The thoracic outlet syndrome TOS first reported in 1956 1 is a complex of symptoms and signs caused by compression of neurovascular structures at the thoracic outlet or inlet. There is also specific expertise in acute nerve injuries including nerve injuries arising from trauma or tumor.

Thoracic Outlet Syndrome Definition Causes Symptoms Complications And Cost Surgery Treatment Hospital In India

Vascular Thoracic outlet syndrome VTOS is categorized as disorders of the upper extremity which are caused by compression of the brachial plexus and subclavian artery or vein by bony soft tissue or muscular anomalies as they emerge from the thoracic outlet.

Thoracic outlet syndrome surgery cost. He has a history of chronic upper back pain 4 years neck pain 3 years and left arm pain and discomfort 3 years. We operated on 47 patients with thoracic outlet syndrome TOS between 1985 and 2000. A 53-year-old right-handed man presents to Cleveland Clinics Department of Vascular Surgery for a consult evaluation for thoracic outlet syndrome.

Our experts study your medical history run tests to rule out similar conditions and examine you to develop a clear picture of whats causing your arm and shoulder symptoms. After 430pm or on weekends or holidays. The procedure may be performed in conjunction with surgery to remove an extra rib.

Treatment may involve surgery certain exercises or physical therapy. Call 734 936 6267 and ask to. This was my surgical day for part 2 of Thoracic Outlet Syndrome.

Thoracic outlet syndrome TOS causes symptoms such as hand weakness numb fingers and finger hand arm or shoulder pain. Thoracic outlet syndrome surgery has risks of complications such as injury to the brachial plexus. Here we use the term thoracic outlet.

Thoracic outlet TOS is caused when the nerves artery or vein to the arm is compressed by one or more structures that make up the thoracic outlet. Also surgery may not relieve your symptoms and symptoms may recur. If arm swelling or a blood clot in the vein is due to thoracic outlet compression thoracic outlet decompression is the next step.

Some authors prefer to use the term thoracic inlet syndrome instead 2 3 implying the interscalene triangle as the portal of entry and the diaphragm as the exit. Thoracic Outlet Syndrome Post-Op Instructions -4- Monday- Friday 800am - 430pm. Thoracic outlet syndrome care at Mayo Clinic Your Mayo Clinic care team.

The UPMC Heart and Vascular Institutes vascular surgeons offer a range of treatments for arterial venous and neurogenic thoracic outlet syndrome TOS. Surgical thoracic outlet syndrome TOS management involves decompression of the neurovascular structures by releasing the anterior andor middle scalene muscles resection of the first andor cervical ribs or a combination. Call 888 287 1082 Ask to speak to the Vascular Surgery Nurse if you have any of the signs or symptoms above.

Depending on the damage to the artery an arterial bypass may be part of this surgery. Cancer injury and thoracic outlet syndrome a disorder that develops when blood vessels or nerves are compressed are other medical reasons people seek the procedure. Thoracic Outlet Syndrome Definition Thoracic outlet syndrome TOS is a collective name for disorders that involve compression injury or irritation to nerves and blood vessels in the parts of the lower neck and upper chest called the thoracic outlet.

Surgery to treat thoracic outlet syndrome called thoracic outlet decompression may be performed using several different approaches including. Based on the type of TOS you have we will provide a course of treatment that meets your needs. CHICAGO Illinois September 2017 A national study has confirmed the safety of thoracic outlet decompression surgery validating the findings of previous single-center experiences.

The Johns Hopkins Thoracic Outlet Syndrome Clinic diagnoses and treats all forms of thoracic outlet syndrome TOS whether it is neurogenic nerve compression or vascular blood vessel compression. Medical records were studied for patients who had undergone surgical removal of the first or cervical rib. The mean age of the patients was 379 years range 17 to 58 years and the femalemale ratio was 416.

Current practice of thoracic outlet decompression surgery in the United States J Vasc Surg Sept. Doctors trained in blood vessel surgery vascular surgery blood vessel conditions vascular medicine chest surgery thoracic surgery brain and nervous system conditions imaging orthopedic surgery and physical medicine and rehabilitation work together to diagnose and treat thoracic outlet syndrome. If arterial compression is diagnosed a surgery called thoracic outlet decompression is the next step.

Learn about TOS tests and causes. This content is provided to members of the Society for Vascular Surgery as a member benefit. New Diagnostic and Treatment Modalities for Neurogenic Thoracic Outlet Syndrome.

Here is an excellent research article on the subject. Vascular TOS usually occurs in young patients and athletes who are involved in repetitive overhead motion such as swimming or baseball. Various surgical approaches transaxillary supraclavicular infraclavicular and transthoracic have been used with varying rates of complications.

Surgical management includes decompression for compression neuropathies including carpal tunnel syndrome cubital tunnel syndrome and thoracic outlet syndrome. Thoracic outlet syndrome TOS is relatively rare but may affect those who use a lot of. Thoracic Outlet Syndrome Treatment.

In some cases rib bones are removed for a bone graft for reconstructive surgery. In a scalenectomy the scalene muscleswhich pass through the thoracic outletare removed to reduce compression on the nerves arteries and veins in the area. December 29th 2016 The day I was anxiously waiting for to have more relief in my shoulder and nerves of my arm.

This helps to reduce pain and prevent blood clots in people with neurogenic thoracic outlet syndrome.