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Thoracic outlet syndrome (TOS) is a condition in which there is compression of the nerves, arteries, or veins in the superior thoracic aperture, the passageway from the lower neck to the armpit, also known as the thoracic outlet. [1] There are three main types: neurogenic, venous, and arterial. [1]
The superior thoracic aperture is essentially a hole surrounded by a bony ring, through which several vital structures pass. It is bounded by: the first thoracic vertebra (T1) posteriorly; the first pair of ribs laterally, forming lateral C-shaped curves posterior to anterior; and the costal cartilage of the first rib and the superior border of the manubrium anteriorly.
Thrombolysis is typically performed prior to first rib resection for venous thoracic outlet syndrome. First rib resection is indicated for venous , arterial , and neurogenic TOS. [ 1 ] In all cases, the goal of the operation is to increase the dynamic space between the chest wall and the clavicle , through which the subclavian vein, artery, and ...
The trunk of the body contains, from superior to inferior, the thoracic region encompassing the chest [1] the mammary region encompassing each breast; the sternal region encompassing the sternum; the abdominal region encompassing the stomach area; the umbilical region is located around the navel; the coxal region encompassing the lateral (side ...
If a rib is fractured in such a way that it might puncture a vital organ, it may be safer to remove it than wait for it to heal. [1] A cancerous rib may be removed to stop the cancer from spreading. [1] Rib bone material may be used for a bone graft. [1] The excess pressure of thoracic outlet syndrome may be reduced by rib removal. [1]
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By this method, body diagrams can be derived by pasting organs into one of the "plain" body images shown below. This method requires a graphics editor that can handle transparent images, in order to avoid white squares around the organs when pasting onto the body image. Pictures of organs are found on the project's main page. These were ...
thoracic outlet syndrome Adson's sign is the loss of the radial pulse in the arm by rotating head to the ipsilateral side with extended neck following deep inspiration. It is sometimes used as a sign of thoracic outlet syndrome (TOS). [ 1 ]