Costo-Clavicular Compression Syndrome (CCCS) thoracic outlet syndrome
Conditions
Interventions
Patients with a diagnosis of NTOS will be randomized into TOD versus
conservative treatment. The group with conservative treatmentwill receive
surgical therapy after 3 months if complaints persist.
Sponsors
Catharina-ziekenhuis
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: * High suspicion of NTOS with high level of impairment. o The decision to refer a patient with NTOS for surgery is placed at the sole authority of the TOS multidisciplinary workgroup. Members of this workgroup are 2 dedicated vascular surgeons, 2 neurologists, 1 orthopedic surgeon, 3 physiotherapists, 2 radiologists, 3 anesthesiologists. This decision is based on the reporting standards published by Illig et al. in 2016. If a patient fits the criteria postulated in the reporting standards, if the clinical suspicion is high, if the technical imaging (X-Ray, EMG, CT) is consistent, if the impairment for the patient is high and if there is consensus, only then patients are referred for TOD. * Fit for surgery, at the discretion of the treating vascular surgeon and anesthesiologist. * 18 years of age or older * Dutch speaking patients
Exclusion criteria
Exclusion criteria: * Unfit for surgery, at the discretion of the treating vascular surgeon. * Younger than 18 years of age * Patients that do not speak Dutch or English. * Patients with a history of TOD
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary endpoint will be the DASH SCORE. This endpoint will be measured with the DASH questionnaire (Disability of the Arm, Shoulder and Hand) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary endpoint will be the score on the CBSQ, VAS scale and SF 12. This endpoint will be measured with the CBSQ questionnaire (Cervical-Brachial Symptoms Questionnaire), VAS scale (Visual Analogue Scale for Pain) and SF 12 (Short Form 12 questionnaire) | — |
Countries
Netherlands
Outcome results
None listed