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Thoracic outlet syndrome: a 50-year experience at Baylor University Medical Center.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Urschel, Harold Clifton Kourlis, Harry |
| Copyright Year | 2007 |
| Abstract | During the past 5 decades, the recognition and management of thoracic outlet syndrome (TOS) have evolved. This article elucidates these changes and improvements in the diagnosis and management of TOS at Baylor University Medical Center. The most remarkable change over the past 50 years is the use of nerve conduction velocity to diagnose and monitor patients with nerve compression. Recognition that procedures such as breast implantation and median sternotomy may produce TOS has been revealing. Prompt thrombolysis followed by surgical venous decompression for Paget-Schroetter syndrome has markedly improved results compared with the conservative anticoagulation approach; thrombolysis and prompt first rib resection is the optimal treatment for most patients with Paget-Schroetter syndrome. Complete first rib extirpation at the initial procedure markedly reduces the incidence of recurrent neurologic symptoms or the need for a second procedure. Chest pain or pseudoangina can be caused by TOS. Dorsal sympathectomy is helpful for patients with sympathetic maintained pain syndrome or causalgia and patients with recurrent TOS symptoms who need a second procedure. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://www.baylorhealth.edu/Documents/BUMC%20Proceedings/2007%20Vol%2020/No.%202/20_2_urschel.pdf |
| Alternate Webpage(s) | http://upload.orthobullets.com/journalclub/free_pdf/17431445_17431445.pdf |
| PubMed reference number | 17431445v1 |
| Volume Number | 20 |
| Issue Number | 2 |
| Journal | Proceedings |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Abducens Nerve Diseases Bone structure of rib Causalgia Chest Pain Compression Excision Lambert-Eaton Myasthenic Syndrome Mammary Neoplasms Medical Specialities Neurologic Symptoms Patients Pinched nerve Sternotomy (procedure) Sympathectomy Thoracic Outlet Syndrome Thrombolysis, function Wolff-Parkinson-White Syndrome |
| Content Type | Text |
| Resource Type | Article |
