Thoracic Outlet Syndromes
Thoracic Outlet Syndromes is a topic covered in the Pearson's General Thoracic.
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Key Points
- Thoracic outlet syndrome refers to a range of distinct clinical entities resulting from compression of the brachial plexus (Neurogenic thoracic outlet syndrome), subclavian vein (Venous thoracic outlet syndrome) or subclavian artery (Arterial thoracic outlet syndrome)
- The diagnosis of thoracic outlet syndrome requires detailed history and physical exam, diagnostic maneouvers, and often imaging evaluation to outline the pathology affecting the neurovascular bundle
- Initial non-operative management should include modification of activities (at home and at work) to decrease patient symptoms, postural correction, and physical therapy to address the problems of nerve compression and muscle imbalance of the neck and chest wall.
- Surgery is indicated in patients with severe vascular compression or vascular injury, and in brachial plexus compression with symptoms that are refractory to physical therapy.
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Key Points
- Thoracic outlet syndrome refers to a range of distinct clinical entities resulting from compression of the brachial plexus (Neurogenic thoracic outlet syndrome), subclavian vein (Venous thoracic outlet syndrome) or subclavian artery (Arterial thoracic outlet syndrome)
- The diagnosis of thoracic outlet syndrome requires detailed history and physical exam, diagnostic maneouvers, and often imaging evaluation to outline the pathology affecting the neurovascular bundle
- Initial non-operative management should include modification of activities (at home and at work) to decrease patient symptoms, postural correction, and physical therapy to address the problems of nerve compression and muscle imbalance of the neck and chest wall.
- Surgery is indicated in patients with severe vascular compression or vascular injury, and in brachial plexus compression with symptoms that are refractory to physical therapy.
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Last updated: October 18, 2022
Citation
Osho, Asishan, and Dean Donahue. "Thoracic Outlet Syndromes." Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book, Chicago: Society of Thoracic Surgeons, 2022. STS Surgery, ebook.sts.org.
Osho A, Donahue D. Thoracic Outlet Syndromes. In: Darling GE, Baumgartner WA, Jacobs JP, eds. Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons; 2022. ebook.sts.org. Accessed March 29, 2023.
Osho, A., & Donahue, D. (2022). Thoracic Outlet Syndromes. In Darling, G., Baumgartner, W., & Jacobs, J. (Eds.), Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons. ebook.sts.org
Osho A, Donahue D. Thoracic Outlet Syndromes [Internet]. In: Darling GE, Baumgartner WA, Jacobs JP, editors. Pearson's General Thoracic Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons; 2022. [cited 2023 March 29]. Available from: ebook.sts.org.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Thoracic Outlet Syndromes
ID - 1418489
ED - Jacobs,J,
ED - Darling,Gail,
ED - Baumgartner,William,
Y1 - 2022/10/18/
BT - Pearson's General Thoracic
UR - https://ebook.sts.org/sts/view/Pearsons-General-Thoracic/1418489/all/Thoracic_Outlet_Syndromes
PB - Chicago: Society of Thoracic Surgeons
DB - STS Surgery
DP - Unbound Medicine
ER -