Shoulder girdle compression syndrome

Nowadays all compression syndromes at the upper chest like the costoclavicular syndrome, the scalenus syndrome, the hyperabduction syndrome and the Page-von Schroetter syndrome are included under the term of thoracic-outlet-syndrome. Apart from a constitutional disposition (cervical rib, anomalies o...

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Bibliographic Details
Published inJournal of cardiovascular surgery Vol. 23; no. 3; p. 221
Main Authors Gruss, J D, Bartels, D, Vargas, H, Ohta, T, Tsafandakis, E, Schlechtweg, B, Haidar, A
Format Journal Article
LanguageEnglish
Published Italy 01.05.1982
Subjects
Adult
Female
Humans
Male
Radiography
Subclavian Artery - diagnostic imaging
Sympathectomy
Thoracic Outlet Syndrome - complications
Thoracic Outlet Syndrome - diagnosis
Thoracic Outlet Syndrome - diagnostic imaging
Thoracic Outlet Syndrome - therapy
Thorax
Ultrasonography
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Summary:Nowadays all compression syndromes at the upper chest like the costoclavicular syndrome, the scalenus syndrome, the hyperabduction syndrome and the Page-von Schroetter syndrome are included under the term of thoracic-outlet-syndrome. Apart from a constitutional disposition (cervical rib, anomalies of the tendons, etc.), it needs special factors like professional activities, sports, trauma, etc. to develop a T.O.S. syndrome. The symptoms range from prickling paresthesia, early fatigue, pains in shoulder and neck, claudication like pains and strong tendency towards swelling and rest pain or peripheral gangrene. Among 3126 vascular-surgical operations 128 transaxillary rib resections were performed during the time from June 1st, 1975 until March 31st, 1980. On 105 occasions rib resection was combined with the thoracic sympathectomy. In only 4 cases the resection of a cervical rib was sufficient to obtain decompression; in 15 cases the first rib had to be resected with a cervical rib. In 3 cases direct reconstructions of the artery and subclavian vein was performed by way of transaxillary approach. Postoperatively, 56% of the patients remained completely asymptomatic, 32% were decidedly improved and 12% unchanged.
ISSN:0021-9509