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Doppler Adson’s Test: Predictor of Outcome of Surgery in Non-Specific Thoracic Outlet Syndrome

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Abstract

Introduction

Outcome of surgery in non-specific thoracic outlet syndrome (TOS) is variable. Duplex imaging of the subclavian artery during Adson’s maneuvre may help predict outcome.

Patients and methods

A retrospective study of 16 cases of non-specific TOS who had pre-operative duplex imaging of the subclavian artery during Adson’s maneuvre was done and their outcomes following surgical decompression of the thoracic outlet studied.

Results

Of the eight cases with a positive Adson’s test, seven (87.5%) had a complete response of symptoms following surgery while in the eight cases with a negative test, only four (50%) had a favorable response to surgery.

Conclusion

Duplex scanning of the thoracic outlet during Adson’s maneuvre may help predict outcome of thoracic outlet decompression surgery in cases of non-specific TOS.

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Author information

Authors and Affiliations

  1. Department of General Surgery, Christian Medical College, Vellore, India

    A.D. Lee, S. Agarwal & D. Sadhu

  2. Department of General and Vascular Surgery Unit 2, Christian Medical College Hospital, Vellore, India

    A.D. Lee

Authors
  1. A.D. Lee
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  2. S. Agarwal
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  3. D. Sadhu
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Corresponding author

Correspondence to A.D. Lee.

Additional information

Funding, sponsorship or conflict of interest: None.

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Lee, A., Agarwal, S. & Sadhu, D. Doppler Adson’s Test: Predictor of Outcome of Surgery in Non-Specific Thoracic Outlet Syndrome. World J. Surg. 30, 291–292 (2006). https://doi.org/10.1007/s00268-005-0191-x

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  • DOI: https://doi.org/10.1007/s00268-005-0191-x

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