Thoracic outlet syndrome: supraclavicular approach
Controversy has surrounded the aetiology and treatment of choice of the thoracic outlet syndrome. Mechanical compression of the brachial plexus or post-traumatic inflammation has been thought to be the cause. Operative treatment includes scalenotomy or scalenectomy, with or without excision of a cervical and/or first rib, depending on which anatomical structures are regarded by the surgeon to be the cause of compressive symptoms. Four operative approaches are generally adopted: supraclavicular, transaxillary, infraclavicular and posterior parascapular.
KeywordsBrachial Plexus Reflex Sympathetic Dystrophy Thoracic Outlet Syndrome Chylous Leak Thoracic Nerve
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