AI Article Synopsis
- - Thoracic outlet syndrome (TOS) is a condition caused by compression of nerves or blood vessels in the upper body, leading to inconsistent symptoms, making it hard for doctors to diagnose and treat effectively.
- - TOS is categorized into three types: neurogenic (nerve-related), arterial (blood vessel-related), and venous (vein-related), often linked to certain postures and repetitive activities like sports and heavy lifting.
- - There isn’t a single reliable test for TOS, which complicates diagnosis, but rehabilitation is crucial for recovery, particularly for neurogenic cases and for those undergoing surgery for arterial or venous types.
Article Abstract
Thoracic outlet syndrome (TOS) involves inconsistent symptoms, presenting a challenge for medical providers to diagnose and treat. Thoracic outlet syndrome is defined as a compression injury to the brachial plexus, subclavian artery or vein, or axillary artery or vein occurring between the cervical spine and upper extremity. Three common subcategories are now used for clinical diagnosis: neurogenic, arterial, and venous. Postural position and repetitive motions such as throwing, weightlifting, and manual labor can lead to symptoms. Generally, TOS is considered a diagnosis of exclusion for athletes due to the poor accuracy of clinical testing, including sensitivity and specificity. Thus, determining a definitive diagnosis and reporting injury is difficult. Current literature suggests there is not a gold standard diagnostic test. Rehabilitation has been shown to be a vital component in the recovery process for neurogenic TOS and for arterial TOS and venous TOS in postoperative situations.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11277273 | PMC |
| http://dx.doi.org/10.4085/1062-6050-0138.22 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Provocation of brachial plexus and systemic symptoms during the elevated arm stress test in individuals with myalgic encephalomyelitis/chronic fatigue syndrome or idiopathic chronic fatigue.
J Transl Med
January 2025
Division of Adolescent and Young Adult Medicine, Departments of Pediatrics, Johns Hokins University School of Medicine, 200 N. Wolfe St., Room 2077, Baltimore, MD, 21287, USA.
Background: We have noted that some adolescents and young adults with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) report difficulty with arms-overhead activities, suggestive of brachial plexus dysfunction or thoracic outlet syndrome (TOS). In the TOS literature, diagnostic maneuvers focus on the provocation of upper limb symptoms (arm fatigue and heaviness, paresthesias, neck and upper back pain), but not on elicitation of systemic symptoms.
Objectives: To estimate the proportion of patients with fatiguing illness who experience local and systemic symptoms during a common maneuver used in evaluating TOS-the elevated arm stress test (EAST).
A constellation of anatomical variation: middle scalene, wrist extensor, and aortic arch variants share embryological origins in cervical somites.
Anat Cell Biol
January 2025
Department of Anatomy and Neurobiology, College of Medicine and Health Sciences, National University of Science and Technology, Sohar, Oman.
During dissection of a 70-year-old male donor, several anatomical variations were observed, highlighted by a bilateral variant middle scalene muscle in the superolateral thoracic wall. The variant scalene muscle was traced from the transverse processes of cervical vertebrae to the fourth rib with a pronounced fascial slip. The elongated middle scalene muscle was thick in girth and abnormally wide at its insertion (56.
View Article and Find Full Text PDFA Systematic Review and Meta-Analysis of Surgical Approaches for Venous Thoracic Outlet Syndrome.
J Surg Res
January 2025
Chief of Vascular Surgery, Director of Vascular Network Development, Aortic Program, Cardiovascular Center, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts. Electronic address:
Introduction: There is currently no consensus on the optimal surgical approach for the treatment of venous thoracic outlet syndrome (vTOS). Surgical exposures for vTOS decompression include infraclavicular (IC), supraclavicular (SC), paraclavicular (PC), and transaxillary (AX) approaches. The purpose of this study is to provide a comprehensive review of the outcomes and major complications of these four surgical techniques.
View Article and Find Full Text PDFA Case of an Intrathoracic Accessory Rib Revealed on Chest X-ray.
Cureus
December 2024
Medicine for Older People, Stoke Mandeville Hospital, Aylesbury, GBR.
Accessory ribs are rare anatomical variations, typically cervical or lumbar, with intrathoracic accessory ribs being particularly uncommon. These anomalies are often asymptomatic but can cause issues like thoracic outlet syndrome. This case report describes a 36-year-old woman who was incidentally found to have an intrathoracic accessory rib on a chest X-ray.
View Article and Find Full Text PDF[Spontaneous cervical swelling syndrome].
Rev Med Liege
January 2025
Service de Médecine nucléaire et Imagerie.
Spontaneous cervical swelling syndrome is a rare, benign, and recurrent condition, most commonly affecting middle-aged women. Although its etiology is not fully understood, it is thought to be associated with intermittent occlusion of the thoracic duct, caused by increased pressure in the head and neck region. It occurs as an acute, limited swelling of the left supra-clavicular region and regresses, in most cases, spontaneously, in less than a week.
View Article and Find Full Text PDFWant 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!