THORACIC-OUTLET AND THORACIC-INLET-SYNDRO ME

Under certain circumstances patients with a constitutional predisposit ion, mainly with a cervical rib or atypical ligaments and bands may de velop a Thoracic-Outlet-Syndrome. Symptomatic disease shows neurogenic , arterial and venous signs. Diagnostic tools like provocative maneuve rs are suggestive, but sonography, arteriography and phlebography can demonstrate a compression of arterial or venous structures. Transaxill ary first rib resection should be considered, when conservative treatm ent has failed.