Complications of first rib resection for thoracic outlet syndrome – A national registry study from Finland

IF 1 4区医学 Q4 ORTHOPEDICS

Hand Surgery & Rehabilitation Pub Date : 2025-09-01 DOI:10.1016/j.hansur.2025.102199

Markus Pääkkönen , Ville Kytö , Jarmo Gunn

引用次数: 0

Abstract

Many studies have described the frequency of short-term complications in patients undergoing first rib resection for thoracic outlet syndrome (TOS). The rate of long-term complications is less well known. 699 patients that had undergone first rib resection for TOS during 2004–2018 were identified from the Care Register for Healthcare in Finland. The prevalence of complications within 30 days and 1 year was analyzed. The prevalence of complications within 30 days was 9.8%, and complications occurred in 18.8% of the cases within 1 year. The rate of vascular and neural complications increased from 5.9% and 0.7% within 30 days to 10.3% and 2.7% within 1 year, respectively. Only a slight increase was seen in the rate of pneumo/chylothorax or infection. A follow-up of at least 1 year is prudent to detect all complications in patients undergoing first rib resection for TOS.

Level of evidence

III (Retrospective cohort study).

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第一肋骨切除术治疗胸廓出口综合征的并发症-芬兰国家登记研究。

许多研究描述了第一肋骨切除术治疗胸廓出口综合征（TOS）患者的短期并发症的频率。长期并发症的发生率鲜为人知。从芬兰医疗保健护理登记册中确定了2004-2018年期间699名因TOS接受第一肋骨切除术的患者。分析30天内和1年内并发症的发生率。30天内并发症发生率为9.8%，1年内并发症发生率为18.8%。血管和神经并发症发生率分别从30天内的5.9%和1.2%上升到1年内的18.8%和10.3%。肺炎/乳糜胸或感染的发生率略有增加。随访至少1年是谨慎的，以发现所有并发症的患者接受第一肋骨切除TOS。证据等级：III（回顾性队列研究）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hand Surgery & Rehabilitation Medicine-Surgery

CiteScore

1.70

自引率

27.30%

发文量

审稿时长

49 days

期刊介绍： As the official publication of the French, Belgian and Swiss Societies for Surgery of the Hand, as well as of the French Society of Rehabilitation of the Hand & Upper Limb, ''Hand Surgery and Rehabilitation'' - formerly named "Chirurgie de la Main" - publishes original articles, literature reviews, technical notes, and clinical cases. It is indexed in the main international databases (including Medline). Initially a platform for French-speaking hand surgeons, the journal will now publish its articles in English to disseminate its author''s scientific findings more widely. The journal also includes a biannual supplement in French, the monograph of the French Society for Surgery of the Hand, where comprehensive reviews in the fields of hand, peripheral nerve and upper limb surgery are presented. Organe officiel de la Société française de chirurgie de la main, de la Société française de Rééducation de la main (SFRM-GEMMSOR), de la Société suisse de chirurgie de la main et du Belgian Hand Group, indexée dans les grandes bases de données internationales (Medline, Embase, Pascal, Scopus), Hand Surgery and Rehabilitation - anciennement titrée Chirurgie de la main - publie des articles originaux, des revues de la littérature, des notes techniques, des cas clinique. Initialement plateforme d''expression francophone de la spécialité, la revue s''oriente désormais vers l''anglais pour devenir une référence scientifique et de formation de la spécialité en France et en Europe. Avec 6 publications en anglais par an, la revue comprend également un supplément biannuel, la monographie du GEM, où sont présentées en français, des mises au point complètes dans les domaines de la chirurgie de la main, des nerfs périphériques et du membre supérieur.