Thoracic outlet syndrome: supraclavicular approach

  • S. W. K. Cheng
  • W. V. Ellis
  • R. J. Stoney


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.


Brachial Plexus Reflex Sympathetic Dystrophy Thoracic Outlet Syndrome Chylous Leak Thoracic Nerve 
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Further reading

  1. Sanders RJ, Haug CE. Thoracic Outlet Syndrome. A Common Sequel of Neck Injuries. Philadelphia: Lippincott, 1991.Google Scholar

Copyright information

© Springer Science+Business Media Dordrecht 1994

Authors and Affiliations

  • S. W. K. Cheng
    • 1
  • W. V. Ellis
    • 2
  • R. J. Stoney
    • 1
  1. 1.Vascular DivisionUniversity of CaliforniaSan FranciscoUSA
  2. 2.Department of NeurosurgeryUniversity of CaliforniaSan FranciscoUSA

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