First rib resection in thoracic outlet syndrome
| Autor: | Siamak Barkhordarian |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Thoracic outlet
Rib cage medicine.medical_specialty Decompression business.industry First rib resection medicine.disease Decompression Surgical Surgery surgical procedures operative medicine.anatomical_structure Postoperative Complications medicine.artery cardiovascular system medicine Upper limb Humans Orthopedics and Sports Medicine cardiovascular diseases business Cervical Rib Syndrome Subclavian vein Subclavian artery Thoracic outlet syndrome |
| Zdroj: | The Journal of hand surgery. 32(4) |
| ISSN: | 0363-5023 |
| Popis: | Most patients with thoracic outlet syndrome (TOS) present with exercise-induced upper extremity paresthesia. Neurogenic TOS is the most common type where the brachial nerve plexus is compressed against a tight thoracic outlet. Vascular compromise although rare can result from thoracic outlet pressure against the subclavian artery or more commonly the subclavian vein. This article reviews the pathophysiology of TOS and describes several effective surgical interventions. Complete first rib resection with surgical decompression is an essential part of the treatment for TOS. First rib resection via supraclavicular or a preferred transaxillary route should be considered when conservative modalities provide no symptom improvement. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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