Article
Surgery
Kaj Johansen
Summary: The study suggests that surgical treatment for NTOS can be successful by adhering to a rigorous preoperative diagnostic regimen, with fibrotic, contracted scalene muscles identified as the cause of NTOS. Removal of the first rib is not necessary for successful treatment, with 90% of patients experiencing significant symptomatic and functional improvement.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Orthopedics
Dingzhang Chen, Wenqing Gong, Jing Wang, Jikun Hao, Rui Zhao, Minjuan Zheng
Summary: This study used high-frequency ultrasonography to summarize the features of thoracic outlet syndrome (TOS) with the lower trunk compression of brachial plexus. The ultrasound data of 27 patients were analyzed and confirmed by surgery, showing that TOS predominantly occurred in females and mostly had unilateral involvement, mainly on the right side. High-frequency ultrasound accurately diagnosed TOS and revealed lower trunk compression, hyperechoic fibromuscular bands, and abnormal bony structures as contributing factors.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Review
Medicine, General & Internal
Nathan Li, Gregor Dierks, Hayley E. Vervaeke, Allison Jumonville, Alan D. Kaye, Dariusz Myrcik, Antonella Paladini, Giustino Varrassi, Omar Viswanath, Ivan Urits
Summary: Thoracic outlet syndrome is a group of disorders causing compression of the brachial plexus and subclavian vessels, leading to symptoms like pain and paresthesia. Initial treatment primarily involves conservative measures, with surgical decompression considered for non-responders.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Clinical Neurology
Jayme Augusto Bertelli, Karine Rosa Gasparelo, Anna Seltser
Summary: This study describes two new clinical tests for studying long thoracic nerve function and predicting the eligibility of C5 and C6 root grafting. Combining clinical assessments, nerve tests, and MRI results accurately predicts the graft eligibility of C5 and C6 roots.
JOURNAL OF NEUROSURGERY
(2022)
Article
Clinical Neurology
Sun Woong Kim, Duk Hyun Sung
Summary: In this study, two N-TOS patients were reported with no abnormalities in electrophysiological studies, but imaging showed compression and displacement of the neurovascular bundle in the thoracic outlet. Both patients presented with sensory symptoms in one arm without neurologic deficits upon examination.
FRONTIERS IN NEUROLOGY
(2021)
Article
Medicine, Research & Experimental
Giuliano De Carolis, Mery Paroli, Alessandro Dario, Emil Isagulyan, Elizaveta Makashova
Summary: The aim of this case series was to assess the safety and effectiveness of peripheral nerve stimulation (PNS) of the brachial plexus performed using a low invasive percutaneous approach with ultrasound guide. Results from an observational study showed that PNS systems of the brachial plexus implanted with percutaneous approach appear to be safe and effective in a follow-up period of 18 months.
Article
Clinical Neurology
Daniel Lubelski, James Feghali, Andrew Hersh, Srujan Kopparapu, Abdel-Hameed Al-Mistarehi, Allan J. Belzberg
Summary: This study aims to survey peripheral nerve surgeons on their management of brachial plexus injuries (BPI) and reveals substantial disagreement among surgeons regarding the optimal timing and treatment methods. The study also highlights the differences in operative approaches and nerve transfer choices for adult and pediatric BPI cases.
CLINICAL NEUROLOGY AND NEUROSURGERY
(2023)
Article
Orthopedics
C. Diner, L. Mathieu, C. Vandendries, C. Oberlin, Z. Belkheyar
Summary: Functional outcomes of elective brachial plexus decompression in patients with neurogenic thoracic outlet syndrome were evaluated. The study involved 17 patients who underwent surgery between 2013 and 2021. Pain relief and paresthesia resolution were achieved in the majority of cases, but hand muscle recovery was not observed. Elective brachial plexus decompression seemed to be a safe procedure with improvements in subjective symptoms.
HAND SURGERY & REHABILITATION
(2023)
Article
Anesthesiology
Patrick Rhyner, Matthieu Cachemaille, Patrick Goetti, Jean-Benoit Rossel, Melanie Boand, Alain Farron, Eric Albrecht
Summary: This study compared the analgesic effect of single injection versus continuous infusion in the setting of multimodal analgesia for major shoulder surgery. The results showed no significant difference in analgesic effect between the continuous infusion group and the single injection group. The findings of this study are limited by biases.
REGIONAL ANESTHESIA AND PAIN MEDICINE
(2023)
Article
Surgery
Jens Goeteyn, Niels Pesser, Marc R. H. M. van Sambeek, Kimberly Vervaart, Bart F. L. van Nuenen, Joep A. W. Teijink
Summary: The study investigated the diagnosis, treatment, and outcomes of surgery for Gilliatt-Sumner hand (GSH), which is characterized by severe pain, muscle atrophy, and weakness in the forearm and hand. The results showed that a combination of physical examination, electrodiagnostic assessments, and high-resolution ultrasound studies can be used to diagnose GSH. Thoracic outlet decompression (TOD) surgery was found to effectively stop muscle atrophy and reduce symptoms in patients with GSH, and some patients also experienced a recovery of motor function.
JOURNAL OF VASCULAR SURGERY
(2022)
Article
Clinical Neurology
Mariano Socolovsky, Karina Barillaro, Gonzalo Bonilla, Gilda Di Masi, Martijn Malessy
Summary: This study investigates the levels of disconnection and reconnection in nerve transfers for brachial plexus injuries. A novel plasticity grading scale was developed and used to assess the volitional control achieved. The study found that only approximately 20% of patients achieved complete control over the reinnervated muscle.
JOURNAL OF NEUROSURGERY
(2023)
Review
Clinical Neurology
Ruhui Xiao, Jiao Chen, Chen Zeng, Xu Feng, Tao Li, Sushant-kumar Das, Bing Li, Chuan Zhang, Hanfeng Yang
Summary: This paper systematically elaborates on brachial plexus neuropathy, morphological and functional imaging, and post-processing. As the incidence of peripheral neurological diseases increases, the precise display of nerves becomes important in imaging examinations.
NEUROLOGICAL SCIENCES
(2022)
Review
Clinical Neurology
Haijun Li, Jinxiu Chen, Juehan Wang, Tianfang Zhang, Zuobing Chen
Summary: Brachial plexus injury (BPI) is a serious peripheral nerve injury that leads to severe and persistent impairments of the upper limb. The demand for rehabilitation treatment after BPI is increasing due to the relatively mature early diagnosis and surgical technique. Rehabilitation intervention can benefit different stages of recovery, but the treatment methods vary due to the complexity of the brachial plexus. This article explores the potential contributions of various methods to BPI rehabilitation and provides a concise overview of beneficial interventions, forming clear rehabilitation processes based on different periods and populations.
FRONTIERS IN NEUROLOGY
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Emily J. J. Davidson, Ek T. T. Tan, Emily G. G. Pedrick, Darryl B. B. Sneag
Summary: Magnetic resonance neurography of the brachial plexus is challenging but can be improved through optimization of imaging techniques, resulting in better image quality and diagnostic confidence for guiding nonoperative and operative management.
INVESTIGATIVE RADIOLOGY
(2023)
Article
Clinical Neurology
Momodou L. Jammeh, Alexander Yang, Ahmmad A. Abuirqeba, J. Westley Ohman, Robert W. Thompson
Summary: Reoperative supraclavicular brachial plexus neurolysis is a safe and effective treatment for recurrent NTOS, leading to significant improvements in symptoms and function.
OPERATIVE NEUROSURGERY
(2022)