FAQ/Help |
Calendar |
Search |
Today's Posts |
|
Thoracic Outlet Syndrome Thoracic Outlet Syndrome/Brachial Plexopathy. In Memory Of DeAnne Marie. |
Reply |
|
Thread Tools | Display Modes |
|
09-12-2013, 11:08 PM | #1 | ||
|
|||
Junior Member
|
Hi there- I will be doing a scalenectomy only surgery as well. Mine is scheduled for Olctober...
|
||
Reply With Quote |
09-12-2013, 11:36 PM | #2 | |||
|
||||
Member
|
|
|||
Reply With Quote |
09-12-2013, 11:41 PM | #3 | ||
|
|||
Junior Member
|
My doc doesn't think I need it. I had a positive scalene block and he also said that in many of the surgeries he has seen a artery or fiber our bands rubbing on top of the brachial plexus.
I am going to talk to some of his patients before the surgery next month. |
||
Reply With Quote |
09-13-2013, 12:07 AM | #4 | |||
|
||||
Member
|
i would get a 2nd and 3rd
|
|||
Reply With Quote |
09-13-2013, 02:30 PM | #5 | ||
|
|||
Junior Member
|
Surgery. 1979 Jan;85(1):109-21.
Scalenectomy versus first rib resection for treatment of the thoracic outlet syndrome. Sanders RJ, Monsour JW, Gerber WF, Adams WR, Thompson N. Abstract Five years ago a follow-up study of first rib resections disclosed a recurrence rate of over 15%. Many patients were reexplored supraclavicularly, and in every case the anterior scalene muslce was found to be reattached to the bed of the first rib. Scalenectomy invariably was successful, which led to this study of scalenctomy as the first operation for all cases of persistent thoracic outlet syndrome (TOS). The study revealed that most patients with TOS gave a history of neck trauma and had symptoms not only of paraesthesias of the hands and weakness of the arms, but also of neck pains and headaches. The common physical findings were tenderness over the scalene muscles and duplication of symptoms with the arms raised. A scalene muslce block with a local anesthetic was the most useful diagnostic test. The good-to-excellent long-term results following 239 scalenctomies and 214 first rib resections were almost identical, 68% and 70%, respectively, with fair results in 20% and 13%, respectively. In patients with a history of neck trauma followed by headache, neck pain, arm weakness, and parasthesias in the hand, anterior and middle scalenectomy should be considered. On the other hand, first rib resection is recommended for patients with no history of neck trauma and symptoms limited to the arm and hand, particularly those patients with signs of arterial or venous insufficiency. |
||
Reply With Quote |
09-13-2013, 05:02 PM | #6 | ||
|
|||
Member
|
And isn't getting the rib removed a more traumatic surgery? More cutting and more scar tissue and more things to workaround as the rib is removed.
Good luck with your scalenectomy, @per834. |
||
Reply With Quote |
09-13-2013, 05:16 PM | #7 | ||
|
|||
Member
|
Quote:
|
||
Reply With Quote |
03-02-2015, 01:34 PM | #8 | ||
|
|||
Junior Member
|
I just had a rib resection, pec minor release, and basically a scalene release. I thought that they would remove the scalennes completely, but in my case they just detached them from the bottom as they removed the rib. The muscles shrunk back about an inch.
|
||
Reply With Quote |
09-27-2013, 09:04 PM | #9 | ||
|
|||
Member
|
Quote:
What I dont understand about that study is if the 1strib & muscle is removed, how could the muscle reattach itself to the rib? It doesn't make sense! I would look at newer studies there are a lot on pudmed. Where are u having ur surgery? Best of Luck to u! |
||
Reply With Quote |
09-28-2013, 01:52 PM | #10 | ||
|
|||
Junior Member
|
Hi- I'm having the surgery on 23rd of October at UCSD.
Dr. Brown has done a lot of theses surgeries and he said he has even seen an artery sitting on top of the brachial plexus, causing all the pain. I had a positive scalene block and I was in a car accident when I was in my 20s (with severe whiplash). Fingers crossed... |
||
Reply With Quote |
Reply |
|
|
Similar Threads | ||||
Thread | Forum | |||
Scalenectomy | Thoracic Outlet Syndrome | |||
scalenectomy vs. first rib resectioning | Thoracic Outlet Syndrome |