Thoracic Outlet Syndrome

 Causes 

    Cervical Rib

    Anomalous Scalenius Muscle 

    Types 

            1. Neurogenic - Upper Plexus Type 

                                    - Lower Plexus Type 

            2. Vascular 


https://my.clevelandclinic.org/health/diseases/17553-thoracic-outlet-syndrome-tos

    Sites of compression

        1. as plexus passes over first rib 

        2. under clavicle by subclavian tendon

        3. underneath the coracoid process 

    Provocative Tests 

     Adson , Wright, Roos 

    Investigations 

         Plain radiographs of chest and C-spine

         CT - for suspected bone anomaly 

         MRI - cervical pathology ,tumor or radiation plexitis 

         Doppler arteriography / venography

          EMG/ NCS 

    Treatment 

          Physiotherapy 

          Ist Rib resection , release or excision of scalene anterior and middle muscles (approach-                         transaxillary or supraclavciular )

          venous thrombolysis or arterial thrombectomy and vascular reconstruction

            

        

Comments

Popular posts from this blog

Outline of Treatment of Spinal Tuberculosis

COXA VARA

Paediatric Supracondylar Humerus Fracture

Timing and Outcome of Surgery in Hip Fractures

Hind Foot amputation