County outlet syndrome thoracic
This article has multiple issues.Please help improve it or discuss these issues on the talk page.It needs additional citations for verification.Tagged since November 2009.It may contain original research.Tagged since November 2009.The right brachial plexus, viewed from in front.In thoracic outlet syndrome there is compression of the brachial plexus or subclavian vessels in their passage from the cervical and upper thoracic area toward the axilla and proximal arm.
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The anterior supraclavicular neurosurgical procedure is used to treat certain refractory cases.Thoracic Outlet Syndrome (TOS) is a syndrome involving compression at the superior thoracic outlet wherein excess pressure placed on a neurovascular bundle passing between the anterior scalene and middle scalene muscles. It can affect one or more of the brachial plexus (nerves that pass into the arm from the neck), the subclavian artery, and - rarely - the vein, which does not normally pass through the scalene hiatus (blood vessels as they pass between the chest and upper extremity.
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Rarely a Pancoast tumor (a rare form of lung cancer in the apex of the lung) may be the cause.TOS may occur due to a positional cause - for example, by abnormal compression from the clavicle (collarbone) and shoulder girdle on arm movement.There are also several static forms, caused by abnormalities, enlargement, or spasm of the various muscles surrounding the arteries, veins, and/or brachial plexus, a fixation of a first rib, or a cervical rib.
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- Common orthopaedic tests used are the Adson's test, the Costoclavicular Manoeuvre, and the Hands-Up test of East.
- Careful examination and X-ray are required to differentially diagnose between the positional and static aetiologies, first rib fixations, scalene muscle spasm, and a cervical rib or fibrous band.
- 1.1 By structures affected & symptomatology 1.3 By structure causing constriction There are three main types of TOS, named according to the cause of the symptoms; however these 3 classifications have been coming into disfavor because TOS can involve all 3 types of compression to various degrees.
More about corrections in GeorgiaThat last chance saved my sanity and gave me back my life.My symptoms started off somewhat vague.I had taken on a new position at work that required a lot of time on the computer.I began having pain on my right side in my neck and shoulder with tingling in my hand at the end of the day.I felt a lump on my cervical spine that I assumed to be the cause of the symptoms.I went to an orthopedic surgeon who sent me for an MRI to rule out a tumor.I was assured that he had never seen a tumor in that area, but that did not ease the heart-wrenching fear of a possible tumor.
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