Diagnostic and Therapeutic Management of the Thoracic Outlet Syndrome. Review of the Literature and Report of an Italian Experience

Frontiers in Cardiovascular Medicine

article

Giuseppe Camporese¹  Enrico Bernardi²  Andrea Venturin³  Alice Pellizzaro³  Alessandra Schiavon³  Francesca Caneva³  Alessandro Strullato³  Daniele Toninato³  Beatrice Forcato³  Andrea Zuin⁴  Francesco Squizzato⁵  Michele Piazza⁵  Roberto Stramare⁷  Chiara Tonello¹  Pierpaolo Di Micco⁸  Stefano Masiero³  Federico Rea⁴  Franco Grego⁵  Paolo Simioni⁹ 

[1] Angiology Unit, Department of Cardiac, Thoracic and Vascular Sciences and Public Health, Padua University Hospital;Department of Emergency and Accident Medicine, Hospital of Treviso;Physical Medicine and Rehabilitation Unit, Department of Neurosciences, Padua University Hospital;Thoracic Surgery, Department of Cardiac, Thoracic and Vascular Sciences and Public Health, Padua University Hospital;Vascular Surgery, Department of Cardiac, Thoracic and Vascular Sciences and Public Health, Padua University Hospital;Department of Medicine DIMED, Institute of Radiology, Padua University Hospital;Unit of Advanced Clinical and Translational Imaging, Department of Medicine, University Hospital of Padua;Department of Internal Medicine and Emergency Room, Naples Buon Consiglio Fatebenefratelli Hospital;Department of Internal Medicine, General Medicine Unit, Thrombotic and Haemorrhagic Disorders Unit, University Hospital of Padua

关键词: diagnosis;    treatment;    thoracic outlet syndrome;    surgery;    rehabilitation;   

DOI  :  10.3389/fcvm.2022.802183

学科分类：地球科学(综合)

来源: Frontiers

【 摘 要 】

The Thoracic Outlet Syndrome is a clinical potentially disabling condition characterized by a group of upper extremity signs and symptoms due to the compression of the neurovascular bundle passing through the thoracic outlet region. Because of the non-specific nature of signs and symptoms, to the lack of a consensus for the objective diagnosis, and to the wide range of etiologies, the actual figure is still a matter of debate among experts. We aimed to summarize the current evidence about the pathophysiology, the diagnosis and the treatment of the thoracic outlet syndrome, and to report a retrospective analysis on 324 patients followed for 5 years at the Padua University Hospital and at the Naples Fatebenefratelli Hospital in Italy, to verify the effectiveness of a specific rehabilitation program for the syndrome and to evaluate if physical therapy could relieve symptoms in these patients.

【 授权许可】

CC BY