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The Journal of Thoracic and Cardiovascular Surgery, Vol 77, 169-174, Copyright © 1979 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
EC McGough, MB Pearce and JP Byrne
Twelve hundred patients with thoracic outlet syndrome have been managed
between 1973 and 1978. Diagnosis was based on a careful history and
detailed physical examination designed to establish the presence of
brachial plexus irritation. The cervical spine was evaluated and nerve
conduction studies were obtained. All patients were initially treated with
a comprehensive physical therapy program. One hundred thirteen patients had
transaxillary first rib resections. Eighty percent of surgical patients had
complete relief of symptoms and 13 percent were improved. Seven percent
were unimproved and none was made worse by operation. There were no
operative deaths. Complications occurred in 3 percent, and there were no
recurrences requiring operation. This management plan reduced the number of
patients requiring operation to 9.4 percent while maintaining satisfactory
surgical results.
ARTICLES
Management of thoracic outlet syndrome
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