Neurogenic Thoracic Outlet and Pectoralis Minor Syndromes in Children
| Autor: | Edward Goldson, Richard J. Sanders, Stephen J. Annest |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Male
Thoracic outlet medicine.medical_specialty Adolescent Decompression medicine.medical_treatment First rib resection Tenotomy Ribs Pectoralis Muscles Young Adult Muscular Diseases medicine Humans Child Neurogenic thoracic outlet syndrome Retrospective Studies business.industry Patient Selection Age Factors General Medicine Decompression Surgical Osteotomy Surgery Radiography Thoracic Outlet Syndrome Treatment Outcome medicine.anatomical_structure Clavicle Anesthesia Pectoralis Minor Female Cardiology and Cardiovascular Medicine business Brachial plexus |
| Zdroj: | Vascular and Endovascular Surgery. 47:335-341 |
| ISSN: | 1938-9116 1538-5744 |
| DOI: | 10.1177/1538574413481858 |
| Popis: | Brachial plexus compression (BPC) occurs above the clavicle as neurogenic thoracic outlet syndrome (NTOS) and below as neurogenic pectoralis minor syndrome (NPMS). It was recently noted that 75% of the adults seen for NTOS also had NPMS and in some this was the only diagnosis. This is also true in children but has not yet been reported. Because surgical treatment of NPMS is a minimum risk operation for pectoralis minor tenotomy (PMT), recognition of NPMS and distinguishing it from NTOS becomes important. In this study, 40 operations, 20 PMT and 20 NTOS procedures, were performed. Success rate for PMT was 85% and for thoracic outlet decompression was 70%. It was concluded that in children, as in adults, BPC is more often due to combined NTOS and NPMS. Surgical PMT should be considered first as the treatment of choice for children with NPMS. Thoracic outlet decompression is available if PMT is unsuccessful. |
| Databáze: | OpenAIRE |
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