CADAVERIC MEASUREMENT AND ANALYSIS OF INTERSCALENE TRIANGLE AND COSTO-CLAVICULAR SPACES IN RELATION TO THORACIC OUTLET SYNDROME

Objectives: Thoracic outlet syndrome (TOS) is an upper extremity disorder resulting from compression of brachial plexus structures and subclavian vessels within thoracic outlet region at any of the three primary sites- interscalene triangle, costoclavicular space and retro-pectoralis minor space. Th...

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Autores principales: Chaudhury, Subhramoy, Ghosh, Anasuya
Formato: Artículo revista
Lenguaje:Inglés
Publicado: Asociación Argentina de Anatomía Clínica (Argentine Association of Clinical Anatomy) 2020
Materias:
Interscalene triangle, costoclavicular space, thoracic outlet syndrome
Acceso en línea:https://revistas.unc.edu.ar/index.php/anatclinar/article/view/28585
Aporte de:
Revista Argentina de Anatomía Clínica de Universidad Nacional de Córdoba
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institution Universidad Nacional de Córdoba
institution_str I-10
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container_title_str Revista Argentina de Anatomía Clínica
language Inglés
format Artículo revista
topic Interscalene triangle, costoclavicular space, thoracic outlet syndrome
spellingShingle Interscalene triangle, costoclavicular space, thoracic outlet syndrome
Chaudhury, Subhramoy
Ghosh, Anasuya
CADAVERIC MEASUREMENT AND ANALYSIS OF INTERSCALENE TRIANGLE AND COSTO-CLAVICULAR SPACES IN RELATION TO THORACIC OUTLET SYNDROME
topic_facet Interscalene triangle, costoclavicular space, thoracic outlet syndrome
author Chaudhury, Subhramoy
Ghosh, Anasuya
author_facet Chaudhury, Subhramoy
Ghosh, Anasuya
author_sort Chaudhury, Subhramoy
title CADAVERIC MEASUREMENT AND ANALYSIS OF INTERSCALENE TRIANGLE AND COSTO-CLAVICULAR SPACES IN RELATION TO THORACIC OUTLET SYNDROME
title_short CADAVERIC MEASUREMENT AND ANALYSIS OF INTERSCALENE TRIANGLE AND COSTO-CLAVICULAR SPACES IN RELATION TO THORACIC OUTLET SYNDROME
title_full CADAVERIC MEASUREMENT AND ANALYSIS OF INTERSCALENE TRIANGLE AND COSTO-CLAVICULAR SPACES IN RELATION TO THORACIC OUTLET SYNDROME
title_fullStr CADAVERIC MEASUREMENT AND ANALYSIS OF INTERSCALENE TRIANGLE AND COSTO-CLAVICULAR SPACES IN RELATION TO THORACIC OUTLET SYNDROME
title_full_unstemmed CADAVERIC MEASUREMENT AND ANALYSIS OF INTERSCALENE TRIANGLE AND COSTO-CLAVICULAR SPACES IN RELATION TO THORACIC OUTLET SYNDROME
title_sort cadaveric measurement and analysis of interscalene triangle and costo-clavicular spaces in relation to thoracic outlet syndrome
description Objectives: Thoracic outlet syndrome (TOS) is an upper extremity disorder resulting from compression of brachial plexus structures and subclavian vessels within thoracic outlet region at any of the three primary sites- interscalene triangle, costoclavicular space and retro-pectoralis minor space. This study focused on detailed anatomic exploration and measurement of normal anatomic variability within interscalene triangle and costoclavicular space. Material and Method:  We examined 49 cadavers (22 male and 27 female) and dissected both sides to explore and examine 98 dissected areas. We measured the base width, height, angle within interscalene triangle and the vertical distance within costoclavicular space. We also calculated the area of interscalene triangle. Results: The mean values of base width, height, interscalene angulation of interscalene triangle and height of costoclavular space was 10.18±4.31 mm, 45.19±0.07mm, 10.85±0.06 degrees and 10.22±0.07 mm respectively. The mean area of interscalene triangle was 214.82±5.22sqmm. Conclusion: We have found clinically significant differences between the interscalene and costiclavicular space vertical heights; the height of costoclavicular space was clinically significantly lower than the interscalene space (p< 0.001). No clinical significant difference was found between male and female measurements. These ranges of dataset could be useful for planning treatment approaches in TOS.
publisher Asociación Argentina de Anatomía Clínica (Argentine Association of Clinical Anatomy)
publishDate 2020
url https://revistas.unc.edu.ar/index.php/anatclinar/article/view/28585
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spelling I10-R321-article-285852020-11-18T02:03:15Z CADAVERIC MEASUREMENT AND ANALYSIS OF INTERSCALENE TRIANGLE AND COSTO-CLAVICULAR SPACES IN RELATION TO THORACIC OUTLET SYNDROME Medidas y análisis cadavérico del triángulo interescalénico y espacios costo-claviculares en relación con el sindrome de salida torácica Chaudhury, Subhramoy Ghosh, Anasuya Interscalene triangle, costoclavicular space, thoracic outlet syndrome Objectives: Thoracic outlet syndrome (TOS) is an upper extremity disorder resulting from compression of brachial plexus structures and subclavian vessels within thoracic outlet region at any of the three primary sites- interscalene triangle, costoclavicular space and retro-pectoralis minor space. This study focused on detailed anatomic exploration and measurement of normal anatomic variability within interscalene triangle and costoclavicular space. Material and Method:  We examined 49 cadavers (22 male and 27 female) and dissected both sides to explore and examine 98 dissected areas. We measured the base width, height, angle within interscalene triangle and the vertical distance within costoclavicular space. We also calculated the area of interscalene triangle. Results: The mean values of base width, height, interscalene angulation of interscalene triangle and height of costoclavular space was 10.18±4.31 mm, 45.19±0.07mm, 10.85±0.06 degrees and 10.22±0.07 mm respectively. The mean area of interscalene triangle was 214.82±5.22sqmm. Conclusion: We have found clinically significant differences between the interscalene and costiclavicular space vertical heights; the height of costoclavicular space was clinically significantly lower than the interscalene space (p< 0.001). No clinical significant difference was found between male and female measurements. These ranges of dataset could be useful for planning treatment approaches in TOS. Objetivos: El síndrome de salida torácica (TOS) es un trastorno de las extremidades superiores resultante de la compresión de estructuras del plexo braquial y vasos subclavios dentro de la región de salida torácica en cualquiera de los tres sitios primarios: triángulo interescalénico, espacio costoclavicular y espacio menor retro-pectoral. Este estudio se centró en la exploración anatómica detallada y la medición de la variabilidad anatómica normal dentro del triángulo interescalénico y el espacio costoclavicular. Material y método: Examinamos 49 cadáveres (222 hombres y 27 mujeres) y disecaron ambos lados para explorar y examinar 98 áreas. Medimos el ancho de la base, la altura, el ángulo dentro del triángulo interescalénico y la distancia vertical dentro del espacio costoclavicular. También calculamos el área del triángulo interescalénico. Resultados: Los valores medios de anchura de la base, altura, angulación del triángulo interescalénico y altura del espacio costoclavular fueron de 10,18 x 4,31 mm, 45,19 a 0,07 mm, 10,85 a 0,06 grados y 10,22 a 0,07 mm, respectivamente. El área media del triángulo interescalénico fue de 214,82 x 5,22 mm. Conclusión: Hemos encontrado diferencias clínicamente significativas entre las alturas verticales del espacio interescalénico y costiclavicular; la altura del espacio costoclavicular fue significativamente menor en lo clínico que el espacio interescalénico (p< 0,001). No se encontró ninguna diferencia clínicamente significativa entre las mediciones masculinas y femeninas. Estos rangos de conjunto de datos podrían ser útiles para planificar enfoques de tratamiento en TOS. Asociación Argentina de Anatomía Clínica (Argentine Association of Clinical Anatomy) 2020-07-19 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/anatclinar/article/view/28585 10.31051/1852.8023.v12.n2.28585 Revista Argentina de Anatomía Clínica (Argentine Journal of Clinical Anatomy); Vol. 12 No. 2 (2020): Jul 2020; 67-75 Revista Argentina de Anatomía Clínica; Vol. 12 Núm. 2 (2020): Jul 2020; 67-75 1852-8023 10.31051/1852.8023.v12.n2 eng https://revistas.unc.edu.ar/index.php/anatclinar/article/view/28585/30240 Derechos de autor 2020 Subhramoy Chaudhury, Anasuya Ghosh http://creativecommons.org/licenses/by-nc/4.0

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