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[Does the thoracic outlet syndrome exist?]

G R Sennwald, P Schaub

    Zeitschrift Fur Unfallchirurgie Und Versicherungsmedizin : Offizielles Organ Der Schweizerischen Gesellschaft Fur Unfallmedizin Und Berufskrankheiten = Revue De Traumatologie Et D'Assicurologie : Organe Officiel De La Societe Suisse De
    |January 1, 1993
    PubMed
    Summary
    This summary is machine-generated.

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    Diagnosing thoracic outlet syndrome (TOS) is challenging due to a lack of objective signs. Surgical intervention for TOS requires careful consideration due to potential complications and debatable outcomes.

    Area of Science:

    • Vascular Surgery
    • Neurology
    • Diagnostic Imaging

    Context:

    • Thoracic outlet syndrome (TOS) presents diagnostic challenges.
    • Current diagnostic tools like Adson and Allen tests require critical analysis.
    • Pathophysiology of TOS is linked to vascular and neurological compression.

    Purpose:

    • To critically analyze diagnostic tools for TOS.
    • To discuss the value of arthrography and phlebography in TOS.
    • To evaluate surgical decision-making and outcomes in TOS patients.

    Summary:

    • Review of fourteen TOS patients highlighted diagnostic difficulties.
    • Arthrography and phlebography utility in TOS pathophysiology is discussed.
    • Post-operative perineural fibrosis and psychological components are significant concerns.

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    Impact:

    • Pre-operative evaluation for TOS remains difficult, lacking definitive objective signs.
    • Surgical indications for TOS should be restrictive, even with vascular narrowing.
    • Decision-making and result analysis for TOS surgery are debatable.