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J. Manly Stallworth, MD; Jane B. Horne, RVT

Arch Surg. 1984;119(10):1149-1151.

Abstract
• During the past 15 years, using plethysmography and maneuvers originally described by other researchers, we have tested 1,140 patients who had thoracic outlet symptoms. The vascular compression was recorded noninvasively, which also reflected the pressure on accompanying nerves in the brachial bundle. If the neurologic symptoms were reproduced at this time, the diagnosis of thoracic outlet syndrome was positive. Following exercise treatment (without improvement), 194 patients underwent operative exploration. By performing costoclavicular and hyperabduction maneuvers during axillary exploration, the tissue causing compression was identified and the muscle, bone, or tendon was divided or resected. Division of soft tissues in 180 patients resulted in improvement in the conditions of 173 patients (96%). Bone resection allowed relief of symptoms in six (43%) of 14 patients.

(Arch Surg 1984;119:1149-1151)

Author Affiliations
From the Department of Surgery (Dr Stallworth) and the Vascular Laboratory (Ms Horne), Roper Hospital, Charleston, SC; and the Department of Surgery, Medical University of South Carolina, Charleston (Dr Stallworth).

Footnotes
Accepted for publication June 13, 1984.

Reprint requests to Vascular Laboratory, Roper Hospital, 316 Calhoun St, Charleston, SC 29401 (Dr Stallworth).

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