Validity of Ultrasound for the Diagnostics of Arterial Thoracic Outlet Syndrome
Thoracic outlet syndrome (TOS) is a rare disorder mostly seen in younger individuals. Although patients ’ wellbeing is relevantly impaired, it often takes a long time before the diagnosis is made. Digital subtraction angiography (DSA) is routinely used despite its radiation exposure, which is a major concern in this young patient population. Moreover, DSA offers limited opportunities for functional assessment. In contrast, ultrasonography is widely accessible without causing radiation exposure and allows for flexible functional assessment. (Source: EJVES Extra)
Source: EJVES Extra - February 13, 2024 Category: Surgery Authors: Emilia Stegemann, Jana Larbig, Berthold Stegemann, Irene Portig, Hans Prescher, Thomas B ürger Tags: Original Research Source Type: research
Nerve entrapment complicating neurogenic thoracic outlet syndrome surgery: a 10-year retrospective study
Hand Surg Rehabil. 2024 Feb 9:101660. doi: 10.1016/j.hansur.2024.101660. Online ahead of print.ABSTRACTNeurogenic thoracic outlet syndrome results from compression of the brachial plexus. The symptoms are mainly pain, upper-limb weakness and paresthesia. Management always starts with a rehabilitation program, but failure of rehabilitation may necessitate surgery. In practice, we observed that several patients developed secondary distal nerve entrapment in the months following surgery, with no preoperative compression. We aimed to assess the occurrence of distal nerve entrapment after surgery for neurogenic thoracic outlet ...
Source: Hand Surgery - February 11, 2024 Category: Surgery Authors: Alban Fouasson-Chailloux Michel Merle Christophe Duysens Andr éa Falcone Pauline Daley Germain Pomares Thomas Jager Source Type: research
Long-Term Outcomes after Surgery of the Neurogenic Thoracic-Outlet Syndrome in Adolescents
CONCLUSION: nTOS in adolescents is a rare compression syndrome. Decompression of the lower parts of the brachial plexus using a supraclavicular approach without resection of the first rib is an adequate treatment. This retrospective study showed that a reduction in pain was achieved in all patients. In some patients, slight sensory and motor disturbances as well as a certain restriction in overhead work persisted. Patients were able to return to sports.PMID:38316411 | DOI:10.1055/a-2234-5066 (Source: Handchirurgie Mikrochirurgie Plastische Chirurgie)
Source: Handchirurgie Mikrochirurgie Plastische Chirurgie - February 5, 2024 Category: Cosmetic Surgery Authors: Andreas Pfn ür Gregor Antoniadis Christian Rainer Wirtz Maria Teresa Pedro Source Type: research
Thoracic Outlet Syndrome in the Pediatric and Young Adult Population
This study aimed to assess both nonsurgical and operative treatment outcomes of pediatric and young adult patients with thoracic outlet syndrome (TOS) at a tertiary care pediatric hospital. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - February 2, 2024 Category: Surgery Authors: Karen Bach, Melissa A. Miller, Allison Allgier, Tamara Al Muhtaseb, Kevin J. Little, Ann R. Schwentker Tags: Editor's Choice Source Type: research
The impact of competitive level of high school and collegiate athletes on outcomes of thoracic outlet syndrome
Objective: Thoracic outlet syndrome (TOS) has life-changing impacts on young athletes. As the level of competition increases between the high school (HS) and collegiate (CO) stage of athletics, the impact of TOS may differ. Our objective is to compare surgical outcomes of TOS in HS and CO athletes. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - February 1, 2024 Category: Surgery Authors: Stephanie D. Talutis, Jesus G. Ulloa, Hugh A. Gelabert Source Type: research
Surgical approaches for thoracic outlet decompression in the treatment of thoracic outlet syndrome
J Thorac Dis. 2023 Dec 30;15(12):7088-7099. doi: 10.21037/jtd-23-546. Epub 2023 Dec 14.ABSTRACTThoracic outlet syndrome (TOS) is a controversial and uncommon syndrome. Three different diagnoses can be made based on the compressed structure: arterial TOS, venous TOS, and neurogenic TOS. Diagnosing TOS, especially neurogenic TOS, remains difficult since a single diagnostic tool does not exist. Although this resulted in a lot of confusion, standardization of care and outcome improved daily care practice measures in the last decade. Current treatment algorithms consist of both conservative and surgical treatment approaches, wh...
Source: Journal of Thoracic Disease - January 22, 2024 Category: Respiratory Medicine Authors: Stijn B J Teijink Jens Goeteyn Niels Pesser Bart F L van Nuenen Robert W Thompson Joep A W Teijink Source Type: research
Man with swollen arm
Clinical Introduction A previously healthy 39-year-old male presented to the emergency department with intermittent right arm swelling for 1 month, which worsened over 4 days (figure 1). He is a right-handed chef and often raised his right arm at work. He denied fever or recent trauma. On examination, radial artery pulse was palpable. There was no cervical or axillary lymphadenopathy. His vital signs were stable, while the other physical and neurologic examinations were unremarkable. Question What is the most likely diagnosis? Compartment syndrome. Lymphedema. ‘Paget-Schroetter’ syndrome. Dermatomyositis. Answe...
Source: Emergency Medicine Journal - January 22, 2024 Category: Emergency Medicine Authors: Yang, S.-C., Lee, C.-W. Tags: EMJ Image Challenge Source Type: research
