{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T18:53:25Z","timestamp":1790535205378,"version":"4.1.0"},"reference-count":42,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,4,17]],"date-time":"2017-04-17T00:00:00Z","timestamp":1492387200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,4,17]],"date-time":"2017-04-17T00:00:00Z","timestamp":1492387200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2017,4,17]],"date-time":"2017-04-17T00:00:00Z","timestamp":1492387200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","arthroscopyjournal.org","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To describe an all\u2010endoscopic technique for infra\u2010 and supraclavicular brachial plexus (BP) neurolysis and to assess its functional outcomes for patients suffering from nonspecific neurogenic thoracic outlet syndrome (NTOS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between January 2010 and January 2013, 36 patients presenting an idiopathic nonspecific NTOS benefited from an endoscopic decompression in our institution. The inclusion criteria were a typical clinical NTOS and failure of a 6\u2010month well\u2010conducted nonsurgical treatment. Preoperative findings about other shoulder conditions and complementary procedures were exclusion criteria. Interscalene, costoclavicular, and retropectoralis minor spaces were released endoscopically. The primary endpoint was the Disability of the Arm, Shoulder and Hand (DASH) score improvement 6\u00a0months after the surgery. Postoperative criteria such as pain relief, paresthesia, upper limb weakness, and provocative tests were also assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 36 patients, 10 were excluded and 5 were lost during follow\u2010up. The data of the 21\u00a0remaining patients were analyzed after 6\u00a0months. Pre\u2010 and postoperative mean DASH scores were, respectively, 70 (range 36\u201098) and 34 (range 2\u201091). The average improvement was 36 (range\u00a0\u221220 to 80), with\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .0002. Pain and paresthesia were relieved in 80% to 90% of the cases. No complication was reported.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although requiring arthroscopic skills and expert knowledge of the anatomy, our technique seems to be safe and reproducible, and it provides significant functional improvements in the selected patients with nonspecific NTOS, with an average postoperative DASH score improvement of 36%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2017.01.050","type":"journal-article","created":{"date-parts":[[2017,4,17]],"date-time":"2017-04-17T16:45:28Z","timestamp":1492447528000},"page":"1449-1457","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":34,"title":["All\u2010Endoscopic Brachial Plexus Complete Neurolysis for Idiopathic Neurogenic Thoracic Outlet Syndrome: A Prospective Case Series"],"prefix":"10.1002","volume":"33","author":[{"given":"Thibault","family":"Lafosse","sequence":"first","affiliation":[{"name":"Alps Surgery Institute Clinique G\u00e9n\u00e9rale d'Annecy Annecy France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malo","family":"Le Hanneur","sequence":"additional","affiliation":[{"name":"Department of Hand Upper Limb and Peripheral Nerve Surgery Georges\u2010Pompidou European Hospital Assistance Publique\u2013H\u00f4pitaux de Paris Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurent","family":"Lafosse","sequence":"additional","affiliation":[{"name":"Alps Surgery Institute Clinique G\u00e9n\u00e9rale d'Annecy Annecy France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,4,17]]},"reference":[{"key":"e_1_2_2_2_2","first-page":"376","article-title":"Thoracic outlet syndrome: Current concepts, imaging features, and therapeutic strategies","volume":"44","author":"Buller L.T.","year":"2015","journal-title":"Am J Orthop"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.33.5.615"},{"key":"e_1_2_2_4_2","first-page":"CD007218","article-title":"Treatment for thoracic outlet syndrome","author":"Povlsen B.","year":"2010","journal-title":"Cochrane Database Syst Rev."},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-010-0163-1"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(45)90593-X"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2011.02.010"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(89)90005-0"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.semvascsurg.2015.02.001"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.11.045"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2010.02.022"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.06.008"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2009.12.010"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2010.09.009"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2010.12.003"},{"key":"e_1_2_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2006.10.003"},{"key":"e_1_2_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2005.03.013"},{"key":"e_1_2_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2004.04.057"},{"key":"e_1_2_2_19_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01830"},{"key":"e_1_2_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2014.04.003"},{"key":"e_1_2_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mporth.2009.08.008"},{"key":"e_1_2_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mporth.2009.09.005"},{"key":"e_1_2_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.main.2015.08.007"},{"key":"e_1_2_2_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2007.07.013"},{"key":"e_1_2_2_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-802653-3.00085-3"},{"key":"e_1_2_2_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.main.2012.01.001"},{"key":"e_1_2_2_27_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1368167"},{"key":"e_1_2_2_28_2","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/927456"},{"key":"e_1_2_2_29_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2006-923853"},{"key":"e_1_2_2_30_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1348312"},{"key":"e_1_2_2_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2014.12.046"},{"key":"e_1_2_2_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2014.11.047"},{"key":"e_1_2_2_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0712(03)00078-7"},{"key":"e_1_2_2_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuchi.2009.07.005"},{"key":"e_1_2_2_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2003.12.050"},{"key":"e_1_2_2_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-0712(03)00085-4"},{"key":"e_1_2_2_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2013.08.018"},{"key":"e_1_2_2_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2015.05.037"},{"key":"e_1_2_2_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbspin.2007.11.006"},{"key":"e_1_2_2_40_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.10.023"},{"key":"e_1_2_2_41_2","doi-asserted-by":"publisher","DOI":"10.1186\/1749-799X-8-40"},{"key":"e_1_2_2_42_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.67.5.602"},{"key":"e_1_2_2_43_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surneu.2005.06.037"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S074980631730124X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S074980631730124X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2017.01.050","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2017.01.050","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2017.01.050","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T08:37:57Z","timestamp":1773563877000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2017.01.050"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,4,17]]},"references-count":42,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2017,8]]}},"alternative-id":["10.1016\/j.arthro.2017.01.050"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2017.01.050","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,4,17]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"All-Endoscopic Brachial Plexus Complete Neurolysis for Idiopathic Neurogenic Thoracic Outlet Syndrome: A Prospective Case Series","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2017.01.050","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}