Neurogenic Thoracic Outlet Syndrome: A Primer for Hand and Peripheral Nerve Surgeons
Neurogenic thoracic outlet syndrome is a complex condition and is commonly misunderstood. Historically, much of this confusion has been because of its grouping with other diagnoses that have little in common other than anatomic location. Modern understanding emphasizes the role of small unmyelinated C type pain and sympathetic fibers. Diagnosis is primarily clinical, after ruling out other common conditions. Hand therapy is usually the first-line treatment with variable success. Local anesthetic, botulinum toxins, or steroid injections can aid in diagnosis and offer short-term relief. (Source: The Journal of Hand Surgery)
Source: The Journal of Hand Surgery - January 11, 2024 Category: Surgery Authors: Peter J. Apel, Nicholas J. Peterman, Evan P. Sandefur, Cesar J. Bravo Tags: Current Concepts Source Type: research
Patient Self-Reported Allergies and Their Correlation with Thoracic Outlet Syndrome Outcomes
CONCLUSIONS: The increased frequency of patient-reported allergies is significantly associated with worse PRO scores for women undergoing TOS surgical decompression. Better understanding this association can help physicians counsel patients on expected outcomes.PMID:38151245 | DOI:10.14423/SMJ.0000000000001641 (Source: Southern Medical Journal)
Source: Southern Medical Journal - December 27, 2023 Category: General Medicine Authors: Samuel Schick Omer Yousuf Mathew Hargreaves Joseph Elphingstone Brent Ponce Erin Ransom Richard Meyer Eugene Brabston Amit M Momaya Source Type: research
Paget –Schroetter syndrome occurring in the nondominant hand
Key Clinical MessagePaget-Schroetter syndrome is the primary thrombotic event associated with venous thoracic outlet syndrome. It needs to be suspected when encountering localized brachial swelling and a dilated vein in patients with a history of upper limb exercise. (Source: Clinical Case Reports)
Source: Clinical Case Reports - December 16, 2023 Category: General Medicine Authors: Akina Fukushima,
Takaaki Kobayashi,
Hayato Kuno,
Jiro Hiroki,
Akihito Yoshida Tags: CASE IMAGE Source Type: research
Thoracic Outlet Syndrome Caused by a Primary Tumour in the Brachial Plexus
J Hand Surg Asian Pac Vol. 2023 Dec 5. doi: 10.1142/S2424835523720219. Online ahead of print.ABSTRACTThoracic outlet syndrome (TOS) caused by a primary brachial plexus tumour is very rare. A male politician in his 40s presented with numbness, left limb pain and positive Wright and Roos test results. Magnetic resonance imaging (MRI) revealed a tumour located just below the clavicle, compressing the subclavian artery during left arm elevation. Despite concerns regarding postoperative nerve deficits, surgery was performed because of worsening symptoms during the election campaigns. The pathology report revealed a schwannoma. ...
Source: Hand Surgery - December 11, 2023 Category: Surgery Authors: Kenichi Kawano Yukinori Hara Shinya Hoshikawa Yasuhito Tajiri Source Type: research
Arterial Thoracic Outlet Syndrome in a Pediatric Patient: A Case Report
Thoracic outlet syndrome is a disorder characterized by symptoms related to anatomical compression within the thoracic outlet. Three subtypes of TOS have been reported: arterial, venous, and neurogenic. The arterial pathology of this syndrome is rarely seen and includes approximately 1% of all cases. Symptoms typically include chronic pallor and coolness, often with exertional pain of the arm. Uncommonly, complications of arterial TOS include acute thrombosis and limb threatening ischemia. Arterial TOS is frequently associated with a bony abnormality. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - December 8, 2023 Category: Surgery Authors: Hannah Van Patten, Edward J. Cohn, Julie Freischlag Source Type: research
