Syndrome du défilé thoracobrachial : intérêt diagnostique des manœuvres cliniques, des examens échographiques et électrophysiologiques, apport de l’angioscanner spiralé. Étude de 48 patients

Thoracic Outlet Syndrome: A Narrative Review

“…The history comprises information regarding the onset, evolution, location, quality, intensity, and timing of symptoms, as well as their respective exacerbating and relieving factors [42]. Specific questionnaires used in the workup of pain and disability, such as the McGill Pain Questionnaire or Northwick Park Neck Pain Questionnaire, may also provide invaluable insight into the patient's symptoms and may be effective in collecting patient history [43,44].…”

“…Muscular assessment includes evaluation of strength and coordination of the scalene muscles, major and minor pectorals, trapezius, and accessory shoulder girdle muscles. Neurological examinations test the patient's reflexes as well as sensation [18,42]. Notably, loss of vibratory sense is highly suggestive of TOS, as vibration sensation is quickly lost following compression of the thoracic outlet [43].…”

“…Adson's test is used to diagnose the compression of structures within the scalene triangle, which is made evident through a diminished radial pulse [35]. Although provocative tests collectively only have an average sensitivity and specificity of 72% and 53%, respectively, they can provide considerable weight to a TOS diagnosis, especially when used in conjunction with imaging techniques [28,42,47].…”