Thoracic outlet syndrome: current concepts of treatment

This current concept of treatment of the Thoracic Outlet Syndrome based on a personal experience with 304 patients, resulted in complete (85%) or partial (7%) relief of symptoms in 92% of operated patients. The diagnosis centers upon a thorough history and the exclusion of other causes of arm and sh...

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Bibliographic Details
Published in:Annals of surgery 1979-11, Vol.190 (5), p.657-662
Main Author: Kelly, T R
Format: Article
Language:English
Subjects:
Female
Humans
Male
Methods
Neurologic Examination
Physical Therapy Modalities
Ribs - surgery
Thoracic Outlet Syndrome - diagnosis
Thoracic Outlet Syndrome - surgery
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Summary:This current concept of treatment of the Thoracic Outlet Syndrome based on a personal experience with 304 patients, resulted in complete (85%) or partial (7%) relief of symptoms in 92% of operated patients. The diagnosis centers upon a thorough history and the exclusion of other causes of arm and shoulder pain utilizing a strict flow pattern of differential diagnosis. Angiography and electromyography are of limited value and are only performed in selected cases. Operation should be reserved for the thoroughly evaluated patient who continues to have pain despite adequate conservative therapy. Transaxillary removal of the first rib, fibromuscular bands and cervical rib, when present, is the operation of choice.
ISSN:0003-4932
1528-1140
DOI:10.1097/00000658-197911000-00017