{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T20:46:14Z","timestamp":1790109974789,"version":"4.0.1"},"reference-count":21,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2012,2,1]],"date-time":"2012-02-01T00:00:00Z","timestamp":1328054400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vasc Endovascular Surg"],"published-print":{"date-parts":[[2012,2]]},"abstract":"<jats:p>Introduction: To evaluate supraclavicular scalenectomy \u00b1 cervical rib excision for thoracic outlet syndrome (TOS), employing Disability of Arm, Shoulder, and Hand (DASH) scoring for functional assessment post-decompression. Methods: A QuickDASH score was calculated for each patient using the algorithm: ([sum of responses\/n] \u2212 1) \u00d7 25, where n = number of completed responses. Nonparametric analysis was employed, with significance defined as P \u2264 .05. Results: Twenty-one patients were treated for TOS by the same surgeon; with 5 bilateral procedures (total = 26 procedures). Median DASH scores pre- and postoperatively were 68.5 and 36.0, respectively ( P = .002). Just one reported worsening of symptoms postoperatively. Antecedent trauma and smoking were inversely associated with DASH score postoperatively ( P = .005 and P = .005). Postoperative scores were less for patients with vascular symptoms ( P = .011); scores did not change significantly for those with neurologic ( P = .066) or mixed symptoms ( P = .345). Conclusions: This study reconfirmed the value of supraclavicular approach for TOS, with the vast majority reporting subjective improvement.<\/jats:p>","DOI":"10.1177\/1538574411434164","type":"journal-article","created":{"date-parts":[[2012,2,5]],"date-time":"2012-02-05T20:12:50Z","timestamp":1328472770000},"page":"157-162","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":30,"title":["Supraclavicular Scalenectomy for Thoracic Outlet Syndrome\u2014Functional Outcomes Assessed Using the DASH Scoring System"],"prefix":"10.1177","volume":"46","author":[{"given":"Ronan W.","family":"Glynn","sequence":"first","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Western Vascular Institute, Galway University Hospital, Galway, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wael","family":"Tawfick","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Western Vascular Institute, Galway University Hospital, Galway, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahrah","family":"Elsafty","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Western Vascular Institute, Galway University Hospital, Galway, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niamh","family":"Hynes","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Western Vascular Institute, Galway University Hospital, Galway, Ireland"},{"name":"Department of Vascular and Endovascular Surgery, Galway Clinic, Doughiska, Galway, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherif","family":"Sultan","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Western Vascular Institute, Galway University Hospital, Galway, Ireland"},{"name":"Department of Vascular and Endovascular Surgery, Galway Clinic, Doughiska, Galway, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2012,2,5]]},"reference":[{"key":"bibr1-1538574411434164","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(99)80176-7"},{"key":"bibr2-1538574411434164","doi-asserted-by":"publisher","DOI":"10.1016\/S1078-5884(05)80058-9"},{"key":"bibr3-1538574411434164","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.04.050"},{"key":"bibr4-1538574411434164","doi-asserted-by":"publisher","DOI":"10.1016\/j.math.2009.08.007"},{"key":"bibr5-1538574411434164","doi-asserted-by":"publisher","DOI":"10.1016\/j.mporth.2008.12.005"},{"key":"bibr6-1538574411434164","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2010.11.050"},{"key":"bibr7-1538574411434164","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2008.10.023"},{"key":"bibr8-1538574411434164","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2007.07.013"},{"issue":"4","key":"bibr9-1538574411434164","first-page":"179","volume":"63","author":"Pupka A","year":"2006","journal-title":"Przegl Lek"},{"key":"bibr10-1538574411434164","first-page":"CD007218","volume":"1","author":"Povlsen B","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr11-1538574411434164","author":"Cheng S","journal-title":"Operative Surgery: Vascular Surgery 5th ed. London: Arnold, Chapman and Hall; 1994"},{"key":"bibr12-1538574411434164","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-192785060-00005"},{"key":"bibr13-1538574411434164","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2005.03.029"},{"key":"bibr14-1538574411434164","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2009.06.015"},{"key":"bibr15-1538574411434164","doi-asserted-by":"publisher","DOI":"10.3171\/spi.2005.3.5.0355"},{"key":"bibr16-1538574411434164","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000369188.24698.70"},{"key":"bibr17-1538574411434164","doi-asserted-by":"publisher","DOI":"10.1007\/s100169900256"},{"key":"bibr18-1538574411434164","doi-asserted-by":"publisher","DOI":"10.1007\/BF02000592"},{"key":"bibr19-1538574411434164","doi-asserted-by":"publisher","DOI":"10.1177\/1538574410374658"},{"key":"bibr20-1538574411434164","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2002.123750"},{"key":"bibr21-1538574411434164","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2009.07.016"}],"container-title":["Vascular and Endovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1538574411434164","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1538574411434164","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1538574411434164","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T06:53:50Z","timestamp":1777704830000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1538574411434164"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,2]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2012,2]]}},"alternative-id":["10.1177\/1538574411434164"],"URL":"https:\/\/doi.org\/10.1177\/1538574411434164","relation":{},"ISSN":["1538-5744","1938-9116"],"issn-type":[{"value":"1538-5744","type":"print"},{"value":"1938-9116","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,2]]}}}