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

Frontiers in Cardiovascular Medicine

Cardiovascular Medicine

Giuseppe Camporese¹  Chiara Tonello¹  Enrico Bernardi²  Pierpaolo Di Micco³  Paolo Simioni⁴  Andrea Venturin⁵  Beatrice Forcato⁵  Stefano Masiero⁵  Alice Pellizzaro⁵  Daniele Toninato⁵  Alessandro Strullato⁵  Alessandra Schiavon⁵  Francesca Caneva⁵  Andrea Zuin⁶  Federico Rea⁶  Roberto Stramare⁷  Michele Piazza⁸  Franco Grego⁸  Francesco Squizzato⁸ 

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

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

DOI  :  10.3389/fcvm.2022.802183

 received in 2021-10-26, accepted in 2022-02-28,  发布年份 2022

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】

Unknown   
Copyright © 2022 Camporese, Bernardi, Venturin, Pellizzaro, Schiavon, Caneva, Strullato, Toninato, Forcato, Zuin, Squizzato, Piazza, Stramare, Tonello, Di Micco, Masiero, Rea, Grego and Simioni.