Objective: For patients with thoracic outlet syndrome (TOS), it is important to determine the location of the neurovascular compression to achieve effective intervention.
Methods: The diagnostic workup for a 39-year-old man with TOS included a selective anesthetic block of the pectoralis minor muscle and duplex sonography before and after the block.
Results: The subclavian artery peak systolic flow velocity decreased after the block from 208 to 63 cm/s when the arm was in the abduction and external rotation position, indicating a reduction in the severity of focal arterial compression. Also, the arterial diameter increased by 10% after the block (from 0.80 to 0.88 cm). His level of discomfort was reduced from 6 to 2 on a scale of 1 to 10 (66%).
Conclusions: The pectoralis minor block resulted in an improvement in subclavian artery blood flow and symptoms and confirmed the diagnosis of pectoralis minor TOS. This suggests that selective anesthetic muscle blocks and duplex sonographic studies may be useful before chemodenervation and surgery.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.7863/jum.2009.28.9.1235 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Effects of Vibration Therapy on Muscle Strength, Shoulder Range of Motion, and Muscle Biomechanical Properties in Patients with Breast Cancer Undergoing Radiotherapy: A Randomized Controlled Trial.
Am J Phys Med Rehabil
November 2024
Acibadem Mehmet Ali Aydinlar University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Istanbul, Turkey.
Objective: To investigate the effects of vibration therapy to home-based exercises on shoulder muscle strength, range of motion (ROM), pain-related disability, and muscles viscoelastic properties of shoulder and neck in patients with breast cancer undergoing radiotherapy.
Design: In this randomized controlled superiority trial was conducted with 38 participants who underwent breast cancer surgery. All patients were randomized into two groups: control group (CG) and vibration group (VG).
Nutritional Composition, Technological Quality, and Sensory Attributes of Chicken Breast Meat Affected by White Striping, Wooden Breast, and Spaghetti Meat: A Comprehensive Evaluation.
Foods
December 2024
Department of Agronomy, Food, Natural Resources, Animal and Environment (DAFNAE), University of Padova, 35020 Legnaro, Padova, Italy.
This study assessed the impact of growth-related myopathies-white striping (WS), wooden breast (WB), and spaghetti meat (SM)-on the technological properties, lipid and protein oxidation, chemical composition, and profiles of fatty acids (FAs), amino acids, minerals, and sensory attributes of muscles in broiler chickens. Breasts with myopathies had similar pH and lightness but exhibited lower redness and yellowness in the case of WB defect compared to normal meat ( < 0.05).
View Article and Find Full Text PDFComparative Analysis of Myofiber Characteristics, Shear Force, and Amino Acid Contents in Slow- and Fast-Growing Broilers.
Foods
December 2024
State Key Laboratory of Animal Biotech Breeding and Frontier Science Center for Molecular Design Breeding, China Agricultural University, Beijing 100193, China.
Skeletal muscle fiber characteristics are pivotal in assessing meat quality. However, there is currently a lack of research precisely quantifying the total number of myofibers (TNM) of skeletal muscles. This study used Arbor Acres (AA) broilers and Wenchang (WC) chickens to determine the TNM of several skeletal muscles and the meat quality of the pectoralis major muscle (PM).
View Article and Find Full Text PDFComparison of muscle activities during bench press at different angles in beginners.
J Phys Ther Sci
January 2025
Department of Physical Therapy, Graduate School of Health Science, Takasaki University of Health and Welfare: 501 Nakaoorui-machi, Takasaki-shi, Gunma 370-0033, Japan.
[Purpose] The bench press can strengthen targeted muscles, such as the pectoralis major, deltoid, and triceps brachii. This study examined differences in muscle activities during the bench press at different angles in beginners to collect basic data and evaluate the clinical effectiveness of the bench press. [Participants and Methods] The participants were 15 male students with <1 year of training experience.
View Article and Find Full Text PDFAre pectoralis minor length and posterior shoulder tightness associated with patient-reported shoulder pain and disability?
J Hand Ther
January 2025
Department of Physical Therapist, Universidade Federal de São Carlos, São Carlos, SP, Brazil.
Background: Pectoralis minor (PM) shortening and posterior shoulder tightness (PST) are considered potential soft tissue alterations associated with rotator cuff related shoulder pain (RCRSP). Yet, their precise contribution to pain and disability remains unclear.
Purpose: To explore the association between both PM length and PST and self-reported shoulder pain and disability in individuals with and without RCRSP.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!