Main description:

This extensively revised edition is an essential reference for physicians involved in the diagnosis, referral and treatment of the thoracic outlet syndrome (TOS). TOS is made up of a constellation of problems resulting from pathology at the thoracic outlet in the neck. Busy specialty practice sees multiple affected patients in every clinic, but TOS can often be difficult to diagnosis.

Thoracic Outlet Syndrome explores all possible ancillary care issues surrounding this complex condition, including rehabilitation, disability, natural history and medicolegal issues, and aims to stimulate research, discussion and a sense of community between professionals involved in this area. Vascular and thoracic surgeons, neurosurgeons, neurologists, psychiatrists and psychologists, physical therapists, occupational medicine specialists and pain specialists will find this book a must read for successful treatment, referral and diagnosis of TOS in clinical practice.

Contents:

1. A Brief History of the Thoracic Outlet Compression Syndromes,

2. Embryology of the Thoracic Outlet

3. Evolutionary and developmental issues of cervical ribs/ Evolutionary issues of cervical ribs

4. Anatomy of the thoracic outlet and related structures

5. TOC: Clinical incidence and Scope of the Problem

6. Pathology and Pathophysiology of NTOS

7. NTOS for the Primary Care Team: When to Consider the Diagnosis?

8. Diagnosis Of Neurogenic Thoracic Outlet Syndrome:2016 Consensus Guidelines And Other Strategies

9. Differential diagnosis in Patients with possible NTOS

10. Increasing objectivity in the diagnosis of NTOS: The East-meter

11. A closer look at QuickDASH and CBSQ: what do they tell us?

12. Scalene Test Blocks in patients with possible Neurogenic TOS

13. Electrophysiological Assessment and Nerve Function in NTOS

14. Pectoralis Minor Syndrome

15. Double Crush Syndrome

16. Unusual Nerve Entrapments and Neuropathic Syndromes of the Neck and Shoulder

17. Cross-sectional imaging in thoracic outlet syndrome

18. Ergonomic, Postural Issues, and Repetitive Stress Issues in NTOS

19. Psychiatric and psychologic issues in NTOS

20. Pathways Of Care And Treatment Options For Patients With Neurogenic Tos

21. Physical Therapy as Primary Treatment for Neurogenic TOS

22. Chiropractic and Nontraditional Treatment of NTOS

23. Anesthesia For Thoracic Outlet Decompression

24. Regional anesthesia for thoracic outlet decompression

25. Surgical Techniques: Operative Decompression Using the Transaxillary Approach for NTOS''

26. Surgical Techniques: Operative Decompression Using The Supraclavicular Approach For Neurogenic Thoracic Outlet Syndrome

27. Surgical Techniques: Operative Decompression Using Thoracoscopic Approach for Neurogenic Thoracic Outlet Syndrome

28. Surgical Techniques: Pectoralis Minor Tenotomy for NTOS

291Surgical Techniques: Dorsal Cervico-Thoracic Sympathectomy

30. Botulinim Toxin Injection and Advanced Interventional Techniques for NTOS and Cervical Brachial Syndrome

31. Ntos In The Competitive Athlete

32. Neurogenic TOS in Children

33. Recurrent and Residual Neurogenic Thoracic Outlet Syndrome

34. Controversies in NTOS: What testing is needed to establish the diagnosis?

35. Botulinum Toxin Injections for Neurogenic Thoracic Outlet Syndrome

36. What do the results of conservative therapy tell us about the need for surgery:Lack of Improvement means surgery is indicated

37. Point/Counterpoint: What does the result of conservative therapy tell us about the need for surgery? Improvement means surgery is indicated

38. Controversies in NTOS: Transaxillary or Supraclavicular First Rib Resection in NTOS? Arguments Pro and Con the Transaxillary approach In Favor of Transaxillary First Rib resection

39. Point/Counterpoint: Supraclavicular Decompression Is The Best Approach For Neurogenic Thoracic Outlet Syndrome

40. Does the first rib always need to be removed?

41. Controversies in NTOS: What is the evidence supporting brachial plexus neurolysis and wrapping

42. Neurogenic Tos: Early Postoperative Care

43. Perioperative Pain Management for Thoracic Outlet Syndrome Surgery

44. Rehabilitation after First Rib Resection

45. Outcomes After Treatment of NTOS

46. Management of Nerve Dysfunction after First Rib Resection

47. Management of Coexisting Factors Complicating NTOS

48. Treatment for Thoracic Outlet Syndrome - A UK Perspective

49. Neurogenic TOS in the United Kingdom: A Consultant Orthopaedic Physiotherapist's view

50. Diagnosis and treatment of thoracic outlet syndrome in The Netherlands.

51. Research Directions in Neurogenic Thoracic Outlet Syndrome

52. Anatomy and Pathophysiology of Venous Thoracic Outlet Syndrome

53. Diagnosis of VTOS: 2016 Consensus guidelines

54. Imaging in VTOS

55. VTOS for the PCP- When to Consider the Diagnosis

56. Hypercoagulable Conditions and VTOS

57. VTOS in the Competitive Athlete

58. Thoracic Outlet Syndrome in Hemodialysis Patients

59. Differential Diagnosis, Decision-Making, and Pathways of Care: Acute Thrombosis and Non-thrombotic Positional compression.

60. Management Of Chronic Venous Thoracic Outlet Syndrome

61. Conservative (Non-Operative) Treatment of VTOS

62. Thrombolysis and Balloon Venoplasty for Subclavian Vein Thrombosis

63. Surgical Techniques: Operative Decompression Using the Transaxillary Approach for Venous Thoracic Outlet Syndrome

64. Surgical Techniques: Operative Decompression Using the Infraclavicular Approach for VTOS with Intraoperative Venography

65. Surgical Techniques: Operative Decompression Using The Paraclavicular Approach For Venous Thoracic Outlet Syndrome

66. The Robotic Transthoracic Approach for Venous Thoracic Outlet Syndrome

67. Medial Claviculectomy for VTOS

68. Advanced Surgical Techniques in Venous Thoracic Outlet Syndrome

69. Point/Counterpoint: Is Thrombolysis Always Required in patients with effort thrombosis? b) NO - it is not always indicated

70. Management of Residual Stenosis after thrombolysis

71. First Rib Resection is always needed after thrombolysis

72. Controversies in VTOS: Is thrombolysis alone sufficient treatment for VTOS?: YES

73. Controversies in venous thoracic outlet syndrome: timing of first rib resection after thrombolysis

74. Controversies in VTOS: What Is the Best Approach for VTOS?

75. Controversies in VTOS: What Is the Best Approach to the First Rib in VTOS?

76. Point/Counterpoint: Paraclavicular Decompression Is The Best Approach For Venous Thoracic Outlet Syndrome

77. Controversies in Venous Thoracic Outlet Syndrome: Is There a Role for Venous Stents?

78. Venous Tos: Early Postoperative Care

79. Controversies in VTOS: How Long Should Anticoagulation Be Used in VTOS?

80. VTOS: Management of the contralateral side and asymptomatic compression

81. Outcomes After Treatment of VTOS

82. Assessment and treatment of recurrent Venous thoracic outlet syndrome

83. Anatomy and Pathophysiology of ATOS

84. Clinical Presentation and Patient Evaluation in ATOS

85. ATOS Consensus Guidelines

86. The axillary artery and humeral head in ATOS

87. Quadrilateral Space Syndrome

88. Arterial Thoracic Outlet Syndrome In The Competitive Athlete

89. Decision-Making and Pathways of Care for ATOS

90. Surgical Techniques: Endovascular Intervention for Arterial Thoracic outlet Syndrome

91. Axillosubclavian Artery Repair and Reconstruction

92. Upper Extremity Fasciotomy After Arterial Embolization

93. Quadrilateral Space Syndrome and Management of the Posterior Circumflex Humeral Artery

94. Management Of Digital Emboli, Vasospasm, And Ischemia

95. Outcomes After Treatment of Arterial Thoracic Outlet Syndrome

96. Recurrent and residual ATOS

97. Medicolegal Issues in TOS

98. Disability and Workers' Compensation Issues in TOS

99. Special Considerations in the Elite High Profile Athlete

100. Combined and Secondary Forms of TOS

101. TOS: The Perspective of the Patient

102. Venous TOS: The Perspective of the Patient

103. TOS, the Internet and Social Media

104. Establishing a TOS-Focused Practice