{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T23:02:45Z","timestamp":1780959765888,"version":"3.54.1"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Das Thoracic-Outlet-Syndrom (TOS) beschreibt die Kompression der neurovaskul\u00e4ren\n      Strukturen des thorakalen Ausgangs. Es wird mit einer Inzidenz von 2\u20133 pro 100000 Personen pro\n      Jahr bemessen. Die Patienten sind h\u00e4ufig durch Schmerzen und\/oder Funktionsausf\u00e4lle\n      beeintr\u00e4chtigt. Verschiedene Fachdisziplinen sind an Diagnostik und Behandlung beteiligt. Die\n      Diagnosestellung ist prim\u00e4r klinisch und unter Ausschluss von Differenzialdiagnosen zu\n      stellen. Apparative Zusatzdiagnostik in Form z.\u00a0B. eines Ultraschalls, MRTs, einer Angiografie\n      oder einer Elektroneurografie (ENG) kann hier unterst\u00fctzen. Es existieren, je nach\n      behandelnder Fachrichtung, verschiedene Klassifikationen und Behandlungsstrategien. Die\n      Studienlage in Form von qualitativ hochwertigen Studien zur Behandlung ist limitiert, hat sich\n      aber in den vergangenen Jahren verbessert. Bislang wurden keine einheitlichen,\n      f\u00e4cher\u00fcbergreifenden Leitlinien zur Diagnose und Behandlung des Thoracic-Outlet-Syndroms\n      erstellt.<\/jats:p>","DOI":"10.1055\/a-2734-3580","type":"journal-article","created":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T22:42:58Z","timestamp":1780958578000},"page":"312-315","source":"Crossref","is-referenced-by-count":0,"title":["Interdisziplinarit\u00e4t, Evidenz und Relevanz der Klassifizierung in der Behandlung des Thoracic-Outlet-Syndroms"],"prefix":"10.1055","volume":"151","author":[{"given":"Nora Franziska","family":"Dengler","sequence":"additional","affiliation":[{"name":"HELIOS Klinikum Bad Saarow, Deutschland","place":["Bad Saarow"],"department":["Klinik f\u00fcr Neurochirurgie"]},{"name":"Medizinische Hochschule Brandenburg Theodor Fontane, BB, Deutschland","place":["Neuruppin"],"department":["Campus Bad Saarow"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadja","family":"Gruebel","sequence":"additional","affiliation":[{"name":"BKH G\u00fcnzburg an der Universit\u00e4t Ulm, Deutschland","place":["G\u00fcnzburg"],"department":["Sektion f\u00fcr Periphere Nerven, Klinik f\u00fcr Neurochirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria T.","family":"Pedro","sequence":"additional","affiliation":[{"name":"BKH G\u00fcnzburg an der Universit\u00e4t Ulm, Deutschland","place":["G\u00fcnzburg"],"department":["Sektion f\u00fcr Periphere Nerven, Klinik f\u00fcr Neurochirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sami","family":"Ridwan","sequence":"additional","affiliation":[{"name":"Mathias Stiftung Klinikum Ibbenb\u00fcren, NRW, Deutschland","place":["Ibbenb\u00fcren"],"department":["Klinik f\u00fcr Neurochirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,12,18]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"780","DOI":"10.1002\/mus.23235","article-title":"The thoracic outlet syndromes","volume":"45","author":"MA Ferrante","year":"2012","journal-title":"Muscle Nerve"},{"key":"ref2","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":"KA Illig","year":"2021","journal-title":"Ann Vasc Surg"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1024\/1661-8157\/a003660","article-title":"[Thoracic Outlet Syndrome: Rare, Often Missed or Over-Diagnosed?","volume":"110","author":"P Dorn","year":"2021","journal-title":"] Praxis (Bern 1994)"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"130","DOI":"10.1002\/(sici)1097-4598(199901)22:1<130::aid-mus22>3.0.co;2-s","article-title":"Thoracic outlet syndrome is overdiagnosed","volume":"22","author":"AJ Wilbourn","year":"1999","journal-title":"Muscle Nerve"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"126","DOI":"10.1002\/(sici)1097-4598(199901)22:1<126::aid-mus21>3.0.co;2-s","article-title":"Thoracic outlet syndrome is underdiagnosed","volume":"22","author":"DB Roos","year":"1999","journal-title":"Muscle Nerve"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"e23","DOI":"10.1016\/j.jvs.2016.04.039","article-title":"Reporting standards of the Society for Vascular Surgery for thoracic outlet\n          syndrome","volume":"64","author":"KA Illig","year":"2016","journal-title":"J Vasc Surg"},{"key":"ref8","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 Consensus\n          on Anatomy, Diagnosis, and Classification of Thoracic Outlet Syndrome by the European\n          Association of Neurosurgical Societies\u2019 Section of Peripheral Nerve Surgery","volume":"90","author":"NF Dengler","year":"2022","journal-title":"Neurosurgery"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1227\/neu.0000000000002232","article-title":"Thoracic Outlet Syndrome Part II: Consensus on the Management of Neurogenic\n          Thoracic Outlet Syndrome by the European Association of Neurosurgical Societies\u2019 Section\n          of Peripheral Nerve Surgery","volume":"92","author":"S Rochkind","year":"2023","journal-title":"Neurosurgery"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"e6107","DOI":"10.1097\/GOX.0000000000006107","article-title":"Consensus Recommendations for Neurogenic Thoracic Outlet Syndrome from the INTOS\n          Workgroup","volume":"12","author":"H Chim","year":"2024","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"735","DOI":"10.3238\/arztebl.m2022.0296","article-title":"Neurogenic Thoracic Outlet Syndrome-Presentation, Diagnosis, and\n          Treatment","volume":"119","author":"NF Dengler","year":"2022","journal-title":"Dtsch Arztebl Int"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"663","DOI":"10.1002\/mus.25535","article-title":"The thoracic outlet syndromes: Part 2. The arterial, venous, neurovascular, and\n          disputed thoracic outlet syndromes","volume":"56","author":"MA Ferrante","year":"2017","journal-title":"Muscle Nerve"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"502","DOI":"10.1177\/0003319716677666","article-title":"Perioperative Outcomes of Thoracic Outlet Syndrome Surgical Repair in a Nationally\n          Validated Database","volume":"68","author":"B Nejim","year":"2017","journal-title":"Angiology"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1016\/j.avsg.2016.07.065","article-title":"Outcome of Surgical Treatment for Thoracic Outlet Syndrome: Systematic Review and\n          Meta-Analysis","volume":"40","author":"J Peek","year":"2017","journal-title":"Ann Vasc Surg"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"457","DOI":"10.1016\/j.avsg.2013.02.029","article-title":"Outcomes of surgical paraclavicular thoracic outlet decompression","volume":"28","author":"SS Desai","year":"2014","journal-title":"Ann Vasc Surg"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"1240","DOI":"10.1001\/jamasurg.2014.280","article-title":"Coexistence of arterial compression in patients with neurogenic thoracic outlet\n          syndrome","volume":"149","author":"K Likes","year":"2014","journal-title":"JAMA Surg"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"34","DOI":"10.3390\/diagnostics7020034","article-title":"Vascular TOS-Creating a Protocol and Sticking to It","volume":"7","author":"M Archie","year":"2017","journal-title":"Diagnostics (Basel)"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"e965","DOI":"10.1016\/j.wneu.2017.11.148","article-title":"Cervical Rib Prevalence and its Association with Thoracic Outlet Syndrome: A\n          Meta-Analysis of 141 Studies with Surgical Considerations","volume":"110","author":"BM Henry","year":"2018","journal-title":"World Neurosurg"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1085","DOI":"10.1227\/01.NEU.0000369188.24698.70","article-title":"Long-term outcome analysis of the supraclavicular surgical release for the\n          treatment of thoracic outlet syndrome","volume":"66","author":"E V\u00f6gelin","year":"2010","journal-title":"Neurosurgery"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1016\/j.avsg.2018.09.007","article-title":"Functional Results of Cervical Rib Resection for Thoracic Outlet Syndrome: Impact\n          on Professional Activity","volume":"56","author":"J Morel","year":"2019","journal-title":"Ann Vasc Surg"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1016\/j.ejvs.2022.05.003","article-title":"Surgery Versus Continued Conservative Treatment for neurogenic Thoracic Outlet\n          Syndrome: the First Randomised Clinical Trial (STOPNTOS Trial)","volume":"64","author":"J Goeteyn","year":"2022","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"947","DOI":"10.1007\/s13304-025-02125-0","article-title":"To resect or avulse first rib in management of neurogenic thoracic outlet\n          syndrome: a randomized controlled trial","volume":"77","author":"FH Kakamad","year":"2025","journal-title":"Updates Surg"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1002\/mus.28080","article-title":"Botulinum toxin injections for the treatment of neurogenic thoracic outlet\n          syndrome: A systematic review","volume":"70","author":"TT Woodworth","year":"2024","journal-title":"Muscle Nerve"}],"container-title":["Zentralblatt f\u00fcr Chirurgie - Zeitschrift f\u00fcr Allgemeine, Viszeral-, Thorax- und Gef\u00e4\u00dfchirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2734-3580.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T22:43:08Z","timestamp":1780958588000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2734-3580"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,18]]},"references-count":22,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2026,6,8]]},"published-print":{"date-parts":[[2026,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2734-3580","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0044-409X","1438-9592"],"issn-type":[{"value":"0044-409X","type":"print"},{"value":"1438-9592","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,18]]}}}