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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]
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.
Thoracic outlet syndrome: Occurs when nerves or blood vessels are compressed in the space between the first rib and the collarbone, causing symptoms such as pain in the neck, shoulder, or chest, along with arm weakness or numbness [41] Adverse effect from certain medications
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 ...
An illustration of the relevant neurovascular anatomy in anterior supraclavicular neurosurgical approach to the brachial plexus and subclavian vessels for thoracic outlet syndrome. Anatomical illustration of a dissection of the skull showing meninges.
Levothyroxine is a frequently prescribed drug in the United States, particularly for older people, as lower thyroid function can be associated with aging. Questions remain over how appropriately ...
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 ]