3,329 results match your criteria: "Thoracic Outlet Syndrome"

Article Synopsis
  • Droopy shoulder syndrome (DSS) causes discomfort in the neck, shoulder, chest, and arms due to low shoulder positioning affecting the brachial plexus.
  • A 22-year-old male patient experienced progressive pain and tingling in his left side, leading to a diagnosis of DSS after thorough examination and imaging.
  • Early physical therapy successfully managed DSS, preventing its progression to thoracic outlet syndrome (TOS) and emphasizing the need for prompt diagnosis and treatment.
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Pediatric thoracic outlet syndrome: a systematic review with metadata.

Pediatr Surg Int

July 2024

Kscien Organization for Scientific Research (Middle East Office), Hamdi Street, Sulaymaniyah, Kurdistan, Iraq.

Introduction: Thoracic outlet syndrome (TOS) typically considered a condition of the adult population; it is often disregarded in children and adolescents due to its limited recognition within the pediatrics. The current study aims to systematically review and provide insights into TOS among pediatric patients.

Methods: PubMed, Scopus, Web of Science, and Google Scholar databases were thoroughly searched for English language studies published until March 15th, 2024.

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Shoulder Pain - Don't Forget First Rib Fractures.

Port J Card Thorac Vasc Surg

July 2024

Thoracic Surgery Department, Instituto Português de Oncologia do Porto, Portugal.

First rib fractures are uncommon, mainly in paediatric population, considering its anatomic features and their skeleton plasticity. Traditional teaching usually characterizes it as a hallmark of severe trauma. Herein, to unfold awareness to an unnoticed diagnosis, we describe two paediatric cases of isolated first rib fracture in adolescents without a clear identifiable cause nor an underlining trauma mechanism.

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Kinked Again! From Congenital Brachial Plexus Palsy to Adult Neurogenic Thoracic Outlet Syndrome: A Case Report.

Am J Phys Med Rehabil

January 2024

From the Department of Physical Medicine and Rehabilitation, University of Michigan Medical School, Ann Arbor, Michigan (SLH, KM); and Department of Radiology, University of Michigan Medical School, Ann Arbor, Michigan (EAL).

Neurogenic thoracic outlet syndrome is a chronic, focal lesion of the lower trunk of the brachial plexus or of the T1 and C8 anterior primary rami, often arising due to distortion of neural structures by a fibrous congenital band extending from a C7 transverse process or cervical rib. Accordingly, patients present with chronic weakness or atrophy of the hand, most prominently of the thenar eminence, which receives most innervation from the T1 root. We present clinical, electrophysiologic, and imaging findings in a case of neurogenic thoracic outlet syndrome presenting in an adult with a history most suggestive of congenital brachial plexus palsy, another pathology sharing the mechanism of nerve compression or injury within the supracostoclavicular space.

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Case report: Complications of SAPHO syndrome: Thoracic outlet syndrome.

Int J Rheum Dis

June 2024

Jinzhou Medical University Graduate Training Base Zhejiang Provincial People's Hospital, Center for General Practice Medicine, Department of Rheumatology and Immunology, Zhejiang Provincial People's Hospital, Hangzhou, Zhejiang, China.

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Article Synopsis
  • First rib tumors are rare and can cause serious issues like thoracic outlet syndrome, making early surgery important, though there’s no standard surgical method.
  • An 18-year-old male was found to have a calcified mass on his right first rib, likely an osteochondroma, identified through CT and MRI scans.
  • Successful surgical removal and reconstruction were performed using a unique incision technique, which can serve as a valuable reference for similar cases in the future.
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Surgical outcomes for occluded venous thoracic outlet syndrome following transaxillary first rib resection.

J Vasc Surg Venous Lymphat Disord

September 2024

Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD. Electronic address:

Article Synopsis
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Human Genetics of Defects of Situs.

Adv Exp Med Biol

June 2024

Cardiovascular Genetics, Charité Universitätsmedizin Berlin, Berlin, Germany.

Article Synopsis
  • Defects of situs are linked to various congenital heart conditions where the usual positioning of thoracic and abdominal organs is disrupted.
  • Recent research has discovered mutations in at least 33 different genes in people with these defects, affecting diverse molecular components like transcription factors and ciliary proteins.
  • There is significant overlap between genes involved in situs defects and those associated with other congenital heart diseases, highlighting the genetic complexity of these conditions.
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Article Synopsis
  • Traumatic injuries to the long thoracic nerve can result in winged scapula and shoulder dysfunction, making early and effective treatment crucial yet challenging.
  • A case study of a 32-year-old athlete showed that after surgery for Thoracic Outlet Syndrome, he continued to experience significant weakness and winged scapula, leading to a nerve transfer procedure.
  • The nerve transfer from the thoracodorsal nerve to the injured long thoracic nerve proved successful, restoring shoulder function and significantly reducing chronic pain.
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Arterial thoracic outlet syndrome (aTOS) is a rare, but potentially, limb-threatening condition that is often misdiagnosed. We present the case of a 29-year-old man who was initially managed under the presumption of primary Raynaud's phenomenon for >1 year before the correct diagnosis of aTOS, and the delay in diagnosis was complicated by substantial distal thromboembolic occlusion. Successful staged treatment included thoracic outlet decompression, subclavian artery aneurysm repair with subclavian-to-axillary bypass, anticoagulation, and an unconventional axillary-to-ulnar artery bypass.

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We present a case of a healthy young male professional water polo player who presented with swelling and pain in the upper arm and elbow after vigorous exercise. Diagnostic workup included an MRI and dynamic duplex ultrasound, which revealed compression of the axillary vein by a hypertrophic pectoralis minor muscle without thrombosis, constituting McCleery syndrome. This is a rare entity within the multiple thoracic outlet syndrome aetiologies.

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This case report discusses the incidental discovery of a cervical rib in a 53-year-old woman presenting with acute cholecystitis. While cervical ribs are rare, their identification holds clinical significance due to their potential implications for vascular compression or thoracic outlet syndrome. Despite the patient's primary complaint of cholecystitis, a chest X-ray incidentally revealed the cervical rib.

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Venous thoracic outlet syndrome (vTOS) is an increasingly recognized diagnosis in young patients in which the subclavian vein is compressed within the costoclavicular space. With repetitive compression, thrombosis can develop and has been referred to as "effort thrombosis" or the Paget-Schroetter syndrome. Here, we present a 16-year-old boy with vTOS who presented with acute ischemic stroke (AIS) in the hand knob region of precentral gyrus due to paradoxical embolus in the setting of atrial septal defect.

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Paget-Schroetter syndrome, the venous variant of thoracic outlet syndrome, is an uncommon presentation of deep vein thrombosis. In patients with Paget-Schroetter syndrome, the subclavian vein is compressed within the thoracic outlet as a result of repetitive and vigorous arm motions. Repeated endothelial injury leads to stasis in flow and eventual thrombus formation in the subclavian vein and its tributaries.

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We noted that patients with thoracic outlet syndrome (TOS) have elevation of the ipsilateral scapula and named this the scapular elevation sign (SES). The aim was to determine the prevalence of SES in a normal cohort, compare SES with other provocative tests and to determine the treatment effect on SES. First, normal asymptomatic subjects were prospectively assessed to determine the prevalence of SES in a normal cohort.

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[Not Available].

Ugeskr Laeger

April 2024

Skulder- og Albuesektionen, Ortopædkirurgisk Afdeling, Københavns Universitetshospital - Herlev og Gentofte Hospital.

Clavicle fractures are a common injury in adults. Most patients are treated non-operatively. In this case report, a 53-year-old professional violinist had a midt shaft clavicula fracture and was treated non-operatively.

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Background: We aimed to retrospectively compare the clinical outcomes of endoscopy-assisted first-rib resection for thoracic outlet syndrome (TOS) between overhead athletes and nonathletes and investigate the return to same-level sports rate in overhead athletes.

Methods: We retrospectively reviewed 181 cases with TOS (75 women, 106 men; mean age, 28.4 years; range, 12-57 years) who underwent endoscopy-assisted first-rib resection.

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