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[Thoracic outlet syndrome]

S Malawski1, M Milecki

  • 1Kliniki Ortopedii CMKP w Otwocku.

Chirurgia Narzadow Ruchu I Ortopedia Polska
|January 1, 1997
PubMed
Summary

Surgical treatment for thoracic outlet syndrome (TOS) effectively relieves symptoms in most patients. Prompt diagnosis and surgical intervention offer a good prognosis for TOS, even with complications.

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Area of Science:

  • Neurosurgery
  • Vascular Surgery
  • Orthopedic Surgery

Background:

  • Thoracic outlet syndrome (TOS) is a complex condition often resistant to conservative treatments.
  • Etiologies include cervical rib, first rib anomalies, and scalenus anterior muscle issues.
  • Misdiagnosis can lead to iatrogenic complications, highlighting the need for accurate diagnosis.

Observation:

  • This review analyzes surgical outcomes in 7 patients with TOS.
  • Common causes identified were cervical rib (5 cases), first rib anomaly (1 case), and muscular abnormalities (1 case).
  • One case details severe iatrogenic complications following misdiagnosis and peripheral surgery.

Findings:

  • Surgical intervention achieved symptom remission in 6 out of 7 patients.
  • The patient with iatrogenic complications experienced marked improvement post-surgery.
  • Pharmacotherapy and physiotherapy demonstrated ineffectiveness in managing TOS symptoms.

Implications:

  • Prompt diagnosis and surgical treatment are crucial for favorable outcomes in thoracic outlet syndrome.
  • Surgical management offers a viable and effective solution for refractory TOS.
  • Accurate diagnosis is paramount to avoid complications and ensure successful treatment of TOS.

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