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Thoracic Outlet Compression Syndrome and Its Surgical Treatment Modalities

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Sports Injuries

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Abstract

The term “thoracic outlet compression syndrome” (TOCS) means compression of the very important neurovascular structures in the thoracic outlet area causing complex symptoms and signs in the upper extremity, shoulder girdle region, upper chest, neck, and head. These complex symptoms and signs include upper extremity pain, numbness, tingling, weakness, and some vasomotor changes. The most commonly compressed structures with descending frequency are the brachial plexus and subclavian vein and artery. More than 70 % of patients have a history of trauma to the neck, shoulder girdle, or upper extremity, which are the main etiological factors in the development of TOCS. Several sportive activities such as American football, baseball, swimming, and wrestling may cause this problem.

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References

Journals

  • Adson AW, Coffey JR (1927) Cervical rib: a method of anterior approach for relief symptoms by division of the scalenus anticus. Ann Surg 85:839–857

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Atasoy E (1996) Thoracic outlet compression syndrome. Orthop Clin North Am 27:265–303

    PubMed  CAS  Google Scholar 

  • Atasoy E (2004a) Thoracic outlet compression syndrome – history of thoracic outlet syndrome. Hand Clin 20:15–16

    Article  PubMed  Google Scholar 

  • Atasoy E (2004b) Thoracic outlet compression syndrome – combined surgical treatment of thoracic outlet syndrome: transaxillary first rib resection and transcervical scalenectomy. Hand Clin 20:71–82

    Article  PubMed  Google Scholar 

  • Atasoy E (2004c) Thoracic outlet syndrome-recurrent thoracic outlet syndrome. Hand Clin 20:99–105

    Article  PubMed  Google Scholar 

  • Atasoy E (2010) A hand surgeon’s further experience with thoracic outlet compression syndrome. J Hand Surg Am 35:1528–1538

    Article  PubMed  Google Scholar 

  • Brantigan CO, Roos DB (2004) Etiology of neurogenic thoracic outlet syndrome. Hand Clin 20:17–22

    Article  PubMed  Google Scholar 

  • Leffert RD (2004) Complications of surgery for thoracic outlet syndrome. Hand Clin 20:91–98

    Article  PubMed  Google Scholar 

  • Mackinnon SE (1992) Double and multiple “crush” syndromes-double and multiple entrapment neuropathies. Hand Clin 8:369–390

    PubMed  CAS  Google Scholar 

  • Machanic BI, Sanders RJ (2008) Medical antebrachial cutaneous nerve measurements to diagnose neurogenic thoracic outlet syndrome. Ann Vasc Surg 22:248–254

    Article  PubMed  Google Scholar 

  • Pang D, Wessel HB (1988) Thoracic outlet syndrome. Neurosurgery 22(1):105–121

    Article  PubMed  CAS  Google Scholar 

  • Roos DB (1966) Transaxillary approach to first rib resection to relieve thoracic outlet treatment. Ann Surg 163:354

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  • Roos DB (1982) The place for scalenectomy and first rib resection in thoracic outlet syndrome. Surgery 92:1077–1085

    PubMed  CAS  Google Scholar 

  • Sanders RJ, Monsour JW, Gerber WF et al (1979) Scalenectomy versus first rib resection for treatment of the thoracic outlet syndrome. Surgery 85:109–121

    PubMed  CAS  Google Scholar 

  • Sanders RJ, Hammond SL (2004a) Supraclavicular first rib resection and total scalenectomy: technique and results. Hand Clin 20:61–70

    Article  PubMed  Google Scholar 

  • Sanders RJ, Hammond SL (2004b) Venous thoracic outlet syndrome. Hand Clin 20:113–118

    Article  PubMed  Google Scholar 

  • Upton A, McComas A (1973) The double crush in nerve-entrapment syndromes. Lancet 2:359–362

    Article  PubMed  CAS  Google Scholar 

  • Wehbe MA, Leinberry CF (2004) Current trends in treatment of thoracic outlet syndrome. Hand Clin 20:119–121

    Article  PubMed  Google Scholar 

  • Wehbe MA, Whitaker ML (2004) Epineurectomy for thoracic outlet syndrome. Hand Clin 20:83–86

    Article  PubMed  Google Scholar 

  • Wood VE, Twito R, Verska JM (1988) Thoracic outlet syndrome-the results of first rib resection in 100 patients. Orthop Clin North Am 19:131–146

    PubMed  CAS  Google Scholar 

Books

  • Sanders RJ (1991) Thoracic outlet syndrome-a common sequela of neck injuries. JB Lippincott, Philadelphia

    Google Scholar 

  • Szabo RM (1989) Nerve compression syndrome diagnosis and treatment. SLACK, Thorofare

    Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, Kleinert Kutz and Associates Hand Care Center, University of Louisville School of Medicine, 225 Abraham Flexner Way, Suite 700, Louisville, KY, 40202, USA

    Erdoğan Atasoy

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  1. Erdoğan Atasoy
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Correspondence to Erdoğan Atasoy .

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Editors and Affiliations

  1. Dept. Orthopedics & Traumatology, Hacettepe University Fac. Medicine, Ankara, Turkey

    Mahmut Nedim Doral

  2. Gothenburg, Sweden

    Jon Karlsson

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Atasoy, E. (2013). Thoracic Outlet Compression Syndrome and Its Surgical Treatment Modalities. In: Doral, M., Karlsson, J. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36801-1_37-1

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  • DOI: https://doi.org/10.1007/978-3-642-36801-1_37-1

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Online ISBN: 978-3-642-36801-1

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