| Neurogenic thoracic outlet syndrome: A case report and review of the literature. | |
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MedLine Citation:
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PMID: 21072145 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Neurogenic thoracic outlet syndrome (NTOS) is an oft-overlooked and obscure cause of shoulder pain, which regularly presents to the office of shoulder surgeons and pain specialist. With this paper we present an otherwise healthy young female patient with typical NTOS. She first received repeated conservative treatments with 60 units of botulinium toxin injected into the anterior scalene muscle at three-month intervals, which providing excellent results of symptom-free periods. Later a trans-axillary first rib resection provided semi-permanent relief. The patient was followed for 10 years after which time the symptoms reappeared. We review the literature and elaborate on the anatomy, sonoanatomy, etiology and characteristics, symptoms, diagnostic criteria and treatment modalities of NTOS. Patients with NTOS often get operated upon - even if just a diagnostic arthroscopy, and an interscalene or other brachial plexus block may be performed. This might put the patient in jeopardy of permanent nerve injury, and the purpose of this review is to minimize or prevent this. |
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Authors:
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André P Boezaart; Allison Haller; Sarah Laduzenski; Veerandra B Koyyalamudi; Barys Ihnatsenka; Thomas Wright |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: International journal of shoulder surgery Volume: 4 ISSN: 0973-6042 ISO Abbreviation: Int J Shoulder Surg Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-11-12 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101291740 Medline TA: Int J Shoulder Surg Country: South Africa |
Other Details:
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Languages: eng Pagination: 27-35 Citation Subset: - |
Affiliation:
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Department of Anesthesiology, Division of Acute Pain Medicine and Regional Anesthesia, University of Florida, College of Medicine, Gainesville, Florida, United States of American Society of Anesthesiologists. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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