Thoracic Outlet Syndrome

Ozoa, Glenn; Alves, Daniel Rodrigues; Fish, David E.

doi:10.1016/j.pmr.2011.02.010

Cited by 37 publications

(29 citation statements)

References 48 publications

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“…The clinical presentations of TOS were consistent with her symptoms, and TOS may be caused by compression of neurovascular structures traversing the interscalene triangle formed by the first rib, anterior and middle scalene [9]. There was a low possibility of scalene myofascial pain syndrome.…”

Section: Discussionsupporting

confidence: 52%

Upper Limb Pain and Paresthesia in a Post-Stroke Patient Treated with Ultrasound-Guided Electrical Twitch-Obtaining Intramuscular Stimulation (ETOIMS) of Scalene Muscles

et al. 2018

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Highlights• Disputed thoracic outlet syndrome (TOS) can be one of the possible causes of post-stroke pain.• Ultrasound-guided electrical twitch-obtaining intramuscular stimulation can be used as a safe and minimally invasive technique for the treatment of the disputed TOS.• Large-scale randomized controlled studies are needed to confirm its therapeutic efficacy. ABSTRACTIn post-stroke patients, the pain or paresthesia of the affected limb is common. These symptoms may be caused by a variety of pathologic conditions. Considering the debilitating effects of the pain, it is important to determine the exact cause and manage appropriately. A 41-year-old woman who had experienced a hemorrhagic lesion in the right basal ganglia and corona radiata 4 months previously presented with an irritating tingling sensation in her left upper extremity. She failed to respond to a number of treatment options including medications and physical agent modalities. Following a diagnosis of disputed thoracic outlet syndrome (TOS) caused by scalene muscle dysfunctions, she received ultrasoundguided electrical twitch-obtaining intramuscular stimulation (ETOIMS) which significantly alleviated the pain. This case suggests that the disputed TOS should be considered as one of the possible causes of post-stroke pain, and that detailed history-taking and physical examination, as well as imaging or electrophysiological studies, might be required for accurate diagnosis. Furthermore, ultrasound-guided ETOIMS can be used as a safe and minimally invasive technique for the treatment of the disputed TOS with fewer systemic and local side effects.

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Section: Discussionsupporting

confidence: 52%

Upper Limb Pain and Paresthesia in a Post-Stroke Patient Treated with Ultrasound-Guided Electrical Twitch-Obtaining Intramuscular Stimulation (ETOIMS) of Scalene Muscles

et al. 2018

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“…В 95 % всех случаев TOS наблюдается нейроген-ный вариант, в 3 % -венозный и лишь в 1 % -арте-риальный [8,11,15,17]. В составе нейрогенного на до-лю случаев истинного TOS приходится всего 1 %, распространенность которого составляет 1:1 000 000, частота спорного TOS достигает 80:1000 [7,8,17], при-чем чаще патология встречается у женщин в возрасте 20-40 лет [17].…”

Section: том 7 Volunclassified

“…Однако обоснованность этих критериев в последующем не подтвердилась [38]. Ана-лиз F-волн и соматосенсорных вызванных потенциа-лов также не показал достаточной чувствительности и специфичности при TOS [17,39].…”

Section: инструментальная диагностикаunclassified

Thoracic outlet syndrome: clinical and diagnostic features

Муртазина¹,

Никитин²,

Наумова³

2017

Neuromuscular Diseases

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“…The factors which cause the compression in this area include congenital abnormalities associated with musculoskeletal structure, muscles, and other acquired factors [1,[3][4][5]. Depending on the structures under pressure, this syndrome categorizes into neurogenic thoracic outlet syndrome, vascular thoracic outlet syndrome, and disputed thoracic outlet syndrome [3,6].…”

Section: Introductionmentioning

confidence: 99%

“…Since thoracic outlet syndrome causes some problems for therapists with regard to its assessment and management; it is one of most controversial clinical issues in medicine [3,6,12]. The assessment, treatment, and the successful prevention of the symptoms of thoracic outlet syndrome are clinically challenging.…”

mentioning

confidence: 99%

A Review Study: Clinical Assessment of Patients With Thoracic Outlet Syndrome

Ghamari¹,

Hosseini²,

Layeghi³

et al. 2016

PTJ

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Purpose: Thoracic outlet syndrome is one of the most controversial topics in clinical medicine due to its difficult assessment and management. The appropriate treatment depends on accurate and comprehensive assessment. This study aimed to review the current assessments of these patients. Methods:This study was conducted by review of the articles published between 1990 and 2014. Search was conducted by keywords such as assessment, evaluation, outcome measure, tool, thoracic outlet syndrome, non-surgical treatments, conservative, and rehabilitation. In this regard, internal and external databases, including PubMed, OVID, ProQuest, Web of science, Elsevier, OT seeker, SID, Magiran, Iran Medex, Medlib, and Google scholar were used. Results:The results showed that the most common assessments for these patients in a clinical and research setting included a thorough review of history and subjective evaluation. No specific tools were found for patients with thoracic outlet syndrome but 5 generic outcome measures were suggested to measure the outcome of interventions in these patients. Conclusion:At present, comprehensive evaluation of patients with thoracic outlet syndrome needs different assessments and using the generic questionnaire that is designed for people with orthopedic conditions. Therefore, a comprehensive assessment tool with a holistic view and specific for patients with thoracic outlet syndrome is necessary.

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Thoracic Outlet Syndrome

Cited by 37 publications

References 48 publications

Upper Limb Pain and Paresthesia in a Post-Stroke Patient Treated with Ultrasound-Guided Electrical Twitch-Obtaining Intramuscular Stimulation (ETOIMS) of Scalene Muscles

Upper Limb Pain and Paresthesia in a Post-Stroke Patient Treated with Ultrasound-Guided Electrical Twitch-Obtaining Intramuscular Stimulation (ETOIMS) of Scalene Muscles

Thoracic outlet syndrome: clinical and diagnostic features

A Review Study: Clinical Assessment of Patients With Thoracic Outlet Syndrome

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