Successful Return to Active Duty following First Rib Resection for Thoracic Outlet Syndrome

The optimal surgical approach and treatment algorithm for thoracic outlet syndrome (TOS) remain controversial. We sought to examine the outcomes of patients treated at a military medical treatment facility (MTF) for TOS.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Clinical Research, Basic Science Source Type: research

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ConclusionsDuplex ultrasound has significant limitations in the initial evaluation of patients with suspected SCV thrombosis, with false-negative results in 21% of patients with proven VTOS. This is rarely acknowledged in ultrasound reports, but false-negative ultrasound studies have the potential to delay definitive imaging, thrombolysis, and further treatment for VTOS. Initial false-negative ultrasound results are associated with progressive thrombus extension and a more frequent need for SCV bypass reconstruction at the time of surgical treatment.Graphical Abstract
Source: Journal of Vascular Surgery: Venous and Lymphatic Disorders - Category: Surgery Source Type: research
ConclusionMRI can contribute to the diagnosis of TOS. Specificity is sufficiently high to provide guidance for planning the surgical procedure. Sensitivity, however, is too low for MRI to be useful as a screening test. MRI should be used in combination with the clinical assessment and other investigations to assist in the diagnosis of TOS.Level of evidenceIV, retrospective cohort study.
Source: Orthopaedics and Traumatology: Surgery and Research - Category: Orthopaedics Source Type: research
Condition:   Thoracic Outlet Syndrome Intervention:   Other: non interventionnal study Sponsor:   Nantes University Hospital Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Upper extremity deep vein thrombosis (DVT) results from pathologic compression of the subclavian vein at the costoclavicular junction.1-3 Also known as Paget-Schroetter syndrome, this pathology is associated with high morbidity and severe symptoms.2-5 The military population is particularly susceptible given the prevalence of young, healthy service members performing rigorous physical activity and training. Our group has previously reported significant functional recovery following supraclavicular decompression for neurogenic thoracic outlet syndrome (NTOS) in the high-performance military population.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Clinical Research, Basic Science Source Type: research
Neurogenic thoracic outlet syndrome (NTOS) is a condition caused by compression of the brachial plexus serving the upper extremity. Diagnosis and therapy of NTOS remain disputed. Moreover, surgical treatment (thoracic outlet decompression) has never been researched in a randomized controlled trial. The recently published reporting standards for thoracic outlet syndrome by the Society for Vascular Surgery aim to produce consistency in diagnosis, description of treatment, and assessment of results to allow more valuable data to be reported.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
Neurogenic thoracic outlet syndrome is a condition that is both complex to diagnose and to manage successfully. The aim of our study was to present our experience and outcomes of surgical management of thoracic outlet syndrome in adolescents.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Clinical Research, Basic Science Source Type: research
CONCLUSIONS TOS can be evaluated by CE-MRA, T2-STIR-SPACE, and VIBE during a single examination, with a reduced contrast material dose. This imaging modality performs well in showing the anatomical structure of the neurovascular bundle and the cause of the compression. PMID: 31600179 [PubMed - in process]
Source: Medical Science Monitor - Category: Research Tags: Med Sci Monit Source Type: research
Authors: Goeteyn J, Pesser N, van Nuenen B, van Sambeek M, Teijink J Abstract Introduction: Neurogenic Thoracic Outlet Syndrome (NTOS) is caused by compression of the brachial plexus. The clinical presentation of NTOS is characterized by symptoms of pain, paresthesia, numbness or muscle weakness in the neck, arm or hand. Methods: In this case report, five patients were diagnosed with NTOS. They all had a first degree relative with NTOS as well. Conlusions: These cases show familial predisposition in thoracic outlet syndrome. Could a form of familial TOS exist? PMID: 31587610 [PubMed - as supplied by publisher]
Source: Acta Chirurgica Belgica - Category: Surgery Tags: Acta Chir Belg Source Type: research
More News: Cardiovascular & Thoracic Surgery | Science | Surgery | Thoracic Outlet Syndrome