1. Post-Traumatic Thoracic Outlet Syndromes
- Author
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André Barret, Jean-Pierre Bossavy, Jerome Cau, Laurent Casbas, Xavier Chauffour, Dominique Midy, and Jean-Claude Baste
- Subjects
Adult ,Male ,Thoracic outlet ,medicine.medical_specialty ,Thoracic Injuries ,Joint Dislocations ,Subclavian Artery ,Subclavian Vein ,Fractures, Bone ,Aneurysm ,Ischemia ,medicine.artery ,medicine ,Humans ,cardiovascular diseases ,Bony Callus ,Vein ,Subclavian artery ,Aged ,Retrospective Studies ,Thoracic outlet syndrome ,business.industry ,Accidents, Traffic ,Thrombosis ,Hypertrophy ,General Medicine ,Middle Aged ,Vascular surgery ,medicine.disease ,Clavicle ,Surgery ,Pseudarthrosis ,Thoracic Outlet Syndrome ,Treatment Outcome ,medicine.anatomical_structure ,Athletic Injuries ,Orthopedic surgery ,cardiovascular system ,Female ,Cardiology and Cardiovascular Medicine ,business ,Follow-Up Studies - Abstract
This retrospective study aims to clarify the mechanisms, frequency, symptoms, treatment, and outcome of post-traumatic thoracic outlet syndromes. A total of 13 patients (7 men and 6 women) with a mean age of 41 +/- 16 years were studied. Underlying injuries resulted from sports, road, and household accidents. Bone lesions were pseudarthrosis, hypertrophic callus, and luxations. Congenital anomalies were observed in five patients (38%). Vascular lesions included aneurysm of the subclavian artery or vein, acute ischemia, and subclavian vein thrombosis. Operative treatment involving orthopedic and/or vascular surgery was indicated in all patients. Post-traumatic thoracic outlet syndrome occurs in young subjects after violent trauma. Vascular complications are frequent and severe. Treatment achieves good results but benefits may be diminished by bone or nerve involvement.
- Published
- 2005