{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T12:40:06Z","timestamp":1730810406889,"version":"3.28.0"},"reference-count":30,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Handchir Mikrochir Plast Chir"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Hintergrund Das neurogene Thoracic-Outlet-Syndrom (nTOS) beschreibt einen\n                    Symptomkomplex, der durch die Einengung der nervalen Strukturen an der oberen\n                    Thoraxapertur ausgel\u00f6st wird. Typische Symptome sind Schmerzen, Taubheit\n                    und motorische Schw\u00e4che der betroffenen Extremit\u00e4t. Die Inzidenz\n                    von nTOS betr\u00e4gt 2\u20133\/100000 und ist am h\u00f6chsten\n                    im Alter von 25\u201340 Jahren. Es gibt nur wenige Studien des nTOS bei\n                    jugendlichen Patienten, insbesondere fehlen Daten mit Langzeitergebnissen.<\/jats:p><jats:p>\n          Material und Methoden Bei einer retrospektiven Studie von chirurgisch\n                    behandelten nTOS-F\u00e4llen in unserer Klinik wurden zwischen\n                    2002\u20132021 acht Patienten zwischen 15 und 18 Jahren eingeschlossen.\n                    Demografische Daten, Risikofaktoren, der neurologische Status, klinische\n                    Funktionstests, neurophysiologische, radiologische und intraoperative Befunde\n                    wurden ausgewertet. Die Erhebung der postoperativen Befunde erfolgte anhand\n                    eines standardisierten Fragebogens. Die Dekompression des Truncus inferior und\n                    der Nervenwurzeln C8 und Th1 erfolgte \u00fcber einen\n                    supraklavikul\u00e4ren Zugang.<\/jats:p><jats:p>\n          Ergebnisse Die durchschnittliche Dauer der Symptome vor der Operation\n                    betrug zwei Jahre. Von den acht operierten Patienten beantworteten sechs\n                    Patienten den schriftlichen Fragebogen und konnten f\u00fcr die Studie\n                    ausgewertet werden. Das Follow-Up war im Mittel neun Jahre (1\u201318 Jahre).\n                    Nach der Operation hatten alle Patienten eine Schmerzreduktion, drei Patienten\n                    waren im Langzeitverlauf schmerzfrei und f\u00fcnf Patienten\n                    ben\u00f6tigten keine Schmerzmedikation mehr. Die Kraft verbesserte sich bei\n                    allen Patienten, bei zwei Patienten bestanden jedoch noch leichte motorische\n                    Defizite. Die sensiblen St\u00f6rungen waren bei allen Patienten\n                    r\u00fcckl\u00e4ufig, es bestand jedoch bei f\u00fcnf Patienten eine\n                    residuelle Hyp\u00e4sthesie. In Bezug auf die \u00dcberkopfarbeiten hatte\n                    die H\u00e4lfte der Patienten nach der Operation keine\n                    Beeintr\u00e4chtigung. Alle Patienten waren zum Zeitpunkt der\n                    Durchf\u00fchrung des Fragebogens arbeitsf\u00e4hig. Die H\u00e4lfte\n                    der Patienten ging ihren sportlichen Aktivit\u00e4ten ohne\n                    Beeintr\u00e4chtigung nach, w\u00e4hrend die andere H\u00e4lfte eine\n                    leichte Einschr\u00e4nkung angab.<\/jats:p><jats:p>\n          Schlussfolgerung Das nTOS bei Jugendlichen ist ein seltenes\n                    Kompressionssyndrom. Der supraklavikul\u00e4re Zugang mit Dekompression der\n                    unteren Anteile des Plexus brachialis, ohne Resektion der ersten Rippe, stellt\n                    eine ad\u00e4quate Therapie dar. Diese retrospektive Studie ergab, dass bei\n                    allen Patienten eine deutliche Schmerzreduktion erzielt werden konnte. Bei\n                    einigen Patienten persistierten leichte sensible und motorische\n                    St\u00f6rungen sowie eine gewisse Einschr\u00e4nkung bei\n                    \u00dcberkopfarbeiten. Die sportlichen Aktivit\u00e4ten waren wieder\n                    m\u00f6glich.<\/jats:p>","DOI":"10.1055\/a-2234-5066","type":"journal-article","created":{"date-parts":[[2024,2,6]],"date-time":"2024-02-06T00:46:50Z","timestamp":1707180410000},"page":"32-39","source":"Crossref","is-referenced-by-count":0,"title":["Langzeitergebnisse nach Operation des neurogenen\n                    Thoracic-Outlet-Syndroms bei Jugendlichen"],"prefix":"10.1055","volume":"56","author":[{"given":"Andreas","family":"Pfn\u00fcr","sequence":"additional","affiliation":[{"name":"Neurochirurgie, Bezirkskrankenhaus G\u00fcnzburg, G\u00fcnzburg,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregor","family":"Antoniadis","sequence":"additional","affiliation":[{"name":"Neurochirurgie, Bezirkskrankenhaus G\u00fcnzburg, G\u00fcnzburg,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian Rainer","family":"Wirtz","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Neurochirurgie, Universitatsklinikum Ulm, Ulm,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Teresa","family":"Pedro","sequence":"additional","affiliation":[{"name":"Neurochirurgie, Bezirkskrankenhaus G\u00fcnzburg, G\u00fcnzburg,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,2,5]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"756","DOI":"10.1007\/s00330-013-3060-2","article-title":"Thoracic outlet syndrome in 3T MR neurography-fibrous bands causing discernible\n                    lesions of the lower brachial plexus","volume":"24","author":"P Baumer","year":"2014","journal-title":"Eur Radiol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1007\/s40122-019-0124-2","article-title":"Thoracic Outlet Syndrome: A Comprehensive Review of Pathophysiology, Diagnosis,\n                    and Treatment","volume":"8","author":"M R Jones","year":"2019","journal-title":"Pain Ther"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"858","DOI":"10.1016\/j.jvs.2017.03.436","article-title":"Current practice of thoracic outlet decompression surgery in the United\n                    States","volume":"66","author":"E K Rinehardt","year":"2017","journal-title":"J Vasc Surg"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1016\/j.avsg.2020.07.029","article-title":"The Incidence of Thoracic Outlet Syndrome","volume":"70","author":"K A Illig","year":"2021","journal-title":"Ann Vasc Surg"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1186\/s13052-015-0128-4","article-title":"Managing pediatric thoracic outlet syndrome","volume":"41","author":"A Rehemutula","year":"2015","journal-title":"Ital J Pediatr"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"599","DOI":"10.1016\/j.jvs.2022.10.002","article-title":"Adolescent athletes can get back in the game after surgery for thoracic outlet\n                    syndrome","volume":"77","author":"S D Talutis","year":"2023","journal-title":"J Vasc Surg"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"653","DOI":"10.1227\/neu.0000000000001908","article-title":"Thoracic Outlet Syndrome Part I: Systematic Review of the Literature and\n                    Consensus on Anatomy, Diagnosis, and Classification of Thoracic Outlet Syndrome\n                    by the European Association of Neurosurgical Societies\u2019 Section of\n                    Peripheral Nerve Surgery","volume":"90","author":"N F Dengler","year":"2022","journal-title":"Neurosurgery"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"332","DOI":"10.1016\/j.avsg.2019.07.026","article-title":"Early and Late Outcomes of Surgery for Neurogenic Thoracic Outlet Syndrome in\n                    Adolescents","volume":"63","author":"J Al Shakarchi","year":"2020","journal-title":"Ann Vasc Surg"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"802183","DOI":"10.3389\/fcvm.2022.802183","article-title":"Diagnostic and Therapeutic Management of the Thoracic Outlet Syndrome. 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