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Book SynopsisThis extensively revised edition is an essential reference for physicians involved in the diagnosis, referral and treatment of the thoracic outlet syndrome (TOS). TOS is made up of a constellation of problems resulting from pathology at the thoracic outlet in the neck. Busy specialty practice sees multiple affected patients in every clinic, but TOS can often be difficult to diagnosis. Thoracic Outlet Syndrome explores all possible ancillary care issues surrounding this complex condition, including rehabilitation, disability, natural history and medicolegal issues, and aims to stimulate research, discussion and a sense of community between professionals involved in this area. Vascular and thoracic surgeons, neurosurgeons, neurologists, psychiatrists and psychologists, physical therapists, occupational medicine specialists and pain specialists will find this book a must read for successful treatment, referral and diagnosis of TOS in clinical practice.Trade ReviewTable of Contents1. A Brief History of the Thoracic Outlet Compression Syndromes, 2. Embryology of the Thoracic Outlet3. Evolutionary and developmental issues of cervical ribs/ Evolutionary issues of cervical ribs4. Anatomy of the thoracic outlet and related structures 5. TOC: Clinical incidence and Scope of the Problem6. Pathology and Pathophysiology of NTOS7. NTOS for the Primary Care Team: When to Consider the Diagnosis?8. Diagnosis Of Neurogenic Thoracic Outlet Syndrome:2016 Consensus Guidelines And Other Strategies9. Differential diagnosis in Patients with possible NTOS10. Increasing objectivity in the diagnosis of NTOS: The East-meter11. A closer look at QuickDASH and CBSQ: what do they tell us?12. Scalene Test Blocks in patients with possible Neurogenic TOS13. Electrophysiological Assessment and Nerve Function in NTOS 14. Pectoralis Minor Syndrome15. Double Crush Syndrome 16. Unusual Nerve Entrapments and Neuropathic Syndromes of the Neck and Shoulder17. Cross-sectional imaging in thoracic outlet syndrome18. Ergonomic, Postural Issues, and Repetitive Stress Issues in NTOS19. Psychiatric and psychologic issues in NTOS20. Pathways Of Care And Treatment Options For Patients With Neurogenic Tos21. Physical Therapy as Primary Treatment for Neurogenic TOS22. Chiropractic and Nontraditional Treatment of NTOS23. Anesthesia For Thoracic Outlet Decompression24. Regional anesthesia for thoracic outlet decompression 25. Surgical Techniques: Operative Decompression Using the Transaxillary Approach for NTOS’’26. Surgical Techniques: Operative Decompression Using The Supraclavicular Approach For Neurogenic Thoracic Outlet Syndrome27. Surgical Techniques: Operative Decompression Using Thoracoscopic Approach for Neurogenic Thoracic Outlet Syndrome28. Surgical Techniques: Pectoralis Minor Tenotomy for NTOS291Surgical Techniques: Dorsal Cervico-Thoracic Sympathectomy30. Botulinim Toxin Injection and Advanced Interventional Techniques for NTOS and Cervical Brachial Syndrome 31. Ntos In The Competitive Athlete32. Neurogenic TOS in Children33. Recurrent and Residual Neurogenic Thoracic Outlet Syndrome34. Controversies in NTOS: What testing is needed to establish the diagnosis?35. Botulinum Toxin Injections for Neurogenic Thoracic Outlet Syndrome36. What do the results of conservative therapy tell us about the need for surgery:Lack of Improvement means surgery is indicated37. Point/Counterpoint: What does the result of conservative therapy tell us about the need for surgery? Improvement means surgery is indicated38. Controversies in NTOS: Transaxillary or Supraclavicular First Rib Resection in NTOS? Arguments Pro and Con the Transaxillary approach In Favor of Transaxillary First Rib resection39. Point/Counterpoint: Supraclavicular Decompression Is The Best Approach For Neurogenic Thoracic Outlet Syndrome40. Does the first rib always need to be removed?41. Controversies in NTOS: What is the evidence supporting brachial plexus neurolysis and wrapping42. Neurogenic Tos: Early Postoperative Care43. Perioperative Pain Management for Thoracic Outlet Syndrome Surgery44. Rehabilitation after First Rib Resection45. Outcomes After Treatment of NTOS46. Management of Nerve Dysfunction after First Rib Resection47. Management of Coexisting Factors Complicating NTOS48. Treatment for Thoracic Outlet Syndrome – A UK Perspective49. Neurogenic TOS in the United Kingdom: A Consultant Orthopaedic Physiotherapist’s view 50. Diagnosis and treatment of thoracic outlet syndrome in The Netherlands. 51. Research Directions in Neurogenic Thoracic Outlet Syndrome52. Anatomy and Pathophysiology of Venous Thoracic Outlet Syndrome 53. Diagnosis of VTOS: 2016 Consensus guidelines54. Imaging in VTOS55. VTOS for the PCP- When to Consider the Diagnosis56. Hypercoagulable Conditions and VTOS57. VTOS in the Competitive Athlete58. Thoracic Outlet Syndrome in Hemodialysis Patients59. Differential Diagnosis, Decision-Making, and Pathways of Care: Acute Thrombosis and Non-thrombotic Positional compression.60. Management Of Chronic Venous Thoracic Outlet Syndrome61. Conservative (Non-Operative) Treatment of VTOS62. Thrombolysis and Balloon Venoplasty for Subclavian Vein Thrombosis63. Surgical Techniques: Operative Decompression Using the Transaxillary Approach for Venous Thoracic Outlet Syndrome64. Surgical Techniques: Operative Decompression Using the Infraclavicular Approach for VTOS with Intraoperative Venography65. Surgical Techniques: Operative Decompression Using The Paraclavicular Approach For Venous Thoracic Outlet Syndrome66. The Robotic Transthoracic Approach for Venous Thoracic Outlet Syndrome67. Medial Claviculectomy for VTOS68. Advanced Surgical Techniques in Venous Thoracic Outlet Syndrome69. Point/Counterpoint: Is Thrombolysis Always Required in patients with effort thrombosis? b) NO - it is not always indicated70. Management of Residual Stenosis after thrombolysis71. First Rib Resection is always needed after thrombolysis72. Controversies in VTOS: Is thrombolysis alone sufficient treatment for VTOS?: YES73. Controversies in venous thoracic outlet syndrome: timing of first rib resection after thrombolysis74. Controversies in VTOS: What Is the Best Approach for VTOS?75. Controversies in VTOS: What Is the Best Approach to the First Rib in VTOS?76. Point/Counterpoint: Paraclavicular Decompression Is The Best Approach For Venous Thoracic Outlet Syndrome77. Controversies in Venous Thoracic Outlet Syndrome: Is There a Role for Venous Stents?78. Venous Tos: Early Postoperative Care79. Controversies in VTOS: How Long Should Anticoagulation Be Used in VTOS?80. VTOS: Management of the contralateral side and asymptomatic compression81. Outcomes After Treatment of VTOS82. Assessment and treatment of recurrent Venous thoracic outlet syndrome83. Anatomy and Pathophysiology of ATOS84. Clinical Presentation and Patient Evaluation in ATOS85. ATOS Consensus Guidelines86. The axillary artery and humeral head in ATOS87. Quadrilateral Space Syndrome88. Arterial Thoracic Outlet Syndrome In The Competitive Athlete89. Decision-Making and Pathways of Care for ATOS90. Surgical Techniques: Endovascular Intervention for Arterial Thoracic outlet Syndrome91. Axillosubclavian Artery Repair and Reconstruction92. Upper Extremity Fasciotomy After Arterial Embolization93. Quadrilateral Space Syndrome and Management of the Posterior Circumflex Humeral Artery94. Management Of Digital Emboli, Vasospasm, And Ischemia95. Outcomes After Treatment of Arterial Thoracic Outlet Syndrome96. Recurrent and residual ATOS97. Medicolegal Issues in TOS98. Disability and Workers’ Compensation Issues in TOS99. Special Considerations in the Elite High Profile Athlete100. Combined and Secondary Forms of TOS101. TOS: The Perspective of the Patient102. Venous TOS: The Perspective of the Patient103. TOS, the Internet and Social Media 104. Establishing a TOS-Focused Practice

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