Cherington M, Happer I, Machanic B, Parry L
Muscle Nerve. 1986 Sep;9(7):632-4. doi: 10.1002/mus.880090709.
We are reporting five patients who suffered serious injuries from surgery for thoracic outlet syndrome, which has been a controversial subject from many aspects. Many argue that it is much overdiagnosed and overtreated. The term "disputed thoracic outlet syndrome" has recently been applied to the majority of cases in which there are little or no clinical findings. The much more rare true neurogenic thoracic outlet syndrome does have associated neurologic and electrical findings. Recently, the use and misuse of electrodiagnostic studies in the diagnosis of disputed thoracic outlet syndrome has been discussed in the literature. The cases that we are reporting are especially tragic because the elective surgeries were performed in patients who had little or no clinical abnormalities on examination prior to the surgery.
我们报告了5例因胸廓出口综合征手术而遭受严重损伤的患者，该综合征在许多方面一直是个有争议的话题。许多人认为它被过度诊断和过度治疗了。“争议性胸廓出口综合征”这一术语最近已应用于大多数几乎没有或根本没有临床发现的病例。更为罕见的真正神经源性胸廓出口综合征确实有相关的神经学和电生理检查结果。最近，文献中讨论了电诊断研究在争议性胸廓出口综合征诊断中的使用和滥用情况。我们报告的这些病例尤其悲惨，因为这些择期手术是在术前检查几乎没有或根本没有临床异常的患者身上进行的。
