Next article Search Articles Instructions for authors  Access Statistics | Citation Manager  
REVIEW ARTICLE  
[LN]

 Article Access Statistics
    Viewed18871    
    Printed518    
    Emailed10    
    PDF Downloaded131    
    Comments [Add]    
    Cited by others 5    

Recommend this journal

Neurogenic thoracic outlet syndrome: A case report and review of the literature


1 Department of Anesthesiology, Division of Acute Pain Medicine and Regional Anesthesia and Orthopaedic Surgery and Rehabilitation, University of Florida, College of Medicine, Gainesville, Florida, United States of American Society of Anesthesiologists, USA
2 Department of Anesthesiology, Division of Acute Pain Medicine and Regional Anesthesia, University of Florida, College of Medicine, Gainesville, Florida, United States of American Society of Anesthesiologists, USA

Correspondence Address:
André P Boezaart
Professor of Anesthesiology and Orthopaedic Surgery, Division of Acute Pain Medicine and Regional Anesthesia, PO Box 100254, 1600 SW Archer Road, Gainesville, Florida 32610
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-6042.70817

Rights and Permissions

Year : 2010  |  Volume : 4  |  Issue : 2  |  Page : 27-35

 

SEARCH
Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles

  Article in PDF (2,155 KB)
Email article
Print Article
Add to My List
Neurogenic thoracic outlet syndrome (NTOS) is an oft-overlooked and obscure cause of shoulder pain, which regularly presents to the office of shoulder surgeons and pain specialist. With this paper we present an otherwise healthy young female patient with typical NTOS. She first received repeated conservative treatments with 60 units of botulinium toxin injected into the anterior scalene muscle at three-month intervals, which providing excellent results of symptom-free periods. Later a trans-axillary first rib resection provided semi-permanent relief. The patient was followed for 10 years after which time the symptoms reappeared. We review the literature and elaborate on the anatomy, sonoanatomy, etiology and characteristics, symptoms, diagnostic criteria and treatment modalities of NTOS. Patients with NTOS often get operated upon - even if just a diagnostic arthroscopy, and an interscalene or other brachial plexus block may be performed. This might put the patient in jeopardy of permanent nerve injury, and the purpose of this review is to minimize or prevent this.






[FULL TEXT] [PDF]*
 

 


 

 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 
 
 Reader Comments
 Email Alert *
  *
 * Requires registration (Free)
 
 REVIEW ARTICLE
 




1 Department of Anesthesiology, Division of Acute Pain Medicine and Regional Anesthesia and Orthopaedic Surgery and Rehabilitation, University of Florida, College of Medicine, Gainesville, Florida, United States of American Society of Anesthesiologists, USA
2 Department of Anesthesiology, Division of Acute Pain Medicine and Regional Anesthesia, University of Florida, College of Medicine, Gainesville, Florida, United States of American Society of Anesthesiologists, USA

Correspondence Address:
André P Boezaart
Professor of Anesthesiology and Orthopaedic Surgery, Division of Acute Pain Medicine and Regional Anesthesia, PO Box 100254, 1600 SW Archer Road, Gainesville, Florida 32610
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-6042.70817

Rights and Permissions

Neurogenic thoracic outlet syndrome (NTOS) is an oft-overlooked and obscure cause of shoulder pain, which regularly presents to the office of shoulder surgeons and pain specialist. With this paper we present an otherwise healthy young female patient with typical NTOS. She first received repeated conservative treatments with 60 units of botulinium toxin injected into the anterior scalene muscle at three-month intervals, which providing excellent results of symptom-free periods. Later a trans-axillary first rib resection provided semi-permanent relief. The patient was followed for 10 years after which time the symptoms reappeared. We review the literature and elaborate on the anatomy, sonoanatomy, etiology and characteristics, symptoms, diagnostic criteria and treatment modalities of NTOS. Patients with NTOS often get operated upon - even if just a diagnostic arthroscopy, and an interscalene or other brachial plexus block may be performed. This might put the patient in jeopardy of permanent nerve injury, and the purpose of this review is to minimize or prevent this.






[FULL TEXT] [PDF]*


        
Print this article     Email this article