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Article: Thoracic outlet syndrome: An update

TitleThoracic outlet syndrome: An update
Authors
Issue Date1996
PublisherElsevier (Singapore) Pte Ltd, Hong Kong Branch. The Journal's web site is located at http://www.elsevier.com/wps/find/journaldescription.cws_home/708511/description#description
Citation
Asian Journal Of Surgery, 1996, v. 19 n. 1, p. 31-36 How to Cite?
AbstractThoracic outlet syndrome (TOS) encompasses a group of symptoms believed to be a result of compression of the neurovascular structures traversing the thoracic outlet. The past two decades have seen a rapid increase in the diagnosis of neurogenic TOS, and the classic syndrome has evolved from one of vascular compression by bony structures to one of predominantly neurological entrapment by soft tissue anomalies. Electrophysiological tests are generally not useful in providing an objective evaluation and diagnosis. Advances in morphological and histopathological concepts suggest that anatomical and developmental variations and postural imbalance lead to a mechanical susceptibility of the brachial nerve roots to compression by surrounding muscular and soft tissue elements. Symptoms may be precipitated by cervical trauma inducing additional fibrosis. Bony abnormalities are rare. The traditional surgical treatment of empirical transaxillary first rib resection has gradually been replaced by the concept of precise identification of the pathology, through better exposure using the supraclavicular route. Anterior and middle scalenectomy with a neurolysis of the brachial plexus has been shown to be effective and incurs less morbidity than first rib resection. This procedure should be adopted as the initial operation for neurogenic TOS.
Persistent Identifierhttp://hdl.handle.net/10722/83806
ISSN
2015 Impact Factor: 0.912
2015 SCImago Journal Rankings: 0.427

 

DC FieldValueLanguage
dc.contributor.authorCheng, SWKen_HK
dc.date.accessioned2010-09-06T08:45:26Z-
dc.date.available2010-09-06T08:45:26Z-
dc.date.issued1996en_HK
dc.identifier.citationAsian Journal Of Surgery, 1996, v. 19 n. 1, p. 31-36en_HK
dc.identifier.issn1015-9584en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83806-
dc.description.abstractThoracic outlet syndrome (TOS) encompasses a group of symptoms believed to be a result of compression of the neurovascular structures traversing the thoracic outlet. The past two decades have seen a rapid increase in the diagnosis of neurogenic TOS, and the classic syndrome has evolved from one of vascular compression by bony structures to one of predominantly neurological entrapment by soft tissue anomalies. Electrophysiological tests are generally not useful in providing an objective evaluation and diagnosis. Advances in morphological and histopathological concepts suggest that anatomical and developmental variations and postural imbalance lead to a mechanical susceptibility of the brachial nerve roots to compression by surrounding muscular and soft tissue elements. Symptoms may be precipitated by cervical trauma inducing additional fibrosis. Bony abnormalities are rare. The traditional surgical treatment of empirical transaxillary first rib resection has gradually been replaced by the concept of precise identification of the pathology, through better exposure using the supraclavicular route. Anterior and middle scalenectomy with a neurolysis of the brachial plexus has been shown to be effective and incurs less morbidity than first rib resection. This procedure should be adopted as the initial operation for neurogenic TOS.en_HK
dc.languageengen_HK
dc.publisherElsevier (Singapore) Pte Ltd, Hong Kong Branch. The Journal's web site is located at http://www.elsevier.com/wps/find/journaldescription.cws_home/708511/description#descriptionen_HK
dc.relation.ispartofAsian Journal of Surgeryen_HK
dc.titleThoracic outlet syndrome: An updateen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1015-9584&volume=19&issue=1&spage=31&epage=36&date=1995&atitle=Thoracic+outlet+syndrome:+an+updateen_HK
dc.identifier.emailCheng, SWK: wkcheng@hkucc.hku.hken_HK
dc.identifier.authorityCheng, SWK=rp00374en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.scopuseid_2-s2.0-0030029796en_HK
dc.identifier.hkuros10978en_HK
dc.identifier.volume19en_HK
dc.identifier.issue1en_HK
dc.identifier.spage31en_HK
dc.identifier.epage36en_HK
dc.publisher.placeHong Kongen_HK
dc.identifier.scopusauthoridCheng, SWK=7404684779en_HK

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