We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Supraclavicular Scalenectomy for Thoracic Outlet Syndrome—Functional Outcomes Assessed Using the DASH Scoring System.
- Authors
Glynn, Ronan W.; Tawfick, Wael; Elsafty, Zahrah; Hynes, Niamh; Sultan, Sherif
- Abstract
Introduction: To evaluate supraclavicular scalenectomy ± cervical rib excision for thoracic outlet syndrome (TOS), employing Disability of Arm, Shoulder, and Hand (DASH) scoring for functional assessment post-decompression. Methods: A QuickDASH score was calculated for each patient using the algorithm: ([sum of responses/n] − 1) × 25, where n = number of completed responses. Nonparametric analysis was employed, with significance defined as P ≤ .05. Results: Twenty-one patients were treated for TOS by the same surgeon; with 5 bilateral procedures (total = 26 procedures). Median DASH scores pre- and postoperatively were 68.5 and 36.0, respectively (P = .002). Just one reported worsening of symptoms postoperatively. Antecedent trauma and smoking were inversely associated with DASH score postoperatively (P = .005 and P = .005). Postoperative scores were less for patients with vascular symptoms (P = .011); scores did not change significantly for those with neurologic (P = .066) or mixed symptoms (P = .345). Conclusions: This study reconfirmed the value of supraclavicular approach for TOS, with the vast majority reporting subjective improvement.
- Subjects
SURGICAL decompression; ARM innervation; RIB surgery; NECK muscles; FUNCTIONAL assessment; HAND; HEALTH outcome assessment; QUESTIONNAIRES; SHOULDER; STATISTICS; THORACIC outlet syndrome; U-statistics; DATA analysis; TREATMENT effectiveness; DATA analysis software; DESCRIPTIVE statistics; INNERVATION; SURGERY
- Publication
Vascular & Endovascular Surgery, 2012, Vol 46, Issue 2, p157
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574411434164