| Surgical treatment of thoracic outlet syndrome in young adults: single centre experience with minimum three-year follow-up. | |
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MedLine Citation:
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PMID: 21184222 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Thoracic outlet syndrome is an often misdiagnosed syndrome which consists of a neurovascular compression at the upper thoracic outlet. The clinical presentation can be variable, ranging from mild symptoms to venous thrombosis and muscle atrophy. Many aetiologies, both congenital and acquired, related either to bony or soft tissue anomalies, have been associated with this syndrome. As a consequence, the diagnosis is often challenging and sometimes it can be obtained only with surgical exploration. Additionally, no specific clinical test is considered diagnostic of thoracic outlet syndrome. However, the recent advances in imaging techniques together with a careful clinical evaluation give the surgeon the chance to recognize the constricting anatomy before surgery in many cases. No standard surgical procedure has been identified; however, in literature the largest series have been treated with transaxillary first rib resection. Here we report our experience in the surgical treatment of this syndrome with a minimum follow-up of three years. Our approach consists of performing a supraclavicular decompression without routine first rib resection. This allows for identifying and removing the constricting anatomy in most cases, with satisfactory results in 96.9% of patients and a low complication rate. |
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Authors:
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Pietro Ciampi; Celeste Scotti; Simonetta Gerevini; Francesco De Cobelli; Roberto Chiesa; Gianfranco Fraschini; Giuseppe M Peretti |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2010-12-24 |
Journal Detail:
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Title: International orthopaedics Volume: - ISSN: 1432-5195 ISO Abbreviation: - Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-12-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7705431 Medline TA: Int Orthop Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Orthopaedics and Traumatology, San Raffaele Scientific Institute, Via Olgettina 60, 20132, Milan, Italy. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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