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MeSH Review:

Thoracic Outlet Syndrome

Ross, M.A. et al., Carroll, R.E. et al., Herrick, R.T. et al., Kelly, J.J., Lindgren, K.A. et al., et al.

Pedrini, Pisano, Sensi, Isceri, Lederman, Seror, Seror,

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Disease relevance of Thoracic Outlet Syndrome

Frequent peripheral nerve disorders included thoracic outlet syndrome, ulnar neuropathy at the elbow, and carpal tunnel syndrome [1].
Electrodiagnostic studies may objectively document the presence of median neuropathy within the carpal tunnel and help distinguish CTS from other disorders such as cervical radiculopathy, neurogenic thoracic outlet syndrome, proximal median nerve compression syndromes, and polyneuropathy which may either mimic or occasionally coexist with CTS [2].
Carpal tunnel syndrome can easily be confused with thoracic outlet syndrome when it presents with shoulder pain [3].
OBJECTIVE: To evaluate the frequency of symptoms and signs suggestive of thoracic outlet syndrome (TOS) in women aged 60 years or less, with unambiguous carpal tunnel syndrome (CTS) [4].
Results of the studies showed that thermographic studies were efficacious and sensitive for the differential diagnosis of carpal tunnel syndrome from other peripheral compressive neuropathies, including cervical radiculitis, thoracic outlet syndrome, cubital tunnel syndrome, and Guyon's canal syndrome [5].

High impact information on Thoracic Outlet Syndrome

Differentiation of primary and secondary Raynaud's phenomenon from the thoracic outlet syndrome and from the carpal tunnel syndrome pose potential diagnostic difficulties [6].
Focal hand dystonia in a patient with thoracic outlet syndrome [7].
The cervical rotation lateral flexion test (CRLF test), developed earlier, was used to examine patients with brachialgia and thoracic outlet syndrome (TOS) symptoms to detect possible restriction of the movement of the first rib [8].
Klippel-Feil syndrome presenting with bilateral thoracic outlet syndrome [9].
Included are the role of C-reactive protein in the diagnosis of giant cell arteritis, evaluation of thoracic outlet syndrome diagnostic maneuvers in patients with carpal tunnel syndrome, and radiologic appearance of idiopathic intracranial hypotension [10].

Chemical compound and disease context of Thoracic Outlet Syndrome

Similarly, it can explain weakness of the arm flexor muscles in thoracic outlet syndrome with median nerve affection [11].

Anatomical context of Thoracic Outlet Syndrome

OBJECTIVE: The aim of this work was to evaluate the frequency of lower brachial plexus lesions as true neurogenic thoracic outlet syndrome (NTOS) in women with carpal tunnel syndrome (CTS) [12].
Besides prevalent disorders of the hand and wrist, such as carpal tunnel syndrome (CTS), there are many other upper extremity disorders, including thoracic outlet syndrome (TOS) [13].

Gene context of Thoracic Outlet Syndrome

Palpatory diagnosis and manipulative management of carpal tunnel syndrome: Part 2. 'Double crush' and thoracic outlet syndrome [14].
A case of superior vena cava thrombosis secondary to the thoracic outlet syndrome is reported [15].

Analytical, diagnostic and therapeutic context of Thoracic Outlet Syndrome

The elusive diagnosis of thoracic outlet syndrome and its controversial relationship with carpal tunnel syndrome is examined by a retrospective study of 1000 cases of carpal tunnel syndrome and 63 cases of thoracic outlet syndrome [3].
Palpation is used to differentiate carpal tunnel syndrome from thoracic outlet syndrome [14].

References

Neuromuscular and musculoskeletal problems in instrumental musicians. Lederman, R.J. Muscle Nerve (2003) [Pubmed]
AAEM case report #2: the carpal tunnel syndrome. Ross, M.A., Kimura, J. Muscle Nerve (1995) [Pubmed]
The relationship of thoracic outlet syndrome and carpal tunnel syndrome. Carroll, R.E., Hurst, L.C. Clin. Orthop. Relat. Res. (1982) [Pubmed]
Symptoms of thoracic outlet syndrome in women with carpal tunnel syndrome. Seror, P. Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology. (2005) [Pubmed]
Thermography in the detection of carpal tunnel syndrome and other compressive neuropathies. Herrick, R.T., Herrick, S.K. The Journal of hand surgery. (1987) [Pubmed]
Raynaud's phenomenon of occupational origin. Cherniack, M.G. Arch. Intern. Med. (1990) [Pubmed]
Focal hand dystonia in a patient with thoracic outlet syndrome. Quartarone, A., Girlanda, P., Risitano, G., Picciolo, G., Sinicropi, S., Nicolosi, C., Macaione, V., Messina, C. J. Neurol. Neurosurg. Psychiatr. (1998) [Pubmed]
Cervical rotation lateral flexion test in brachialgia. Lindgren, K.A., Leino, E., Manninen, H. Archives of physical medicine and rehabilitation. (1992) [Pubmed]
Klippel-Feil syndrome presenting with bilateral thoracic outlet syndrome. Ozçakar, L., Kaymak, B., Vanderstraeten, G. Spine. (2005) [Pubmed]
Giant cell arteritis, thoracic outlet syndrome, and idiopathic intracranial hypotension. Kelly, J.J. Reviews in neurological diseases. (2005) [Pubmed]
Anatomical variations of the median nerve distribution and communication in the arm. Beheiry, E.E. Folia morphologica. (2004) [Pubmed]
Frequency of neurogenic thoracic outlet syndrome in patients with definite carpal tunnel syndrome: an electrophysiological evaluation in 100 women. Seror, P. Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology. (2005) [Pubmed]
Thoracic outlet syndrome: a review of the literature. Ritter, A., Sensat, M.L., Harn, S.D. Journal of dental hygiene : JDH / American Dental Hygienists' Association. (1999) [Pubmed]
Palpatory diagnosis and manipulative management of carpal tunnel syndrome: Part 2. 'Double crush' and thoracic outlet syndrome. Sucher, B.M. The Journal of the American Osteopathic Association. (1995) [Pubmed]
Superior vena cava thrombosis secondary to thoracic outlet syndrome. Case report. Pedrini, L., Pisano, E., Sensi, L., Isceri, S. International angiology : a journal of the International Union of Angiology. (2000) [Pubmed]

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