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Thoracic outlet syndrome (TOS) is a condition in which there is compression of the nerves, arteries, or veins in the superior thoracic aperture, the passageway from the lower neck to the armpit, also known as the thoracic outlet. [1] There are three main types: neurogenic, venous, and arterial. [1]
Thrombolysis is typically performed prior to first rib resection for venous thoracic outlet syndrome. First rib resection is indicated for venous , arterial , and neurogenic TOS. [ 1 ] In all cases, the goal of the operation is to increase the dynamic space between the chest wall and the clavicle , through which the subclavian vein, artery, and ...
Pectoralis minor syndrome (PMS) is a condition related to thoracic outlet syndrome (TOS) that results from the pectoralis minor muscle being too tight. [1] PMS results from the brachial plexus being compressed under the pectoralis minor [2] while TOS involves compression of the bundle above the clavicle. In most patients, the nerves are ...
The excess pressure of thoracic outlet syndrome may be reduced by rib removal. [1] Major surgery to the thoracic cavity, such as open heart surgery , may require removal of ribs to allow access to the organ being operated on.
The superior thoracic aperture, also known as the thoracic outlet, or thoracic inlet refers to the opening at the top of the thoracic cavity. [1] It is also clinically referred to as the thoracic outlet, in the case of thoracic outlet syndrome. A lower thoracic opening is the inferior thoracic aperture.
It is also used in the diagnosis of costoclavicular syndrome and thoracic outlet syndrome. [ 1 ] [ 2 ] The position is described as first standing in a relaxed posture, with the head looking forward, then depressing and retracting the shoulders as if standing at attention, extending the humerus and abducting it 30 degrees , and hyperextending ...
thoracic outlet syndrome Adson's sign is the loss of the radial pulse in the arm by rotating head to the ipsilateral side with extended neck following deep inspiration. It is sometimes used as a sign of thoracic outlet syndrome (TOS). [ 1 ]
Paget–Schroetter disease (which evolved from a venous thoracic outlet syndrome) is a form of upper extremity deep vein thrombosis (DVT), a medical condition in which blood clots form in the deep veins of the arms. These DVTs typically occur in the axillary and/or subclavian veins. [1]