TY - JOUR
T1 - Endoscopic-assisted Infraclavicular Approach for First-Rib Resection in Neurologic Thoracic Outlet Syndrome
T2 - A Report of Two Cases
AU - Suzuki, Taku
AU - Kimura, Hiroo
AU - Matsumura, Noboru
AU - Iwamoto, Takuji
N1 - Publisher Copyright:
© 2023 Asian-Pacific Federation of Societies for Surgery of the Hand.
PY - 2023/4/1
Y1 - 2023/4/1
N2 - Various reported surgical approaches for the treatment of thoracic outlet syndrome (TOS) exist and no firm evidence exists for any approach. A 16-year-old and a 29-year-old male presented with numbness in the upper limb. Neurologic TOS was diagnosed, and surgery was planned for the resection of the first rib and scalene muscles. Through an infraclavicular incision, open resection of the anterior scalene muscle and the anterior aspect of the first rib was performed. With the assistance of endoscopy, the middle scalene muscles and the posterior aspect of the first rib were resected. Preoperative symptoms improved after surgery without any complications. The endoscopic-assisted infraclavicular approach enabled resection of the first rib and scalene muscles, leading to satisfactory outcomes.
AB - Various reported surgical approaches for the treatment of thoracic outlet syndrome (TOS) exist and no firm evidence exists for any approach. A 16-year-old and a 29-year-old male presented with numbness in the upper limb. Neurologic TOS was diagnosed, and surgery was planned for the resection of the first rib and scalene muscles. Through an infraclavicular incision, open resection of the anterior scalene muscle and the anterior aspect of the first rib was performed. With the assistance of endoscopy, the middle scalene muscles and the posterior aspect of the first rib were resected. Preoperative symptoms improved after surgery without any complications. The endoscopic-assisted infraclavicular approach enabled resection of the first rib and scalene muscles, leading to satisfactory outcomes.
KW - Endoscopic-assisted infraclavicular approach
KW - Endoscopy
KW - Infraclavicular approach
KW - Neurologic thoracic outlet syndrome
KW - Thoracic outlet syndrome
UR - http://www.scopus.com/inward/record.url?scp=85156150407&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85156150407&partnerID=8YFLogxK
U2 - 10.1142/S2424835523720086
DO - 10.1142/S2424835523720086
M3 - Article
C2 - 37120303
AN - SCOPUS:85156150407
SN - 2424-8355
VL - 28
SP - 287
EP - 291
JO - The journal of hand surgery Asian-Pacific volume
JF - The journal of hand surgery Asian-Pacific volume
IS - 2
ER -