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25 Results Found

  • Review
  • Open Access
48 Citations
12,017 Views
8 Pages

Neurogenic thoracic outlet syndrome is a widely recognized, yet controversial, syndrome. The lack of specific objective diagnostic modalities makes diagnosis difficult. This is compounded by a lack of agreed upon definitive criteria to confirm diagno...

  • Review
  • Open Access
13 Citations
6,991 Views
14 Pages

General Overview and Diagnostic (Imaging) Techniques for Neurogenic Thoracic Outlet Syndrome

  • Stijn B. J. Teijink,
  • Niels Pesser,
  • Jens Goeteyn,
  • Renée J. Barnhoorn,
  • Marc R. H. M. van Sambeek,
  • Bart F. L. van Nuenen,
  • Hugh A. Gelabert and
  • Joep A. W. Teijink

Thoracic outlet syndrome is an uncommon and controversial syndrome. Three different diagnoses can be made based on the compressed structure, arterial TOS, venous TOS, and neurogenic TOS, though combinations do exist as well. Diagnosing NTOS is diffic...

  • Article
  • Open Access
14 Citations
2,967 Views
9 Pages

Hand Strength Deficit in Patients with Neurogenic Thoracic Outlet Syndrome

  • Alban Fouasson-Chailloux,
  • Pauline Daley,
  • Pierre Menu,
  • Bastien Louguet,
  • Guillaume Gadbled,
  • Yves Bouju,
  • Pierre Abraham and
  • Marc Dauty

Neurogenic thoracic outlet syndrome (NTOS) is a chronic painful and disabling condition. Patients complain about upper-limb paresthesia or weakness. Weakness has been considered one of the diagnostic criteria of NTOS, but objective comparisons to hea...

  • Article
  • Open Access
8 Citations
2,306 Views
11 Pages

Shoulder Isokinetic Strength Deficit in Patients with Neurogenic Thoracic Outlet Syndrome

  • Pauline Daley,
  • Germain Pomares,
  • Pierre Menu,
  • Guillaume Gadbled,
  • Marc Dauty and
  • Alban Fouasson-Chailloux

Neurogenic thoracic outlet syndrome (NTOS) is an impairing painful condition. Patients usually report upper-limb pain, weakness and paresthesia. Shoulder weakness is frequently reported but has never been described with objective strength evaluation....

  • Article
  • Open Access
5 Citations
3,088 Views
9 Pages

11 January 2023

Purpose: The failure rate for operative decompression in neurogenic thoracic outlet syndrome (NTOS) is high compared to more distal nerve compression syndromes, such as cubital or carpal tunnel syndrome. Herein, we aimed to determine if a more radica...

  • Article
  • Open Access
1,827 Views
12 Pages

29 January 2024

Background: The recurrence or persistence of symptoms after thoracic outlet decompression (TOD) in patients with neurogenic thoracic outlet syndrome (NTOS) is not uncommon. Some authors have shown significantly better clinical outcomes in patients wh...

  • Systematic Review
  • Open Access
22 Citations
3,931 Views
13 Pages

Use of Electroneuromyography in the Diagnosis of Neurogenic Thoracic Outlet Syndrome: A Systematic Review and Meta-Analysis

  • Pauline Daley,
  • Germain Pomares,
  • Raphael Gross,
  • Pierre Menu,
  • Marc Dauty and
  • Alban Fouasson-Chailloux

2 September 2022

Neurogenic thoracic outlet syndrome (NTOS) is a disabling condition. Its diagnosis remains challenging and is mainly guided by examination. Yet, electrophysiological evaluations are the gold standard for diagnosis of entrapment syndromes. We aimed to...

  • Article
  • Open Access
16 Citations
3,266 Views
9 Pages

Subclavian Vessel Compression Assessed by Duplex Scanning in Patients with Neurogenic Thoracic Outlet Syndrome and No Vascular Signs

  • Alban Fouasson-Chailloux,
  • Pierre Menu,
  • Pauline Daley,
  • Giovanni Gautier,
  • Guillaume Gadbled,
  • Pierre Abraham and
  • Marc Dauty

Neurogenic thoracic outlet syndrome (NTOS) is the most frequent form of TOS. It may affect both sides, but specific complementary exams are lacking. We aimed to evaluate duplex scanning results in a group of patients with unilateral or bilateral NTOS...

  • Review
  • Open Access
50 Citations
46,682 Views
12 Pages

The diagnosis of brachial plexus compression—either neurogenic thoracic outlet syndrome (NTOS) or neurogenic pectoralis minor syndrome (NPMS)—is based on old fashioned history and physical examination. Tests, such as scalene muscle and pectoralis min...

  • Article
  • Open Access
1 Citations
4,225 Views
13 Pages

Digital Biomarkers for the Objective Assessment of Disability in Neurogenic Thoracic Outlet Syndrome

  • Bijan Najafi,
  • Mohsen Zahiri,
  • Changhong Wang,
  • Anmol Momin,
  • Paul Paily and
  • Bryan M. Burt

10 November 2021

Neurogenic thoracic outlet syndrome (nTOS) is a musculoskeletal disorder in which compression of the brachial plexus between the scalene muscles of the neck and the first rib results in disabling upper extremity pain and paresthesia. Currently there...

  • Article
  • Open Access
1,247 Views
11 Pages

Objective: Neurogenic thoracic outlet syndrome (nTOS) is a rare compression neuropathy, and establishing a firm diagnosis can be challenging. Interscalene nerve blocks with Ropivacaine and Dexamethasone have been proposed in cases with typical sympto...

  • Review
  • Open Access
4 Citations
3,149 Views
12 Pages

Robotic First Rib Resection in Thoracic Outlet Syndrome: A Systematic Review of Current Literature

  • Maikerly Reyes,
  • Sneha Alaparthi,
  • Johannes B. Roedl,
  • Marisa C. Moreta,
  • Nathaniel R. Evans,
  • Tyler Grenda and
  • Olugbenga T. Okusanya

23 October 2023

Thoracic outlet syndrome (TOS) involves the compression of neurovascular structures in the thoracic outlet. TOS subtypes, including neurogenic (nTOS), venous (vTOS), and arterial (aTOS) are characterized by distinct clinical presentations and diagnos...

  • Article
  • Open Access
13 Citations
4,810 Views
11 Pages

Neurogenic Thoracic Outlet Syndrome with Supraclavicular Release: Long-Term Outcome without Rib Resection

  • Niina Ruopsa,
  • Leena Ristolainen,
  • Martti Vastamäki and
  • Heidi Vastamäki

Our aim was to define clinical long-term outcome of surgery for neurogenic thoracic outlet syndrome without rib resection, and to find factors predicting long-term results. For the 94 patients, the main outcomes were pain, numbness, weakness, and upp...

  • Review
  • Open Access
25 Citations
11,183 Views
13 Pages

Choosing Surgery for Neurogenic TOS: The Roles of Physical Exam, Physical Therapy, and Imaging

  • David P. Kuwayama,
  • Jason R. Lund,
  • Charles O. Brantigan and
  • Natalia O. Glebova

Neurogenic thoracic outlet syndrome (nTOS) is characterized by arm and hand pain, paresthesias, and sometimes weakness resulting from compression of the brachial plexus within the thoracic outlet. While it is the most common subtype of TOS, nTOS can...

  • Article
  • Open Access
27 Citations
12,689 Views
13 Pages

Ultrasonographic Diagnosis of Thoracic Outlet Syndrome Secondary to Brachial Plexus Piercing Variation

  • Vanessa Leonhard,
  • Gregory Caldwell,
  • Mei Goh,
  • Sean Reeder and
  • Heather F. Smith

Structural variations of the thoracic outlet create a unique risk for neurogenic thoracic outlet syndrome (nTOS) that is difficult to diagnose clinically. Common anatomical variations in brachial plexus (BP) branching were recently discovered in whic...

  • Review
  • Open Access
81 Citations
17,079 Views
10 Pages

The diagnosis of thoracic outlet syndrome (TOS) has long been a controversial and challenging one. Despite common presentations with pain in the neck and upper extremity, there are a host of presenting patterns that can vary within and between the su...

  • Editorial
  • Open Access
6 Citations
5,563 Views
3 Pages

Those who diagnose and treat patients with thoracic outlet syndrome, especially those patients with neurogenic thoracic outlet syndrome, have a practice, which needs to include many modalities to diagnose, treat, and intervene to improve their qualit...

  • Case Report
  • Open Access
1,354 Views
8 Pages

Background/Objectives: Thoracic outlet syndrome (TOS) is a rare and difficult-to-diagnose condition in children, characterized by the compression of neurovascular structures in the thoracic outlet. Neurogenic TOS (nTOS) often presents with nonspecifi...

  • Review
  • Open Access
15 Citations
7,185 Views
19 Pages

Congenital, Acquired, and Trauma-Related Risk Factors for Thoracic Outlet Syndrome—Review of the Literature

  • Krystian Maślanka,
  • Nicol Zielinska,
  • Piotr Karauda,
  • Adrian Balcerzak,
  • Georgi Georgiev,
  • Andrzej Borowski,
  • Marek Drobniewski and
  • Łukasz Olewnik

27 October 2023

Thoracic outlet syndrome is a group of disorders that affect the upper extremity and neck, resulting in compression of the neurovascular bundle that exits the thoracic outlet. Depending on the type of compressed structure, the arterial, venous, and n...

  • Article
  • Open Access
43 Citations
10,136 Views
13 Pages

7 November 2012

The objective of this paper is to discuss the classification, diagnosis, pathophysiology and management of Thoracic outlet syndrome (TOS). Thoracic outlet syndrome (TOS) is a complex entity that is characterized by different neurovascular signs and s...

  • Article
  • Open Access
11 Citations
6,165 Views
8 Pages

Controversies in the treatment of venous thoracic outlet syndrome (VTOS) have been discussed for decades, but still persist. Calls for more objective reporting standards have pushed practice towards comprehensive venous evaluations and interventions...

  • Review
  • Open Access
25 Citations
10,357 Views
14 Pages

Thoracic Outlet Syndrome (TOS) describes a set of disorders that arise from compression of the neurovascular structures that exit the thorax and enter the upper extremity. This can present as one of three subtypes: neurogenic, venous, or arterial. Th...

  • Article
  • Open Access
44 Citations
8,833 Views
6 Pages

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

  • Jesse Peek,
  • Cornelis G. Vos,
  • Çağdas Ünlü,
  • Michiel A. Schreve,
  • Rob H. W. Van de Mortel and
  • Jean-Paul P. M. De Vries

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 questionnair...

  • Article
  • Open Access
1 Citations
1,491 Views
10 Pages

4 July 2024

Objectives: The coexistence of arterial compression with neurogenic thoracic outlet syndrome (TOS) is associated with a better post-surgical outcome. Forearm transcutaneous oxygen pressure (TcpO2) using the minimal decrease from rest of oxygen pressu...

  • Article
  • Open Access
11 Citations
3,986 Views
14 Pages

Relationships between the Clinical Test Results and Neurophysiological Findings in Patients with Thoracic Outlet Syndrome

  • Agata Maria Kaczmarek,
  • Juliusz Huber,
  • Katarzyna Leszczyńska,
  • Paulina Wietrzak and
  • Katarzyna Kaczmarek

A thoracic outlet syndrome (TOS) is the type of brachial plexus disorder most difficult to objectively assess using a clinical examination and differential diagnosis. Its symptoms can be frequently misdiagnosed, especially among others with cervical...