Thoracic Outlet Syndrome Thoracic Outlet Syndrome/Brachial Plexopathy. In Memory Of DeAnne Marie.


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Old 05-28-2013, 01:19 AM #11
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Did the ultrasound show compression with your arms down or only raised?

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Thank you Jkl, I appreciate it. I agree with everything you said above.I still believe I have pec minor issues but the tenetomy might not have been the way to go. Sanders did the same thing he def has a cookie cutter approach where he has to do a Scalene block and pec minor block and a new EMG done on everyone. I am lucky about the EMG though, it showed I have positive results on both sides. Kind of similar to Dr Lee situation, wasted my time yet I found out I have the subclavian artery being compressed with the ultrasound he requires for everyone walking through his doors. However I am sure I would have gotten that done with Donahue anyway, only thing is I found that out ahead of time and it will help me (and scare me blah) and definitely help Donahue during my visit with him.
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Old 05-29-2013, 12:19 AM #12
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Did the ultrasound show compression with your arms down or only raised?
Only raised at 180 degrees.
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-6/20/14 Seroma Drainage Right Side

-7/18/13 Re-do of Right sided Supraclavicular Thoracic Outlet Decompression by Resection of Cervical Rib, First Rib, and Neurolysis

-8/30/12 Unsuccessful Right sided Supraclavicular Thoracic Outlet Decompression via Scalenectomy, Brachial Plexus and C2 through T1 Neurolysis, Resection of fibrous band attachment to Cervical Rib and Pectoralis Minor Tenetomy
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Old 05-29-2013, 12:25 AM #13
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I had the same result. I've been told by many doctors that the finding doesn't mean much, as many people without TOS would have the same result. The same goes for the different arm-positional pulse tests for TOS.

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Only raised at 180 degrees.
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Old 05-29-2013, 01:23 AM #14
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I think compression is common but full occlusion is indicative of VTOS and can be used as confirmation of NTOS clinical diagnosis.
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Old 05-29-2013, 12:18 PM #15
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Full occlusion in the ultrasound? As in the artery has 0 velocity? Parbie is that your case?

For me,

left side: arms down-156 cm/sec, arms up-342 cm/sec with some visual narrowing of vessel

right side: arms down - 85cm/sec, arms up-280 cm/sec with some visual narrowing
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Old 05-29-2013, 03:05 PM #16
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Quote:
Originally Posted by fdupshoulders View Post
Full occlusion in the ultrasound? As in the artery has 0 velocity? Parbie is that your case?

For me,

left side: arms down-156 cm/sec, arms up-342 cm/sec with some visual narrowing of vessel

right side: arms down - 85cm/sec, arms up-280 cm/sec with some visual narrowing
My results say "right upper extremity PPG waveforms is diminished with 180 degree arm maneuver."
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-6/20/14 Seroma Drainage Right Side

-7/18/13 Re-do of Right sided Supraclavicular Thoracic Outlet Decompression by Resection of Cervical Rib, First Rib, and Neurolysis

-8/30/12 Unsuccessful Right sided Supraclavicular Thoracic Outlet Decompression via Scalenectomy, Brachial Plexus and C2 through T1 Neurolysis, Resection of fibrous band attachment to Cervical Rib and Pectoralis Minor Tenetomy
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