First rib resection in thoracic outlet syndrome.
J Hand Surg Am
; 32(4): 565-70, 2007 Apr.
Article
en En
| MEDLINE
| ID: mdl-17398369
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.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Síndrome de la Costilla Cervical
Límite:
Humans
Idioma:
En
Revista:
J Hand Surg Am
Año:
2007
Tipo del documento:
Article
País de afiliación:
Estados Unidos
Pais de publicación:
Estados Unidos