Decompression after left transaxillary first rib resection for disabling neurogenic-arterial thoracic outlet syndrome. Excision of type IV and V bands. Urschel-Martinez rongeur showing the stump ...

Surgical treatment for TOS is seen as the last resort and involves resection of the first rib and scalenotomy and leads to an overall improvement of 70% over a period of 5 years. 1 The most common ...

Therefore, these patients are also treated with a transaxillary first rib resection for complete decompression of both the upper and the lower brachial plexus distribution. Neurogenic and/or ...