{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T00:06:51Z","timestamp":1759968411520,"version":"build-2065373602"},"reference-count":17,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T00:00:00Z","timestamp":1759795200000},"content-version":"vor","delay-in-days":279,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Brachial Plex Peripher Nerve Inj"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>True neurogenic thoracic outlet syndrome (nTOS) is a rare condition resulting from brachial plexus compression, frequently associated with congenital anomalies such as cervical ribs or fibrous bands. We report a unique case of nTOS involving both a cervical rib and fibrous band, complicated by an incidental intraoperative finding of a fascicular rupture in the lower part of lower trunk. Notably, the patient had no history of trauma but had undergone multiple sessions of manual therapy and a single extracorporeal shockwave therapy to the cervical region, raising concerns about a potential iatrogenic contribution.<\/jats:p>","DOI":"10.1055\/a-2700-4984","type":"journal-article","created":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T23:27:11Z","timestamp":1759879631000},"page":"e83-e86","source":"Crossref","is-referenced-by-count":0,"title":["Fascicular Injury in True Neurogenic Thoracic Outlet Syndrome Associated with Manual and Shockwave Therapies: A Case Report"],"prefix":"10.1055","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1293-0497","authenticated-orcid":false,"given":"Jae Jun","family":"Nam","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Korea University Anam Hospital, Seoul, Republic of Korea"},{"name":"Christine M. Kleinert Institute for Hand and Microsurgery, University of Louisville, Louisville, Kentucky, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9186-1196","authenticated-orcid":false,"given":"Yeongyoon","family":"Koh","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Korea University Anam Hospital, Seoul, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2751-2519","authenticated-orcid":false,"given":"Jong Woong","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Korea University Anam Hospital, Seoul, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"In Cheul","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Korea University Anam Hospital, Seoul, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,10,7]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1177\/1358863X14568704","article-title":"Venous thoracic outlet syndrome","volume":"20","author":"R Moore","year":"2015","journal-title":"Vasc Med"},{"issue":"11","key":"ref2","doi-asserted-by":"crossref","first-page":"e545","DOI":"10.1016\/j.jse.2022.06.026","article-title":"Thoracic outlet syndrome: a review","volume":"31","author":"E J Panther","year":"2022","journal-title":"J Shoulder Elbow Surg"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1007\/s40477-019-00418-w","article-title":"Thoracic outlet syndrome: a rare case with bilateral cervical ribs and bilateral anterior scalene hypertrophy","volume":"24","author":"R Farina","year":"2021","journal-title":"J Ultrasound"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1002\/ca.22271","article-title":"Thoracic outlet syndrome: a neurological and vascular disorder","volume":"27","author":"Z Klaassen","year":"2014","journal-title":"Clin Anat"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1067\/mva.1991.29916","article-title":"Thoracic outlet syndrome caused by tumor of the first rib","volume":"14","author":"D Melliere","year":"1991","journal-title":"J Vasc Surg"},{"key":"ref6","first-page":"14","article-title":"Compression of the lower trunk of the brachial plexus by a cervical rib in two adolescent girls: case reports and surgical treatment","volume":"4","author":"L B Dahlin","year":"2009","journal-title":"J Brachial Plex Peripher Nerve Inj"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"410","DOI":"10.3174\/ajnr.A1700","article-title":"MR imaging findings in brachial plexopathy with thoracic outlet syndrome","volume":"31","author":"A Aralasmak","year":"2010","journal-title":"AJNR Am J Neuroradiol"},{"issue":"08","key":"ref8","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.1016\/j.bjps.2011.03.017","article-title":"An investigation of the relationship between thoracic outlet syndrome and the dimensions of the first rib and clavicle","volume":"64","author":"C-S Chang","year":"2011","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"01","key":"ref9","doi-asserted-by":"crossref","first-page":"e24","DOI":"10.2106\/JBJS.OA.24.00105","article-title":"The epidemiology of traumatic brachial plexus injuries in England and Wales\u2013a 32-year review","volume":"10","author":"A Boyle","year":"2025","journal-title":"JBJS Open Access"},{"issue":"07","key":"ref10","doi-asserted-by":"crossref","first-page":"562","DOI":"10.3109\/09593985.2012.757684","article-title":"Diagnosis and treatment of a patient with bilateral thoracic outlet syndrome secondary to anterior subluxation of bilateral sternoclavicular joints: a case report","volume":"29","author":"D Nichols","year":"2013","journal-title":"Physiother Theory Pract"},{"issue":"01","key":"ref11","doi-asserted-by":"crossref","first-page":"109","DOI":"10.2522\/ptj.20130487","article-title":"Massage-induced brachial plexus injury","volume":"95","author":"C-Y Chang","year":"2015","journal-title":"Phys Ther"},{"key":"ref12","volume-title":"Anatomy, Thorax, Cervical Rib","author":"B E Fliegel","year":"2025"},{"issue":"10","key":"ref13","doi-asserted-by":"crossref","first-page":"3155","DOI":"10.1161\/STR.0000000000000016","article-title":"Cervical arterial dissections and association with cervical manipulative therapy: a statement for healthcare professionals from the American Heart Association\/American Stroke Association","volume":"45","author":"J Biller","year":"2014","journal-title":"Stroke"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"211","DOI":"10.3389\/fneur.2016.00211","article-title":"Upper trunk brachial plexus palsy following chiropractic manipulation","volume":"7","author":"J Cunningham","year":"2016","journal-title":"Front Neurol"},{"issue":"06","key":"ref15","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1016\/j.pmrj.2015.01.019","article-title":"Ulnar neuropathy after extracorporeal shockwave therapy: a case report","volume":"7","author":"J S Shim","year":"2015","journal-title":"PM R"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"1","DOI":"10.25176\/RFMH.v20i2.2912","article-title":"Ulnar nerve injury after radial extracorporeal shock wave therapy identified with high\u2013resolution ultrasonography: case report.: lesi\u00f3n del nervio cubital secundario a terapia de ondas de choque extracorp\u00f3reas radiales identificada con ultrasonograf\u00eda de alta resoluci\u00f3n: reporte de caso","volume":"20","author":"P G Ter\u00e1n","year":"2020","journal-title":"Revista de la Facultad de Medicina Humana"},{"issue":"01","key":"ref17","doi-asserted-by":"crossref","first-page":"3168","DOI":"10.1038\/s41598-018-21540-5","article-title":"Ultrasound and shock-wave stimulation to promote axonal regeneration following nerve surgery: a systematic review and meta-analysis of preclinical studies","volume":"8","author":"S C Daeschler","year":"2018","journal-title":"Sci Rep"}],"container-title":["Journal of Brachial Plexus and Peripheral Nerve Injury"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2700-4984.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T23:27:27Z","timestamp":1759879647000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2700-4984"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":17,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2025,1,10]]},"published-print":{"date-parts":[[2025,1]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2700-4984","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1749-7221"],"issn-type":[{"value":"1749-7221","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]}}}