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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]
Wright's test is a clinical sign in which the radial pulse weakens or disappears when the arm is abducted and externally rotated. [ 1 ] [ 2 ] It occurs in some patients with thoracic outlet syndrome .
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 ]
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 ...
A positive Pemberton's sign is indicative of superior vena cava syndrome (SVC), commonly the result of a mass in the mediastinum.Although the sign is most commonly described in patients with substernal goiters where the goiter "corks off" the thoracic inlet, [4] the maneuver is potentially useful in any patient with adenopathy, tumor, or fibrosis involving the mediastinum.
Differential diagnosis thoracic outlet syndrome The white hand sign is a medical sign observed as a visible whitening of skin on the hand when the subject elevates the hands above the shoulder girdle with fingers pointing to the ceiling and palms facing forward.
Neurography has been applied increasingly to evaluate the distal nerve roots, lumbo-sacral plexus and proximal sciatic nerve in the pelvis and thigh to find other causes of sciatica. It is increasingly important for brachial plexus imaging and for the diagnosis of thoracic outlet syndrome. [27]
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