The asymptomatic thoracic outlet compression syndrome
The thoracic outlet compression syndrome has a great number of clinical variations. Arterial and venous perfusion impairment is an associated symptom, nerve irritation can occur with or without vascular problems. The degree of nerve damage ranges from transient irritation to permanent motoric and se...
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| Veröffentlicht in: | Handchirurgie, Mikrochirurgie, plastische Chirurgie Mikrochirurgie, plastische Chirurgie, 2006-02, Vol.38 (1), p.51-55 |
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| container_title | Handchirurgie, Mikrochirurgie, plastische Chirurgie |
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| creator | Becker, M H J Lassner, F |
| description | The thoracic outlet compression syndrome has a great number of clinical variations. Arterial and venous perfusion impairment is an associated symptom, nerve irritation can occur with or without vascular problems. The degree of nerve damage ranges from transient irritation to permanent motoric and sensory defects. The lack of space in the supracostoclavicular compartment is the cause for nerve compression. The degree of neural damage depends on the degree and duration of the compression. Anatomic variations between the clavicle and first rib are frequent causes for the TOS: accessory ribs and muscles, and fibrous bands have been described. A preexisting chronic compression may lead to a subclinical TOS, in this case an inadequate trauma of minor degree may be sufficient to manifest a plexus palsy. Intraoperative findings in children with incomplete and complete brachial plexus palsy and the corresponding findings in adults prompted us to present this communication. |
| doi_str_mv | 10.1055/s-2006-923880 |
| format | Article |
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Arterial and venous perfusion impairment is an associated symptom, nerve irritation can occur with or without vascular problems. The degree of nerve damage ranges from transient irritation to permanent motoric and sensory defects. The lack of space in the supracostoclavicular compartment is the cause for nerve compression. The degree of neural damage depends on the degree and duration of the compression. Anatomic variations between the clavicle and first rib are frequent causes for the TOS: accessory ribs and muscles, and fibrous bands have been described. A preexisting chronic compression may lead to a subclinical TOS, in this case an inadequate trauma of minor degree may be sufficient to manifest a plexus palsy. 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Arterial and venous perfusion impairment is an associated symptom, nerve irritation can occur with or without vascular problems. The degree of nerve damage ranges from transient irritation to permanent motoric and sensory defects. The lack of space in the supracostoclavicular compartment is the cause for nerve compression. The degree of neural damage depends on the degree and duration of the compression. Anatomic variations between the clavicle and first rib are frequent causes for the TOS: accessory ribs and muscles, and fibrous bands have been described. A preexisting chronic compression may lead to a subclinical TOS, in this case an inadequate trauma of minor degree may be sufficient to manifest a plexus palsy. Intraoperative findings in children with incomplete and complete brachial plexus palsy and the corresponding findings in adults prompted us to present this communication.</description><subject>Adult</subject><subject>Birth Injuries - diagnosis</subject><subject>Brachial Plexus Neuropathies - etiology</subject><subject>Cervical Rib Syndrome - complications</subject><subject>Cervical Rib Syndrome - diagnosis</subject><subject>Cervical Rib Syndrome - etiology</subject><subject>Cervical Rib Syndrome - surgery</subject><subject>Child</subject><subject>Chronic Disease</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Magnetic Resonance Angiography</subject><subject>Thoracic Outlet Syndrome - complications</subject><subject>Thoracic Outlet Syndrome - diagnosis</subject><subject>Thoracic Outlet Syndrome - etiology</subject><subject>Thoracic Outlet Syndrome - surgery</subject><issn>0722-1819</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j7tOwzAART2AaCmMrCgTm8Hvx4gqKEiVWLJHjh9qUBwH2xny91SiTOcOR1c6ADxg9IwR5y8FEoQE1IQqha7AFklCIFZYb8BtKd8IIcoEuQEbLDhVXNIt4O3JN6asca4pmjrYpp5SNvY80lJHXxub4px9KUOamrJOLqfo78B1MGPx9xfuQPv-1u4_4PHr8Ll_PcIZU12hlYwqazA1NjDXB64s085yySw31GFO-14x4nQgmmMmRC-xDNgzpXgwlO7A09_tnNPP4kvt4lCsH0cz-bSUTkjJBCLoLD5exKWP3nVzHqLJa_ffSX8B3x1SpQ</recordid><startdate>200602</startdate><enddate>200602</enddate><creator>Becker, M H J</creator><creator>Lassner, F</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200602</creationdate><title>The asymptomatic thoracic outlet compression syndrome</title><author>Becker, M H J ; Lassner, F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p139t-c7438ca13acf4dbf58c49dc574c5a3d153bb842d9f2951466b717f1e4885fa33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>ger</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Birth Injuries - diagnosis</topic><topic>Brachial Plexus Neuropathies - etiology</topic><topic>Cervical Rib Syndrome - complications</topic><topic>Cervical Rib Syndrome - diagnosis</topic><topic>Cervical Rib Syndrome - etiology</topic><topic>Cervical Rib Syndrome - surgery</topic><topic>Child</topic><topic>Chronic Disease</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Magnetic Resonance Angiography</topic><topic>Thoracic Outlet Syndrome - complications</topic><topic>Thoracic Outlet Syndrome - diagnosis</topic><topic>Thoracic Outlet Syndrome - etiology</topic><topic>Thoracic Outlet Syndrome - surgery</topic><toplevel>online_resources</toplevel><creatorcontrib>Becker, M H J</creatorcontrib><creatorcontrib>Lassner, F</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Handchirurgie, Mikrochirurgie, plastische Chirurgie</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Becker, M H J</au><au>Lassner, F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The asymptomatic thoracic outlet compression syndrome</atitle><jtitle>Handchirurgie, Mikrochirurgie, plastische Chirurgie</jtitle><addtitle>Handchir Mikrochir Plast Chir</addtitle><date>2006-02</date><risdate>2006</risdate><volume>38</volume><issue>1</issue><spage>51</spage><epage>55</epage><pages>51-55</pages><issn>0722-1819</issn><abstract>The thoracic outlet compression syndrome has a great number of clinical variations. Arterial and venous perfusion impairment is an associated symptom, nerve irritation can occur with or without vascular problems. The degree of nerve damage ranges from transient irritation to permanent motoric and sensory defects. The lack of space in the supracostoclavicular compartment is the cause for nerve compression. The degree of neural damage depends on the degree and duration of the compression. Anatomic variations between the clavicle and first rib are frequent causes for the TOS: accessory ribs and muscles, and fibrous bands have been described. A preexisting chronic compression may lead to a subclinical TOS, in this case an inadequate trauma of minor degree may be sufficient to manifest a plexus palsy. 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| fulltext | fulltext |
| identifier | ISSN: 0722-1819 |
| ispartof | Handchirurgie, Mikrochirurgie, plastische Chirurgie, 2006-02, Vol.38 (1), p.51-55 |
| issn | 0722-1819 |
| language | ger |
| recordid | cdi_proquest_miscellaneous_67746020 |
| source | MEDLINE; Thieme Connect Journals |
| subjects | Adult Birth Injuries - diagnosis Brachial Plexus Neuropathies - etiology Cervical Rib Syndrome - complications Cervical Rib Syndrome - diagnosis Cervical Rib Syndrome - etiology Cervical Rib Syndrome - surgery Child Chronic Disease Humans Infant, Newborn Magnetic Resonance Angiography Thoracic Outlet Syndrome - complications Thoracic Outlet Syndrome - diagnosis Thoracic Outlet Syndrome - etiology Thoracic Outlet Syndrome - surgery |
| title | The asymptomatic thoracic outlet compression syndrome |
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