Thoracic Outlet Syndrome (Feat. Dr. Mackinnon)

Thoracic Outlet Syndrome
Authors: Mackinnon SE1, Yee A1
Published: May 14, 2016

AUTHOR INFORMATION
1 Division of Plastic and Reconstructive Surgery, Washington University, St. Louis, Missouri

DISCLOSURE
No authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication.

ABSTRACT
This presentation discusses thoracic outlet syndrome (TOS) in the context of compression neuropathies. In particular, this presentation details conservation management of TOS and the pathogenesis of cumulative trauma disorder. Additionally, a case presentation for conservative management is included. When conservative management fails, our surgical management is a thoracic outlet decompression through a scalenectomy of the anterior and middle scalenes. A step-by-step illustrated and technical approach of this procedure is included.

TABLE OF CONTENTS
00:00 Introduction
00:07 Overview
00:12 CONSERVATIVE MANAGEMENT
00:29 Posture and Muscle Imbalance
01:06 Presentation of Thoracic Outlet Syndrome
01:53 Pathogenesis of Cumulative Trauma Disorder
03:19 Case Presentation of Conservative Management
04:49 Scratch Collapse Points for Thoracic Outlet
05:49 Physical Therapy and Outcome Following Conservative Management
07:34 SURGICAL MANAGEMENT
07:38 Controversy on Surgical Management for Thoracic Outlet Syndrome
09:22 Thoracic Outlet Decompression
09:26 Illustrations for Scalenectomy
10:47 Illustrations for 1st Rib Resection
11:17 Surgical Technique for Scalenectomy
13:04 Conclusion