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Related Experiment Videos

Shoulder girdle compression syndrome

J D Gruss, D Bartels, H Vargas

    The Journal of Cardiovascular Surgery
    |May 1, 1982
    PubMed
    Summary
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    Transaxillary rib resection effectively treats thoracic outlet syndrome (TOS). This surgical approach provided significant symptom relief for over 88% of patients, with 56% becoming asymptomatic.

    Area of Science:

    • Vascular Surgery
    • Thoracic Surgery
    • Neurology

    Background:

    • Thoracic outlet syndrome (TOS) encompasses various upper chest compression syndromes.
    • Symptoms include paresthesia, pain, fatigue, swelling, and potentially gangrene.
    • Precipitating factors include constitutional anomalies and activities like sports or trauma.

    Purpose of the Study:

    • To evaluate the efficacy of transaxillary rib resection for thoracic outlet syndrome.
    • To analyze outcomes of rib resection, with or without sympathectomy, and cervical rib resection.

    Main Methods:

    • Retrospective analysis of 128 transaxillary rib resections performed between 1975 and 1980.
    • Procedures included isolated rib resection, combined rib resection and sympathectomy, and cervical rib resection.

    Related Experiment Videos

  • Vascular reconstruction was performed in 3 cases.

    • Main Results:

    • 56% of patients remained asymptomatic post-operatively.
    • 32% of patients showed marked improvement in symptoms.
    • 12% of patients reported no change in their condition.

    Conclusions:

    • Transaxillary rib resection is an effective surgical treatment for thoracic outlet syndrome.
    • The procedure offers significant symptomatic relief and decompression for TOS patients.
    • Combined sympathectomy and specific rib resections contribute to successful outcomes.