Exercise-Enhanced, Ultrasound-Guided Anterior Scalene Muscle/Pectoralis Minor Muscle Blocks Can Facilitate the Diagnosis of Neurogenic Thoracic Outlet Syndrome in the High-Performance Overhead Athlete

Bottros, Michael M.; AuBuchon, Jacob; McLaughlin, Lauren N.; Altchek, David W.; Illig, Karl A.; Thompson, Robert W.

doi:10.1177/0363546516665801

Cited by 43 publications

(46 citation statements)

References 28 publications

(53 reference statements)

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“…An ultrasound-guided PMM block technique has previously been described. [3,6] This technique has a greater success rate and might allow a more precise block of the PMM. In addition, with ultrasonographic assessments, anatomical variations, PMM thickness, and relationships to surrounding structures can be visualized.…”

Section: Discussionmentioning

confidence: 99%

Pectoralis Minor Syndrome Miscible With Subacromial Impingement Syndrome

Palamar¹

2017

South Clin Ist Euras

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Objective: Pectoralis minor syndrome (PMS) is a neurovascular disorder affecting the upper extremity. In the present study, the demographic and clinical features of patients diagnosed as PMS were examined, as well as cases of concomitant subacromial impingement syndrome (SIS). Methods:A retrospective trial was conducted with 12 patients with the diagnosis of PMS according to a pectoralis minor muscle (PMM) block test. The PMM block was performed under the guidance of ultrasonography. Results:Of the 12 PMS patients evaluated, 83% had a complaint of pain, 58.3% had paresthesia, and 16.6% had swelling of the hand. A physical examination revealed that 58.3% of the patients had tenderness at the biceps tendon, 16.6% had subacromial tenderness, and 16.6% had tenderness at the acromioclavicular joint. In 66.6% patients, subacromial impingement tests were positive, and 33.3% of them had a positive subacromial injection test (SIT).

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Section: Discussionmentioning

confidence: 99%

Pectoralis Minor Syndrome Miscible With Subacromial Impingement Syndrome

Palamar¹

2017

South Clin Ist Euras

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“…The typical electrodiagnostic findings in nTOS involve lower brachial plexopathy affecting the lower trunk, C8 and T1 nerve roots [37]. On sensory testing, the most commonly affected nerve is the medial antebrachial cutaneous (MABC) nerve, a cutaneous branch of the medial cord that receives most of its fibers from the T1 nerve root and innervates the skin overlying the distal biceps and medial forearm.…”

Section: Electrodiagnosismentioning

confidence: 99%

“…Nerve conduction studies Needle electromyography [5,34] Local anaesthetic injection test [5,[35][36][37][38] -MR neurography [39,40] Diffusion tensor imaging [41][42][43][44][45] Brachial plexus ultrasound [46,47] When it comes to supporting the suspected diagnosis, the mainstays of tests in ATOS are duplex ultrasound, arteriography, haemodynamic testing (e.g., finger plethysmography) at rest, and, with provocative manoeuvres, CT angiography and MR angiography [5]. Invasive arteriography and angiography are for detecting complications of ATOS such as thrombosis, embolisation, and aneurysm.…”

Section: Ntosmentioning

confidence: 99%

Diagnosis and Treatment of Thoracic Outlet Syndrome

2018

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“…Обязательной частью осмотра является оценка силы всех групп мышц по шкале MRC, по возможности с использова-нием динамометра [12,31].…”

Section: том 7 Volunclassified

“…Предложен метод диагностики TOS ex juvantibus: оценка пациентом субъективных ощущений после блокады передней лестничной мышцы анестетиком (как правило, лидокаином) [31,54]. Процедуру реко-мендуется проводить с использованием УЗ-навигации [22,31,55].…”

Section: том 7 Volunclassified