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Flashcards in Thoracic Outlet Syndrome Deck (10)
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1

What is a syndrome

Symptoms that occur together or in a group

2

Thoracic outlet syndrome (TOS)

Groups of symptoms resulting from compression/obstruction of structures in the thoracic outlet


Includes the following structures
- subclavian artery/vein
- branchial plexus
- scalenes

3

Symptoms of TOS

Ischemia/ decreased pulses

Pallor

Coolness

Swelling

Pain

Paresthesia

Cyanosis

4

Possible Differential diagnosis in TOS

Cervical disc herniation

Pa coast tumors

Carpal tunnel syndrome

Brain/spinal cord lesions

Somatic dysfunction of
- cervical spine
- thoracic spine
- ribs
- clavicles
- UE

5

How to differentiate TOS from specific diagnoses

TOS = usually the whole hand/arm

Specific diagnoses = specific parts of the dermatomes of the cervical plexus

6

Generalized TOS tests

Upper limb tension

Roos test

7

Specific TOS tests

Wright test
- pec muscle entrapment

Adsons test
- scalene impingement

Halstead (reverse adsons)
- cervical rib impingement

8

Double crush syndrome

Compression of two or more locations along the course of peripheral nerves (cause increased symptoms in an additive effect)

9

Factors that predispose to TOS

Cervical ribs

Unusual sleeping position

Ectomorphic body habits

History of clavicular fractures

Members of military

Construction workers

Mechanics

Painters/artists

10

What signs require further work up then just diagnosising and opening up TOS?

Unresponsive to any treatment

Unusual patterns that dont add up

Symptoms are bilateral

Loss of motor/ nerve function

Muscle wasting