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Thoracic Outlet Syndrome

  • Oscar A. Turner
  • Norman Taslitz
  • Steven Ward
Chapter

Abstract

The thoracic outlet syndrome is a term generally descriptive of a number of compressive neurovascular disturbances involving the shoulder girdle area. The resultant disturbance may be severe but, at the same time, respond in a reasonable manner to therapy. The various etiologic factors often apply to each individual type and will be listed together, but the clinical findings will be discussed separately. These will be described individually under the titles: (1) Scalenus anterior and cervical rib syndrome; (2) Costo-clavicular syndrome; (3) Hyperabduction syndrome. The manifestations result from a combination of arterial and venous obstruction and a peripheral neuropathy, with any one or two of the elements predominating.

Keywords

Brachial Plexus Neurovascular Bundle Radial Pulse Thoracic Outlet Syndrome Scalene Muscle 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References and Further Reading

  1. Brodsky, A. E. and Gol, A. (1970) Costoclavicular syndrome: relief by infraclavicular removal of the first rib, South. Med. J., 63, 50–58.PubMedCrossRefGoogle Scholar
  2. Eversman, W. W. (1983) Compression and entrapment neuropathies of the upper extremity, J. Hand Surg., 8, No. 5 (Part 2), 759–766.Google Scholar
  3. Kelly, Thomas R. (1979) Thoracic Outlet Syndrome, Current concepts of treatment, Annals of Surgery, 190, 675–682.CrossRefGoogle Scholar
  4. Lascelles, R. G., Moore, P. D., Neary, D., and Blood, K. (1977)Google Scholar
  5. The thoracic outlet syndrome, Brain,100 601–612. Roos, D. B. (1987) Thoracic outlet syndrome: update 1987, Am. J. Surg. 154 568–573.Google Scholar
  6. Roos, D. G. (1982) The place for scalenectomy and first rib resection in thoracic outlet syndrome, Surgery 92, (6) 1077–1085.PubMedGoogle Scholar
  7. Sanders, Richard J., Monsour, James, W., Gerber, William F., Adams, W. Robert, and Thompson, Naid (1979) Scalenotomy vs. first rib resection for treatment of the thoracic outlet syndrome, Surgery 85, 109–121.Google Scholar
  8. Thomas, G. I., Jones, T. W., Stavney, L. S., and Manhas, D. R. (1983) The middle scalene muscle and its contribution to the thoracic outlet syndrome, Am. J. Surg. 145, 589–592.PubMedCrossRefGoogle Scholar
  9. Tyson, R. Robert and Kaplan, Gerald K. (1975) Modern concepts and diagnosis and treatment of the thoracic outlet syndrome, Orthop. Clin. North Am., 6, 507–519.PubMedGoogle Scholar

Copyright information

© The Humana Press Inc. 1990

Authors and Affiliations

  • Oscar A. Turner
    • 1
  • Norman Taslitz
    • 1
  • Steven Ward
    • 1
  1. 1.College of MedicineNortheastern Ohio UniversitiesRootstownUSA

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