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Thoracic outlet syndrome (TOS) is classified as neurogenic, venous, or arterial, depending on whether the brachial plexus nerves, subclavian vein, or subclavian artery is compressed. In this retrospective study from a referral practice, Johns Hopkins surgeons describe their experience with 538 consecutive patients who underwent first rib resection for TOS between 2003 and 2013.
Most cases were neurogenic (52%) or venous (44%); only 4% were arterial. Mean age was in the 30s for all three groups. Women were 78%, 55%, and 64% of the three groups, respectively. Surgery was performed for patients with neurogenic TOS who did not respond to 8 weeks of physical therapy; for vascular TOS, surgery was performed when patients presented with thrombosis …