Relevance of Costovertebral Exarticulation of the First Rib in Neurogenic Thoracic Outlet Syndrome: A Retrospective Clinical Study
Abstract
:1. Introduction
2. Methods
2.1. Surgical Technique: Exarticulation
2.2. Surgical Technique: Conventional Resection
3. Results
4. Discussion
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Sanders, R.J.; Hammond, S.L.; Rao, N.M. Diagnosis of thoracic outlet syndrome. J. Vasc. Surg. 2007, 46, 601–604. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Kuhn, J.E.; Lebus, G.F.; Bible, J.E. Thoracic outlet syndrome. J. Am. Acad. Orthop. Surg. 2015, 23, 222–232. [Google Scholar] [CrossRef] [PubMed]
- Birch, R.; Bonney, G.; Parry, C.B.W. Entrapment neuropathy. In Surgical Disorders of the Peripheral Nerves; Churchill Livingstone: Edinburgh, UK, 1998; pp. 245–291. [Google Scholar]
- Thompson, R.W. Development of consensus-based criteria for NTOS. In Thoracic Outlet Syndrome; Illig, K.A., Ed.; Springer: London, UK, 2013; pp. 143–155. [Google Scholar]
- Emery, V.B.; Thompson, R.W. Pathways of care and treatment options for patients with NTOS. In Thoracic Outlet Syndrome; Illig, K.A., Ed.; Springer: London, UK, 2013; pp. 157–165. [Google Scholar]
- Leffert, R. Complications of surgery for thoracic outlet syndrome. Hand Clin. 2004, 20, 91–98. [Google Scholar] [CrossRef] [PubMed]
- Atasoy, E. Thoracic outlet syndrome—Recurrent thoracic outlet syndrome. Hand Clin. 2004, 20, 99–105. [Google Scholar] [CrossRef]
- Sanders, R.J.; Hammond, S.L. Management of cervical ribs and anomalous first ribs causing neurogenic thoracic outlet syndrome. J. Vasc. Surg. 2002, 36, 51–56. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Ambrad-Chelala, E.; Thomas, G.I.; Johansen, K.H. Recurrent neurogenic thoracic outlet syndrome. Am. J. Surg. 2004, 187, 505–510. [Google Scholar] [CrossRef] [PubMed]
- Leffert, R. Thoracic outlet syndrome. In Operative Nerve Repair and Reconstruction; Gelberman, R.H., Ed.; Lippincott: Philadelphia, PA, USA, 1991; pp. 1177–1195. [Google Scholar]
- Roos, D.B. Transaxillary approach to the first rib to relieve thoracic outlet syndrome. Ann. Surg. 1966, 163, 354–358. [Google Scholar] [CrossRef] [PubMed]
- Atasoy, E. A hand surgeon’s advanced experience with thoracic outlet compression syndrome. Handchir. Mikrochir. Plast. Chir. Organ Dtsch. Arb. Handchir. 2013, 45, 131–150. [Google Scholar] [CrossRef] [PubMed]
- Sanders, R.J.; Annest, S.J. Technique of supraclavicular decompression for neurogenic thoracic outlet syndrome. J. Vasc. Surg. 2015, 61, 821–825. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Leffert, R.; Perlmutter, G.S. Thoracic outlet syndrome. Results of 282 transaxillary first rib resections. Clin. Orthop. Relat. Res. 1999, 368, 66–79. [Google Scholar]
- Sanders, R.J.; Haug, C.E.; Pearce, W.H. Recurrent thoracic outlet syndrome. J. Vasc. Surg. 2013, 12, 390–398. [Google Scholar] [CrossRef]
- Illig, K.A. Surgical techniques: Operative decompression using the supraclavicular approach for NTOS. In Thoracic Outlet Syndrome; Illig, K.A., Ed.; Springer: London, UK, 2013; pp. 209–216. [Google Scholar]
- Illig, K.A.; Donahue, D.; Duncan, A.; Freischlag, J.; Gelabert, H.; Johansen, K.; Jordan, S.; Sanders, R.; Thompson, R. Reporting standards of the Society for Vascular Surgery for thoracic outlet syndrome. J. Vasc. Surg. 2016, 64, e23–e35. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Tang, D.T.; Barbour, J.R.; Davidge, K.; Yee, A.; Mackinon, S. Nerve entrapment: Update. Plast. Reconstr. Surg. 2015, 135, e199–e215. [Google Scholar] [CrossRef] [PubMed]
- Roos, D.B. Recurrent thoracic outlet syndrome after first rib resection. Acta Chir. Belg. 1980, 79, 363–372. [Google Scholar] [PubMed]
- Jones, N.F.; Ahn, H.C.; Eo, S.R. Revision surgery for persistent and recurrent carpal tunnel syndrome and for failed carpal tunnel release. Plast. Reconstr. Surg. 2012, 129, 683–692. [Google Scholar] [CrossRef] [PubMed]
- Roos, D.B. The thoracic outlet syndrome is underrated. Arch. Neurol. 1990, 47, 327–328. [Google Scholar] [CrossRef] [PubMed]
Stage | Symptoms |
---|---|
0 | None, no limitations for physical load. |
1 | Symptoms when submitted to severe physical load, with corresponding occupational limitations; symptom-free in daily activities. |
2 | Symptoms when submitted to moderate physical load, with limitations in daily activities. |
3 | Symptoms under light physical load, severe limitation in daily activities. |
4 | Permanent symptoms, motorsensory deficits. |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Lassner, F.; Becker, M.; Prescher, A. Relevance of Costovertebral Exarticulation of the First Rib in Neurogenic Thoracic Outlet Syndrome: A Retrospective Clinical Study. J. Pers. Med. 2023, 13, 144. https://doi.org/10.3390/jpm13010144
Lassner F, Becker M, Prescher A. Relevance of Costovertebral Exarticulation of the First Rib in Neurogenic Thoracic Outlet Syndrome: A Retrospective Clinical Study. Journal of Personalized Medicine. 2023; 13(1):144. https://doi.org/10.3390/jpm13010144
Chicago/Turabian StyleLassner, Franz, Michael Becker, and Andreas Prescher. 2023. "Relevance of Costovertebral Exarticulation of the First Rib in Neurogenic Thoracic Outlet Syndrome: A Retrospective Clinical Study" Journal of Personalized Medicine 13, no. 1: 144. https://doi.org/10.3390/jpm13010144