Next Article in Journal
An Uncommon Case of Pediatric Esthesioneuroblastoma Presenting as SIADH: 18F-FDG PET/CT in Staging and Post-Therapeutic Assessment
Next Article in Special Issue
A Patient-Centered Approach to Guide Follow-Up and Adjunctive Testing and Treatment after First Rib Resection for Venous Thoracic Outlet Syndrome Is Safe and Effective
Previous Article in Journal
Acknowledgement to Reviewers of Diagnostics in 2017
Previous Article in Special Issue
Pectoralis Minor Syndrome: Subclavicular Brachial Plexus Compression
Article Menu
Issue 1 (March) cover image

Export Article

Open AccessArticle
Diagnostics 2018, 8(1), 7;

Long-Term Functional Outcome of Surgical Treatment for Thoracic Outlet Syndrome

Department of Vascular Surgery, St Antonius Hospital, 3435CM Nieuwegein, The Netherlands
Department of Vascular Surgery, Medical Center Alkmaar, 1815JD Alkmaar, The Netherlands
Author to whom correspondence should be addressed.
Received: 14 December 2017 / Revised: 3 January 2018 / Accepted: 11 January 2018 / Published: 12 January 2018
(This article belongs to the Special Issue Diagnosis and Treatment of Thoracic Outlet Syndrome)
Full-Text   |   PDF [209 KB, uploaded 12 January 2018]


First rib resection for thoracic outlet syndrome (TOS) is clinically successful and safe in most patients. However, long-term functional outcomes are still insufficiently known. Long-term functional outcome was assessed using a validated questionnaire. A multicenter retrospective cohort study including all patients who underwent operations for TOS from January 2005 until December 2016. Clinical records were reviewed and the long-term functional outcome was assessed by the 11-item version of the Disability of the Arm, Shoulder, and Hand (QuickDASH) questionnaire. Sixty-two cases of TOS in 56 patients were analyzed: 36 neurogenic TOS, 13 arterial TOS, 7 venous TOS, and 6 combined TOS. There was no 30-day mortality. One reoperation because of bleeding was performed and five patients developed a pneumothorax. Survey response was 73% (n = 41) with a follow-up ranging from 1 to 11 years. Complete relief of symptoms was reported postoperatively in 27 patients (54%), symptoms improved in 90%, and the mean QuickDASH score was 22 (range, 0–86). Long-term functional outcome of surgical treatment of TOS was satisfactory, and surgery was beneficial in 90% of patients, with a low risk of severe morbidity. However, the mean QuickDASH scores remain higher compared with the general population, suggesting some sustained functional impairment despite clinical improvement of symptoms. View Full-Text
Keywords: thoracic outlet syndrome; first rib resection; surgical procedures; operative; patient reported outcome measures thoracic outlet syndrome; first rib resection; surgical procedures; operative; patient reported outcome measures
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
Printed Edition Available!
A printed edition of this Special Issue is available here.

Share & Cite This Article

MDPI and ACS Style

Peek, J.; Vos, C.G.; Ünlü, Ç.; Schreve, M.A.; Van de Mortel, R.H.W.; De Vries, J.-P.P.M. Long-Term Functional Outcome of Surgical Treatment for Thoracic Outlet Syndrome. Diagnostics 2018, 8, 7.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics



[Return to top]
Diagnostics EISSN 2075-4418 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top