| Thoracic Outlet Syndrome. | |
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MedLine Citation:
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PMID: 10709024 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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The manifestations of thoracic outlet syndrome vary according to which of the neurovascular structures are affected. To provide optimal treatment, the pathogenesis must be understood in terms of both the anatomic variants and the dynamic factors. The diagnosis is primarily clinical, although ancillary diagnostic studies are useful in selected patients. Following a careful examination, the orthopaedic surgeon should be able to initiate a program of appropriate therapy depending on the nature and severity of the clinical manifestations. Initial treatment is oriented toward postural reeducation and periscapular muscle strengthening. Glenohumeral instabilities and painful upper-limb conditions that cause disuse atrophy must be addressed. Operative treatment is reserved for patients in whom a conservative program has failed and for those with significant neural or vascular deficits. The surgeon must be cognizant of the potential complications of the various procedures used to correct thoracic outlet syndrome. Proper selection of surgical candidates should produce significant improvement in most patients. |
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Authors:
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Leffert |
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Publication Detail:
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Type: JOURNAL ARTICLE |
Journal Detail:
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Title: The Journal of the American Academy of Orthopaedic Surgeons Volume: 2 ISSN: 1067-151X ISO Abbreviation: J Am Acad Orthop Surg Publication Date: 1994 Nov |
Date Detail:
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Created Date: 2000-03-09 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9417468 Medline TA: J Am Acad Orthop Surg Country: - |
Other Details:
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Languages: ENG Pagination: 317-325 Citation Subset: - |
Affiliation:
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Harvard Medical School, Massachusetts General Hospital, Boston. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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