The Adipofascial Deltopectoral Flap to Cover the Brachial Plexus in Thoracic Outlet Syndrome and Radiation Plexitis

2020 ◽  
Vol 73 (8) ◽  
pp. 1465-1472
Author(s):  
Roisin T. Dolan ◽  
Aliabbas Moosa ◽  
Henk P. Giele
Keyword(s):  
Brachial Plexus ◽  
Thoracic Outlet Syndrome ◽  
Deltopectoral Flap

Our Surgical Strategy for Thoracic Outlet Syndrome

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Yasuhiro Nakajima
Keyword(s):  
Brachial Plexus ◽  
Thoracic Outlet Syndrome ◽  
Vascular Compression ◽  
Compression Tests ◽  
Provocation Tests ◽  
Diagnosis Method ◽  
Tunnel Syndrome ◽  
Electrophysiological Examination ◽  
Sensory Neural ◽  
Plexus Block

Surgical treatment for thoracic outlet syndrome (TOS) is a very controversial surgery because objective diagnosis, such as image and electrophysiological examination, is very difficult. Clinical provocation tests including brachial plexus compression tests, such as Morley and Roos, and vascular compression tests, such as Wright and Eden ,are not high in specificity and are likely to be positive even in healthy persons and patients with carpal tunnel syndrome. We place emphasis on the laterality of latency and amplitude in the sensory neural action potential (SNAP) of the medial antebrachial cutaneous nerve and ulnar nerve. After enough stretching exercises of scapular stabilizers and brachial plexus block, we always select surgery. In this presentation, I would like to show our diagnosis method and treatment strategy including surgery.

scholarly journals Neurogenic Thoracic Outlet Syndrome Caused by Vascular Compression of the Brachial Plexus: A Report of Two Cases

2018 ◽  
Vol 13 (01) ◽  
pp. e1-e3
Author(s):  
Amgad Hanna ◽  
Larry Bodden ◽  
Gabriel Siebiger
Keyword(s):  
Brachial Plexus ◽  
Thoracic Outlet Syndrome ◽  
Vascular Compression ◽  
Repetitive Motion ◽  
Physical Trauma ◽  
Neurogenic Thoracic Outlet Syndrome ◽  
Inferior Portion ◽  
Pass Through ◽  
Neurogenic Tos

AbstractThoracic outlet syndrome (TOS) is caused by compression of the brachial plexus and/or subclavian vessels as they pass through the cervicothoracobrachial region, exiting the chest. There are three main types of TOS: neurogenic TOS, arterial TOS, and venous TOS. Neurogenic TOS accounts for approximately 95% of all cases, and it is usually caused by physical trauma (posttraumatic etiology), chronic repetitive motion (functional etiology), or bone or muscle anomalies (congenital etiology). We present two cases in which neurogenic TOS was elicited by vascular compression of the inferior portion of the brachial plexus.

Conservative Treatment of Thoracic Outlet Syndrome Using an Orthosis

1995 ◽  
Vol 20 (1) ◽  
pp. 34-39 ◽  
Author(s):  
Y. NAKATSUCHI ◽  
S. SAITOH ◽  
M. HOSAKA ◽  
S. MATSUDA
Keyword(s):  
Conservative Treatment ◽  
Activities Of Daily Living ◽  
Brachial Plexus ◽  
Daily Living ◽  
Thoracic Outlet Syndrome ◽  
Shoulder Girdle ◽  
Neurological Deficits ◽  
Sensory Disturbance ◽  
Motor Disturbance

We describe a strapping device for elevation of the shoulder in patients with thoracic outlet syndrome (TOS). The device was used by 86 patients with TOS whose symptoms had been alleviated by passively raising the shoulder. Symptoms of TOS were classified as proximal, including pain in the shoulder girdle, and distal, in which there were neurological deficits related to the brachial plexus. The device was more effective in patients with distal symptoms: pain disappeared or improved in 67% of patients; numbness in 85%; sensory disturbance in 84%; and motor disturbance in 80%. However, proximal symptoms were relieved in only 65% of the patients. The ability to perform activities of daily living was rated as excellent in 33% of patients, good in 44%, fair in 12%, and poor in 9%. The shoulder orthosis described in this report can counterbalance downward traction on the brachial plexus and reduce the tension on it, thereby relieving symptoms of TOS.

Thoracic outlet syndrome in 3T MR neurography—fibrous bands causing discernible lesions of the lower brachial plexus

2013 ◽  
Vol 24 (3) ◽  
pp. 756-761 ◽  
Author(s):  
P. Baumer ◽  
H. Kele ◽  
T. Kretschmer ◽  
R. Koenig ◽  
M. Pedro ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Thoracic Outlet Syndrome ◽  
Mr Neurography ◽  
3T Mr

scholarly journals Harvey Cushing’s management of neurogenic thoracic outlet syndrome

2019 ◽  
Vol 130 (3) ◽  
pp. 712-715
Author(s):  
Courtney Pendleton ◽  
Allan J. Belzberg ◽  
Robert J. Spinner ◽  
Alfredo Quinones-Hinojosa
Keyword(s):  
Peripheral Nerve ◽  
Brachial Plexus ◽  
Thoracic Outlet Syndrome ◽  
Johns Hopkins Hospital ◽  
Single Patient ◽  
Detailed Review ◽  
Cervical Rib ◽  
Harvey Cushing ◽  
Operative Report ◽  
Nerve Surgery

Harvey Cushing is widely regarded as one of the forefathers of neurosurgery, and is primarily associated with his work on intracranial pathology. However, he had a clinical and academic interest in peripheral nerve surgery. Through the courtesy of the Alan Mason Chesney Medical Archives, the surgical records of the Johns Hopkins Hospital from 1896 to 1912 were reviewed. The records of a single patient undergoing brachial plexus exploration and cervical rib resection were selected for detailed review. The operative report and accompanying illustrations demonstrate Cushing’s interest in adding approaches to the pathology of the brachial plexus to his operative armamentarium.

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