All of the following may be acceptable operative approaches to management of the thoracic outlet syndrome except:
Scalenectomy
Excision of a cervical rib
Thoracoplasty
First rib resection
Supraclavicular decompression of the thoracic outlet is the preferred operative approach for the thoracic outlet syndrome. This procedure consists of extensive anterior scalenectomy, middle scalenectomy, removal of a cervical rib (if present), and, on occasion, first rib resection. Transaxillary first rib resection has been widely used as well but is associated with a greater risk for complications.
Aerial disorders