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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 is essentially a hole surrounded by a bony ring, through which several vital structures pass. It is bounded by: the first thoracic vertebra (T1) posteriorly; the first pair of ribs laterally, forming lateral C-shaped curves posterior to anterior; and the costal cartilage of the first rib and the superior border of the manubrium anteriorly.
The Pancoast tumor was first described by Hare in 1838 as a "tumor involving certain nerves". [2] It was not until 1924 that the tumor was described in further detail, when Henry Pancoast, a radiologist from Philadelphia, published an article in which he reported and studied many cases of apical chest tumors that all shared the same radiographic findings and associated clinical symptoms, such ...
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 ...
[7] [8] [10] However, they vary widely in size and shape, [7] and in rare cases, they may cause problems such as contributing to thoracic outlet syndrome, [11] because of pressure on the nerves that may be caused by the presence of the rib. [11] [13] A cervical rib represents a persistent ossification of the C7 lateral costal element.
In humans, cervical vertebrae are the smallest of the true vertebrae and can be readily distinguished from those of the thoracic or lumbar regions by the presence of a foramen (hole) in each transverse process, through which the vertebral artery, vertebral veins, and inferior cervical ganglion pass. The remainder of this article focuses upon ...
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The thoracic cavity (or chest cavity) is the chamber of the body of vertebrates that is protected by the thoracic wall (rib cage and associated skin, muscle, and fascia). The central compartment of the thoracic cavity is the mediastinum .