ReviewDeutsches Arzteblatt international2022
Neurogenic Thoracic Outlet Syndrome—Presentation, Diagnosis, and Treatment.
Review in Deutsches Arzteblatt international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 20 citations in OpenAlex.
- Imaging of Neurovascular Compression in Thoracic Outlet Syndrome.Annals of neurology · 2026Article
- Article
- Management of Supraclavicular Nerve Transection With Regenerative Peripheral Nerve Interface During Neurogenic Thoracic Outlet Decompression.Plastic and reconstructive surgery. Global open · 2026Article
- Evidence-Based Diagnostic and Therapeutic Methods for Thoracic Outlet Syndrome: A Systematic Review.Cureus · 2026Review
- Physical assessment and rehabilitation for neurogenic thoracic outlet syndrome (NTOS): A scoping review.Hand therapy · 2026Review
- Brachial Plexopathies.Current sports medicine reports · 2026Article
- Complications and clinical benefits of the combined supra- and infraclavicular approach in neurogenic thoracic outlet syndrome.Surgical neurology international · 2026Article
- Quality of life and work status in patients treated for neurogenic thoracic outlet syndrome via the microsurgical supraclavicular approach - an observational study.Brain & spine · 2026Article
- Article
- Ultrasound-Guided the Prevertebral Fascia Incise and the C5 Root Hydrodissection for the Treatment of Neurogenic Thoracic Outlet Syndrome: an Application Study.Journal of pain research · 2025Article
- T1 erector spinae plane block for first rib resections in patients with thoracic outlet syndrome: a case series.Proceedings (Baylor University. Medical Center) · 2024Article
- Intractable pain due to thoracic outlet syndrome successfully treated with percutaneous epidural adhesiolysis: A case report.SAGE open medical case reports · 2024Article
- Robotic First Rib Resection in Thoracic Outlet Syndrome: A Systematic Review of Current Literature.Journal of clinical medicine · 2023Review
- Don't Forget the Facet Joint Syndrome.Deutsches Arzteblatt international · 2023Article
- In Reply.Deutsches Arzteblatt international · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThoracic outlet syndrome (TOS) refers to a group of disorders in which there is compression of and/or damage to the neurovascular structures at the thoracic outlet, i.e., at the transition from chest to neck. The incidence of neurogenic thoracic outlet syndrome (nTOS) is estimated to be 2-3 / 100 000 / year, with an estimated prevalence of 10 / 100 000. Patients present with upper extremity sensorimotor symptoms that are often related to movement. The aim of the present article is to highlight the clinical presentation patterns of nTOS and to provide an overview of its diagnosis and treatment.
methodsSelective literature search for prospective observational studies and RCTs, including systematic reviews and metaanalyses.
resultsThere is no multicenter randomized controlled trial available on the treatment of nTOS. Prospective observational studies with a hierarchical study design report a positive effect of physiotherapy in 27-59% of cases. After unsuccessful conservative treatment, up to 56-90% benefit from surgical management. Patients with nTOS are more severely affected compared with those with other forms of TOS and benefit less from transaxillary first rib resection. nTOS patients who underwent supraclavicular decompression without rib resection had excellent surgical outcomes in 27%, good outcomes in 36%, acceptable outcomes in 26%, and poor surgical outcomes in 11% of cases. There is no systematic comparison available of the types of surgical management involved. Also, there is currently no uniform classification available for all medical sub-disciplines. Therefore, interpretation, and comparability of the study results are limited.
conclusionAlthough nTOS is the most common form of TOS, studies on its treatment are currently limited in terms of numbers and quality. The type of surgical management varies according to the experience and preference of the surgeon, treating specialty, special anatomic features, and clinical symptoms.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.