77th ASSH Annual Meeting - Back to Basics: Practice and Education-IC38: Neurogenic Thoracic Outlet: Primer for the Hand Surgeon (AM22)

Video Transcription

Video Summary

In this video transcript, a panel of experts discuss neurogenic thoracic outlet syndrome (TOS), a condition characterized by upper extremity symptoms due to compression of the nerves or blood vessels in the area between the first rib and the clavicle. They discuss the clinical presentation, non-surgical management, and surgical options for treating this condition. Diagnostic injections, therapeutic injections, and physical therapy are discussed as treatment options. The experts also discuss the surgical approaches for TOS, including the transaxillary and supraclavicular approaches. They emphasize the importance of ruling out other causes of upper extremity symptoms and use diagnostic injections to make a definitive diagnosis. The panel agrees that surgery may be necessary for patients who fail conservative management or have significant symptoms and provide insights into the decision-making process for surgical intervention. Overall, the experts stress the importance of individualized treatment plans based on the patient's specific symptoms and needs.

Meta Tag

Session Tracks Nerve

Session Tracks Shoulder/Elbow

Speaker Cesar J. Bravo, MD

Speaker Erin Ransom, MD

Speaker Jayme A. Bertelli, MD, PhD

Speaker Kathryn Larson

Speaker Peter J. Apel, MD, PhD

Speaker Zhongyu J. Li, MD, PhD

Keywords

neurogenic thoracic outlet syndrome

upper extremity symptoms

compression

nerves

blood vessels

first rib

clavicle

diagnostic injections

surgical options

physical therapy

individualized treatment plans