Skip to main content

Armplexus (Thoracic-outlet-Syndrom)

  • Chapter
Kompressionssyndrome peripherer Nerven

Zusammenfassung

Im Bereich der oberen Thoraxapertur können im Zusammenhang mit verschiedenartigen strukturellen Anomalien Kompressionen des aus dem Truncus inferior des Armplexus und der A. subclavia gebildeten neurovaskulären Bündels eintreten, für die der Terminus „thoracic outlet Syndrome“(TOS) vorgeschlagen wurde (Peet et al. 1956). Entsprechend der kausal als entscheidend angesehenen Strukturen wurden von einzelnen Autoren Unterformen wie etwa das „Skalenus-syndrom“, das „Halsrippen-Syndrom“, das „kostoklavikuläre Syndrom“usw. unterschieden. Da im Einzelfall mehrere anatomische Besonderheiten zu einer Kompression beitragen können und das klinische Bild keine klare Differenzierung dieser Unterformen zuläßt, wird im folgenden der globale Begriff Thoracic-outlet-Syndrom gebraucht und auf die teilweise erst intraoperativ sichtbaren komprimierenden Strukturen im Abschnitt über mögliche Ursachen detailliert eingegangen.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 44.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 59.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Banis, JC., Rich, N., Whelan, TJ., (1977) Ischemia of the upper extremity due to noncardiac emboli. Am J Surg 134: 131–137

    Article  PubMed  Google Scholar 

  • Caldwell, JR., Crance, CR., Krusen, EM., (1971) Nerve conduction studies: An aid in the diagnosis of the thoracic outlet syndrome. South Med J 64: 210–212

    Article  PubMed  CAS  Google Scholar 

  • Carroll, SE., Wilkins, WW., (1970) Two cases of brachial injury following percutaneous arteriograms. CMAJ 102: 861–862

    CAS  Google Scholar 

  • Cherington, M., Happer, I., Machanic, B., Parry, L., (1986) Surgery for thoracic outlet syndrome may be hazardous to your health. Muscle Nerve 9: 632–634

    Article  PubMed  CAS  Google Scholar 

  • Chodoroff, G., Dong, WL., Honet, JC., (1985) Dynamic approach in the diagnosis of thoracic outlet syndrome using somtosensory evoked responses. Arch Phys Med Rehabil 66: 3–6

    PubMed  CAS  Google Scholar 

  • Dale, WA., (1982) Thoracic outlet compression syndrome. Arch Surg 117: 1437–1445

    PubMed  CAS  Google Scholar 

  • Dale, WA., Lewis, MR., (1975) Management of thoracic outlet syndrome. Ann Surg 181: 575–585

    Article  PubMed  CAS  Google Scholar 

  • Daube, JR., (1975) Nerve conduction studies in thoracic outlet syndrome. Neurology 25:347 Dawson, DM., Hallett, M., Millender, LH., ( 1983 ) Entrapment neuropathies. Little & Brown, Boston Toronto

    Google Scholar 

  • Gangahar, DM., Flogaites, T., (1978) Retrosternal dislocation of the clavicle producing thoracic outlet syndrome. J Trauma 18: 369–372

    Article  PubMed  CAS  Google Scholar 

  • Gilliatt, RW., (1984) Thoracic outlet syndromes. In: Dyck, PJ., Thomas, PK., Lambert, EH., Bunge, R., (eds) Peripheral neuropathy, vol II. Saunders, Philadelphia, pp 1409–1424

    Google Scholar 

  • Gilliatt, RW., LeQuesne, PM., Logue, V., Sumner, AJ., (1970) Wasting of the hand associated with a cervical rib or band. J Neurol Neurosurg Psychiatry 33: 615–624

    Article  PubMed  CAS  Google Scholar 

  • Gilliatt, RW., Willison, RG., Dietz, V., Williams, JR., (1978) Peripheral nerve conduction in patients with a cervical rib and band. Ann Neurol 4: 124–129

    Article  PubMed  CAS  Google Scholar 

  • Gilroy, J., Meyer, JS., (1963) Compression of the subclavian artery as a cause of ischaemic brachial neuropathy. Brain 86: 733–745

    Article  PubMed  CAS  Google Scholar 

  • Glover, JL., Worth, RM., Bendick, PJ., Hall, PV., Markand, OM., (1981) Evoked responses in the diagnosis of thoracic outlet syndrome. Surgery 89: 86–93

    PubMed  CAS  Google Scholar 

  • Hempel, GK., Rusher, AH., Wheeler, CG., Hunt, DG., Bukhari, HI., (1981) Supraclavicular resection of the first rib for thoracic outlet syndrome. Am J Surg 141: 213–215

    Article  PubMed  CAS  Google Scholar 

  • Heyden, B., Vollmar, J., (1979) Thoracic outlet syndrome with vascular complications. J Cardiovasc Surg 20: 531–536

    CAS  Google Scholar 

  • Jerret, SA., Cuzzone, LJ., Pasternak, BM., (1984) Thoracic outlet syndrome. Arch Neurol 41: 960–968

    Google Scholar 

  • Kline, DG., Kott, J., Barnes, G., Bryant, L., (1978) Exploration of selected brachial plexus lesions by the posterior subscapular approach. J Neurosurg 49: 872–880

    Article  PubMed  CAS  Google Scholar 

  • Kremer, RM., Ahlquist, RE., (1975) Thoracic outlet compression syndrome. Ann Surg 181:575 Lascelles, RG., Mohr, PD., Neary, D., Bloor, K., (1977) The thoracic outlet syndrome. Brain 100: 601–612

    Article  Google Scholar 

  • Lord, JW., (1981) Thoracic outlet syndromes. NY State J Med 81: 1488–1489

    Google Scholar 

  • Peet, RM., Hendricksen, JD., Gunderson, TP., Martin, GM., (1956) Thoracic outlet syndrome: Evaluation of a therapeutic exercise program. Proc Mayo Clin 31: 281–287

    CAS  Google Scholar 

  • Ovarfordt, PG., Ehrenfeld, WK., Stoney, PJ., (1984) Supraclavicular radical scalenectomy and transaxillary first rib resection for the thoracic outlet syndrome. Am J Surg 148: 111–116

    Article  Google Scholar 

  • Raaf, J., (1955) Surgery for cervical rib and scalenus anticus syndrome. JAMA 157: 219–223

    CAS  Google Scholar 

  • Rainer, GW., Sadler, TR., (1975) Thoracic outlet compression. Application of positional artériographie and nerve conduction studies. J Surg 130: 704

    Article  Google Scholar 

  • Raju, S., Carner, DY., (1981) Brachial plexus compression: Complication of delayed recognition of arterial injuries of the shoulder girdle. Arch Surg 116: 175–178

    PubMed  CAS  Google Scholar 

  • Roos, DB., (1966) Transaxillary approach for first rib resection to relieve thoracic outlet syndrome. Ann Surg 163: 354–358

    Article  PubMed  CAS  Google Scholar 

  • Roos, DB., (1976) Congenital anomalies associated with thoracic outlet syndrome. Am J Surg 132: 771–778

    Article  PubMed  CAS  Google Scholar 

  • Roos, DB., (1982) The place for scalenectomy and first-rib resection in thoracic outlet syndrome. Surgery 92: 1077–1085

    PubMed  CAS  Google Scholar 

  • Ryding, E., Ribbe, E., Rosén, I., Norgren, L., (1985) A neurophysiologic investigation of thoracic outlet syndrome. Acta Chir Scand 151: 327–331

    PubMed  CAS  Google Scholar 

  • Sàllstrôm, J., Thulesius, O., (1982) Non-invasive investigation of vascular compression in patients with thoracic outlet syndrome. Clin Physiol 2: 117–125

    Article  PubMed  Google Scholar 

  • Sanders, RJ., Monsour, JW., Gerber, WF., Adams, WR., Thompson, N., (1979) Scalenectomy versus first rib resection for treatment of the thoracic outlet syndrome. Surgery 85: 109–121

    PubMed  CAS  Google Scholar 

  • Siivola, J., Sulg, I., Pokela, R., (1982) Somatosensory evoked responses as a diagnostic aid in thoracic outlet syndrome. Acta Chir Scand 148: 647–652

    PubMed  CAS  Google Scholar 

  • Siivola, J., Pokela, R., Sulg, I., (1983) Somatosensory evoked responses as a diagnostic aid in thoracic outlet syndrome. Acta Chir Scand 149: 147–150

    PubMed  CAS  Google Scholar 

  • Simon, H., Gryska, PF., Carlson, DH., (1977) The thoracic outlet syndrome as a cause of aneurysm formation, thrombosis, and embolization. South Med J 70: 1282–1284

    Article  PubMed  CAS  Google Scholar 

  • Staal, A., van Voorthuisen, AE., van Dijk, LM., (1966) Neurological complications following arterial catheterisation by the axillary approach. Br J Radiol 39: 115–116

    Article  Google Scholar 

  • Stallworth, JM., Quinn, CJ., Aken, AF., (1977) Is rib resection necessary for relief of thoracic outlet syndrome? Ann Surg 80: 581–592

    Article  Google Scholar 

  • Stallworth, JM., (1982) Diskussionsbeitrag zu Dale (1982) Arch Surg 117: 1442–1443

    Google Scholar 

  • Stöhr,M., (1980) Iatrogene Nervenlàsionen. Thieme, Stuttgart New York

    Google Scholar 

  • Stöhr, M., Bluthardt M (1987) Atlas der klinischen Elektromyographie und Neurographie. 2. Aufl. Kohlhammer, Stuttgart Berlin Köln Mainz

    Google Scholar 

  • Stuecker, FJ., (1985) Periphere neurologische Komplikationen nach percutaner transaxillárer Aortographie. Chirurg 56: 332–336

    Google Scholar 

  • Telford, ED., Mottershead, S., (1948) Pressure at the cervico-brachial junction: An operative and anatomical study. J Bone Joint Surg 30: 249–265

    Google Scholar 

  • Thornburn, W., (1907) The symptoms due to cervical ribs. Med Chron 14: 165–192

    Google Scholar 

  • Urschel, HC., Razzuk, MA., Wood, RE., Parekh, U., Paulson, DL., (1971) Objective diagnosis and current therapy of the thoracic outlet syndrome. Ann Thor Surg 12: 608–620

    Article  Google Scholar 

  • Urschel, HC., Razzuk, MA., Albers, JE., Wood, RE., Paulson, DL., (1976) Reoperation for recurrent thoracic outlet syndrome. Ann Thorac Surg 21: 19–25

    Article  PubMed  Google Scholar 

  • Yo, MN., (1984) Thoracic outlet syndrome: Ten years later. Conn Med 48: 143–146

    Google Scholar 

  • Weber, RJ., Piero, DL., (1978) F wave evaluation of thoracic outlet syndrome: A multiple regression derived F wave latency predicting technique. Arch Phys Med Rehabil 59: 464–469

    PubMed  CAS  Google Scholar 

  • Weibel, J., Fields, W., (1967) Arteriographic studies of thoracic outlet syndrome. Br J Radiol 40: 676–684

    Article  PubMed  CAS  Google Scholar 

  • Wilson, SAK., (1913) Some points in the symptomatology of cervical rib with especial reference to muscular wasting. Proc R Soc Med 6: 133–141

    PubMed  CAS  Google Scholar 

  • Wright, IS., (1945) The neurovascular syndrome produced by hyperabduction of the arms. Am Heart J 157: 1–19

    Article  Google Scholar 

  • Wulff, CH., Gilliatt, RW., (1979) F waves in patients with hand wasting caused by a cervical rib and band. Muscle Nerve 2: 452–457

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Tackman, W., Richter, HP., Stöhr, M. (1989). Armplexus (Thoracic-outlet-Syndrom). In: Kompressionssyndrome peripherer Nerven. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-71768-0_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-71768-0_11

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-71769-7

  • Online ISBN: 978-3-642-71768-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics