, 2024

Area of Science:

  • Medical research
  • Clinical outcomes
  • Patient epidemiology

Background:

  • Thoracic outlet syndrome (TOS) involves neurovascular compression at the neck base.
  • Risk factors include trauma, repetitive use, and anatomical variations.
  • The role of birth trauma in TOS development is largely unexplored.

Purpose of the Study:

  • To investigate the prevalence of birth trauma in patients diagnosed with and treated for TOS.
  • To explore potential links between birth complications and TOS etiology.

Main Methods:

  • Retrospective cross-sectional study of 41 TOS patients who underwent first-rib resection (2001-2024).
  • Survey methodology used to screen for instances of birth trauma.
  • Collaboration with Obstetrics and Gynecology professionals in survey development.

Main Results:

  • Six patients (15%) reported shoulder dystocia (SD).
  • Five patients (12%) reported forceps-assisted vaginal delivery (AVD).
  • A combined 24% of neurogenic TOS patients reported SD or AVD.

Conclusions:

  • The observed rates of SD and AVD in the TOS cohort were 4-10 times higher than general population rates.
  • Birth trauma may be an underrecognized factor contributing to TOS development.
  • Further research with larger sample sizes is warranted to confirm these pilot findings.