81. CTSN- Thoracic Outlet Syndrome Text Thoracic Outlet Compression Syndrome 10. Recurrent thoracic outlet syndrome · About 12% of patients will have persistent or progressively more severe http://www.ctsnet.org/doc/7625

Thoracic Outlet Compression Syndrome Click on hyperlinked text for illustrations View TSDA Curriculum Online for this topic 1. Definition Compression of the subclavian vessels and brachial plexus at the superior aperture of the chest, most commonly against the first rib. Other terms for this syndrome include scalenus anticus syndrome, costoclavicular syndrome, hyperabduction syndrome, cervical rib syndrome, and first thoracic rib syndrome. 2. Anatomy A. Surgical Anatomy first rib divides the cervicoaxillary canal into a proximal space and a distal space (the axilla) B. Functional Anatomy 3. Etiology There are many factors which can cause neurovascular compression at the thoracic outlet. Bony abnormalities are present in about 30% of patients, and some of these may be visualized on plain chest x-ray. I. Anatomic Factors II. Congenital Factors III. Traumatic Factors IV. Atherosclerosis *adapted from Kirklin and Barratt-Boyes 4. Clinical Presentation The character and pattern of symptoms will vary depending on the degree to which nerves, blood vessels, or both are compressed A. Neurogenic

82. CTSN- Thoracic Outlet Syndrome Edit Doc. Last revised Mar31-2003 Revised by Stephen H. McKellar. © 2003 Cardiothoracic Surgery Network. http://www.ctsnet.org/doc/7628

Edit Doc Last revised Mar-31-2003 Revised by Stephen H. McKellar

83. Thoracic Outlet Syndrome. Acupuncture Today, December 2001 Frequently orthopedists, neurologists or chiropractors refer patients with a diagnosis of thoracic outlet syndrome. This article will help you know what it http://www.acupuncturetoday.com/archives2001/dec/12katz.html

Acupuncture Today December, 2001, Volume 02, Issue 12 Printer Friendly Version Email to a Friend Other MPAmedia Alternative Health Site Links Chiropractic ChiroWeb DynamicChiropractic ChiroExpo ChiroFind ... Review Massage Therapy MassageToday SpaTherapy Nutrition NutritionalWellness Dr. Katz's Corner Alejandro J. Katz, MD, OMD, LAc, QME Thoracic Outlet Syndrome Frequently orthopedists, neurologists or chiropractors refer patients with a diagnosis of thoracic outlet syndrome. This article will help you know what it is and how to treat it. The symptoms of thoracic outlet syndrome (TOS) are pain, numbness and tingling of the upper extremity. The compression of the brachial plexus, subclavian artery and vein between the clavicle, first rib and the scalene muscles seems to be the cause. The nerves mostly affected are the radial; ulnar (90% of the cases); median; and musculoskeletal nerves. The patient's symptoms are pain/tingling/burning of the forearm/hand/fingers (third, fourth and fifth fingers). The pain medications usually prescribed include ibuprofen (600-800 mgs 2/3 times a day), naproxen (500 mgs two times/day), vioxx (12.5/25/50 mgs) or celebrex (100/200 mgs). A diagnostic test that could be used for TOS is a nerve conduction study (NCS), which will show whether an abnormality is present (the test's results are usually inconsistent).

84. Thoracic Outlet Syndrome Patient medical question and answer from The Neurology and Neurosurgery Forum. Health topic area and articles about thoracic Topics ,motor, neurologist, http://www.medhelp.org/forums/neuro/messages/30178.html

Questions in The Neurology Forum are being answered by doctors from The Cleveland Clinic , consistently ranked one of the best hospitals in America. Thoracic Outlet Syndrome Forum: The Neurology and Neurosurgery Forum Topic: Thoracic Subject: Thoracic Outlet Syndrome From To Post Lisa My Orthopedist and Neurologist think I have Thoracic Outlet Syndrome. I know this is very difficult to diagnose and is often misdiagnosed with surgery being performed unnecessarily. I do have the cervical rib and lose the pulse when the arm is raised. I've had an EMG but I am now being told that it was done incorrectly so another will be done tomorrow. Is there any other way of diagnosing this? I have a lot of shoulder and neck pain as well as tingling in the hand and fingers, especially when the arm is raised at all. The neurologist says that if I did need surgery there are only four places in the US that he would send his patient. He only mentioned two, which were LSU and The Cleveland Clinic. If I'm told I have TOS I want it proven to me that I really do have it! Is there a test that will definitely show it? Thank you very much.

85. Thoracic Outlet Syndrome (TOS) thoracic outlet syndrome (TOS) Back to Law and Policy Institutions Home Page thoracic outlet syndrome (TOS) consists of a group of distinct disorders http://lpig.doereport.com/displaymonograph.php?MID=149

86. BJSM -- Sign In Page Objectives Patients with thoracic outlet syndrome (TOS) complain of many subjective thoracic outlet syndrome–A common sequela of neck injuries. http://bjsm.bmjjournals.com/cgi/content/full/39/3/178

HOME HELP FEEDBACK SUBSCRIPTIONS ... SEARCH Author Keyword(s) Vol Page [Advanced] Access to this article requires a subscription or payment. Full Text Quantification of the weakness and fatigue in thoracic outlet syndrome with isokinetic... Br J Sports Med. To view this item, select one of the options below: Login via Athens Login for existing subscribers User Name Sign in without cookies. Can't get past this page? Help with Cookies. Need to Activate? Password Forgotten your user name or password? Subscribe Buy the article Pay per Article - You may access this article (from the computer you are currently using) for 2 days for US$12.00 SitePass - You may access all content in British Journal of Sports Medicine Online (from the computer you are currently using) for 30 days for US$30.00. Regain access to an already purchased article if the access period has not yet expired. This Article Abstract Full Text (PDF) Submit a response ... Alert me if a correction is posted Services Email this link to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal ... Download to citation manager PubMed PubMed Citation Related Collections Sports Medicine HOME HELP FEEDBACK ... SEARCH

87. Quantification Of The Weakness And Fatigue In Thoracic Outlet Syndrome With Isok Objectives Patients with thoracic outlet syndrome (TOS) complain of many subjective symptoms that are difficult to measure and quantify. http://bjsm.bmjjournals.com/cgi/content/abstract/39/3/178

HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS Author Keyword(s) Vol Page [Advanced] This Article Full Text Full Text (PDF) Submit a response ... Alert me if a correction is posted Services Email this link to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal ... Download to citation manager PubMed PubMed Citation Related Collections Sports Medicine Br J Sports Med ORIGINAL ARTICLE Quantification of the weakness and fatigue in thoracic outlet syndrome with isokinetic measurements F nan c B Kaymak G Abal and Hacettepe University Medical School, Ankara, Turkey Correspondence to: Hacettepe University Medical School, Physical Medicine and Rehabilitation, Ankara 06100, Turkey; Objectives: Patients with thoracic outlet syndrome (TOS) complain of many subjective symptoms that are difficult to measure and quantify. In this study we have tried to assess the weakness

88. Thoracic Outlet Syndrome First Department Of Surgery, Asahikawa First Department of Surgery, Asahikawa Medical University. http://www.asahikawa-med.ac.jp/dept/mc/surge1/en/case-3.html

89. Ae thoracic outlet syndrome. Findings 3D TOF MRA of the aortic arch great vessels thoracic outlet syndrome is caused by rib anomalies or musculofibrous http://www.med.uc.edu/neurorad/webpage/dya.html

Thoracic Outlet Syndrome Findings: 3D TOF MRA of the aortic arch great vessels shows abrupt termination of flow signal in the bilateral subclavian arteries with arm abduction. Discussion: Thoracic outlet syndrome is caused by rib anomalies or musculofibrous bands between the clavicle, cervical spine, and first rib. Alternatively, this may be an acquired condition due to malunited clavicle fracture or body habitus (thin or muscular). An anomalous anterior scalene muscle is the most common cause. Any condition which narrows the costoclavicular space may cause the symptom complex. These patients experience ischemic symptoms in the arms with abduction, associated with loss of the radial pulse and possibly a subclavian bruit. Complications include poststenotic aneurysm, subclavian artery thrombosis, mural thrombus with distal embolization, or venous thrombosis. Surgery can be curative. BACK TO UNKNOWNS BACK TO CATEGORIES HOME

90. Expert Witnesses - Thoracic Outlet Syndrome Find Expert Witnesses in thoracic outlet syndrome Directory of Experts, Expert Witnesses, Legal Consultants, Forensic Experts, and Litigation Support http://www.hgexperts.com/listing/Medical-Expert-Witness-Thoracic-Outlet-Syndrome

MEDICAL EXPERTS EXPERT WITNESSES MEDICAL EXP. WITNESSES SPEAKER BUREAUS LEGAL CONSULTANTS Appraisal Banking Case Management Employment ... PROCESS SERVERS Expert Witness Thoracic Outlet Syndrome Find experts, legal consultants, forensic experts, and litigation support services nationwide. Company Name Any word(s) in Description and Expertise State/Province Country Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota Northwest Territory Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas U.S. Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory United States of America Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Brunei Darussalam Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Canary Islands Cayman Islands Central African Republic Chad Channel Islands Chile

91. Speakers Bureau - Thoracic Outlet Syndrome Speakers Bureau Directory Find motivational business leaders and legal professionals speakers in thoracic outlet syndrome for all events. http://www.hgexperts.com/hg/ex_consultants.asp?extra=sb&subcategory=Thoracic|Out

92. Thoracic Outlet Syndrome & Homeopathy Quick introduction to homeopathy all about what it is and how to use homeopathy for best effect. About like cures like, treating the whole person and http://www.abchomeopathy.com/c.php/147

Homeopathy Relevant forum posts: Looking for alternate/homeopathic remedy for Otosclerosis (14 replies) Ptosis (11 replies) otosclerosis (11 replies) (9 replies) Otoscelrosis and Homeopathy (Middle ear) (9 replies) Lactose Intolerance (7 replies) Retinopathy General+Central Serous Choroid Retinopathy+Pigmentosa+Macular Degenration (5 replies) Post-Nasal Drip, Halitosis (5 replies) can hemeopathy help craniosynostosis (3 replies) rhinitis medicamentosa (3 replies) halitosis (2 replies) I have the same symtos like , marina. (2 replies) Testosterone (1 replies) Help! My Post-Nasal Drip and Halitosis (1 replies) Otosclerosis (0 replies) Conditions - T TOS Tennis Elbow ... Twisted Bowel Homeopathy - Thoracic Outlet Syndrome (User entered condition) Alternative Names: TOS Homeopathic remedies are prescribed by symptoms rather than conditions, as each case of a particular illness can manifest differently in different people. However, to make it quicker to find the symptoms related to Thoracic Outlet Syndrome, the symptoms experienced by a previous vistor to our homeopathic remedy finder have been grouped, by them, under the name of Thoracic Outlet Syndrome. There may be symptoms not related to Thoracic Outlet Syndrome, and this may not be an exhaustive list of symptoms. Thoracic Outlet Syndrome For suggestions of homeopathic remedies for Thoracic Outlet Syndrome, tick the boxes below and press the

93. Healthopedia.com - Thoracic Outlet Syndrome (True Neurogenic Thoracic Outlet Syn Alternate Names True Neurogenic thoracic outlet syndrome, thoracic outlet syndrome includes those disorders that result in compression of nerves or http://www.healthopedia.com/thoracic-outlet-syndrome/

Set Homepage Email Page Favorites Home Health Centers Medical Encyclopedia Medical Symptoms ... Special Topics Related Resources Allergic Reactions Dizziness Headache Low Blood Pressure ... Anesthesia Other Topics Pain Medications Physical Therapy Pregnancy Repetitive Stress Injury You are here : Healthopedia.com Medical Encyclopedia Diseases and Conditions Thoracic Outlet Syndrome Thoracic Outlet Syndrome Alternate Names : True Neurogenic Thoracic Outlet Syndrome, Disputed Thoracic Outlet Syndrome, Arterial Thoracic Outlet Syndrome Attribution Thoracic outlet syndrome includes those disorders that result in compression of nerves or blood vessels supplying the arms. What is going on in the body? The thoracic outlet is the area of the body between the collarbone and the rib cage. Veins, nerves, and arteries come through this opening. When the blood vessels or nerves are compressed or squeezed, the pressure causes the symptoms of thoracic outlet syndrome. What are the causes and risks of the disease? Causes of thoracic outlet may include: injury to the area of the collarbone or upper ribs spinal problems, such as a

94. Healthopedia.com - Thoracic Outlet Syndrome: Symptoms & Signs (True Neurogenic T Alternate Names True Neurogenic thoracic outlet syndrome, Disputed thoracic outlet syndrome thoracic outlet syndrome Overview, Causes, Risk Factors http://www.healthopedia.com/thoracic-outlet-syndrome/symptoms.html

Set Homepage Email Page Favorites Home Health Centers Medical Encyclopedia Medical Symptoms ... Special Topics Related Resources Allergic Reactions Dizziness Headache Low Blood Pressure ... Anesthesia Other Topics Pain Medications Physical Therapy Pregnancy Repetitive Stress Injury You are here : Healthopedia.com Medical Encyclopedia Diseases and Conditions Thoracic Outlet Syndrome Thoracic Outlet Syndrome Alternate Names : True Neurogenic Thoracic Outlet Syndrome, Disputed Thoracic Outlet Syndrome, Arterial Thoracic Outlet Syndrome Thoracic Outlet Syndrome Attribution What are the signs and symptoms of the disease? Symptoms of thoracic outlet syndrome include: shoulder pain that increases in certain positions arm pain hand pain, especially in the ring finger and little finger weakness , numbness, or coldness in the arm vein distention in the hands decreased movement of the shoulder and arm limpness in the arm and shoulder tingling of arms, hands, shoulders, or neck swelling of fingers and hands dizziness funny feeling in face headaches Raynaud's phenomenon , a condition causing pain, tingling, and color change in the fingers and toes when exposed to cold damage and death to the tissues low blood pressure absence or decrease of a pulse in the arm Previous section Next section Author: Eileen McLaughlin, RN, BSN

95. Thoracic Outlet Syndrome--a Myofascial Variant: Part 3. Structural And Postural thoracic outlet syndrome involves more than just local neurovascular compression. Myofascial release treatments and stretching exercises may be only http://www.jaoa.org/cgi/content/abstract/93/3/334

HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS QUICK SEARCH: [advanced] Author: Keyword(s): Year: Vol: Page: This Article Order Full text via Infotrieve Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal ... Download to citation manager PubMed PubMed Citation Articles by Sucher, B. Articles by Heath, D. Journal of the American Osteopathic Association, Vol 93, Issue 3, 334-334 Articles Thoracic outlet syndromea myofascial variant: Part 3. Structural and postural considerations BM Sucher and DM Heath Thoracic outlet syndrome involves more than just local neurovascular compression. Myofascial release treatments and stretching exercises may be only partially or temporarily successful unless all related components of somatic dysfunction, including craniosacral mechanisms, are addressed. Structural and postural abnormalities in the frontal plane, as with a short leg, and in the sagittal plane, such as lumbopelvic imbalances, as well as neural involvement all contribute to thoracic outlet syndrome symptoms. Once segmental restrictions are treated and symptoms diminish, postural correction and strengthening exercises may be initiated. Osteopathic diagnosis and treatment of the local, regional, and remote structural problems is necessary for optimal treatment of thoracic outlet syndrome and the maintenance of a symptom-free status.

96. Thoracic Outlet Syndrome--a Myofascial Variant: Part 1. Pathology And Diagnosis Four cases of thoracic outlet syndrome are described, with observations to support a primary myofascial etiology involving the scalene and smaller pectoral http://www.jaoa.org/cgi/content/abstract/90/8/686

HOME HELP FEEDBACK SUBSCRIPTIONS ... TABLE OF CONTENTS QUICK SEARCH: [advanced] Author: Keyword(s): Year: Vol: Page: This Article Order Full text via Infotrieve Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal ... Download to citation manager PubMed PubMed Citation Articles by Sucher, B. Journal of the American Osteopathic Association, Vol 90, Issue 8, 686-686 Case Reports Thoracic outlet syndromea myofascial variant: Part 1. Pathology and diagnosis BM Sucher Four cases of thoracic outlet syndrome are described, with observations to support a primary myofascial etiology involving the scalene and smaller pectoral muscles. It is believed that thermography can be extremely helpful as an aid in diagnosis of thoracic outlet syndrome and, when combined with Doppler blood flow studies and photoplethysmography, can help localize the site of the pathosis. Thermography is a sensitive, non-invasive test that most clearly demonstrates pathology in the hand views. Global changes throughout the entire hand suggest vascular or reflex autonomic involvement, while a more dermatomal distribution suggests specific neurologic involvement. Vigorous stretching and a unique form of myofascial release manipulation has been successful in rapidly treating patients with thoracic outlet syndrome. Follow-up thermography (perhaps hand and forearm views only) can be used to monitor response to treatment and to objectively document improvement.

97. BioMed Central | Abstract | Thoracic Outlet Syndromes The clinical presentation of thoracic outlet syndrome depends on which anatomic Recurrent thoracic outlet syndrome may involve any or all of the above http://www.biomedcentral.com/1092-8464/5/163/abstract

home journals A-Z subject areas advanced search ... Issue 2 Viewing options Abstract Full text PDF Associated material: PubMed record Related literature: Articles citing this article on Google Scholar Other articles by authors Urschel Jr HC ... Similar articles (PubMed) Tools: E-mail to a friend Download references Opinion Thoracic Outlet Syndromes Harold C Urschel Jr MD and Amit Patel MD 1201 Barnett Tower 3600 Gaston Avenue, Baylor University Medical Center, Dallas, TX, 75246, USA Current Treatment Options in Cardiovascular Medicine Published Abstract The clinical presentation of thoracic outlet syndrome depends on which anatomic structure is compressed in the area of the thoracic outlet ( eg , the axillary-subclavian artery, vein [Paget-Schroetter syndrome, or effort thrombosis], brachial plexus, or the sympathetic nerves). The clinical syndrome may be isolated to one or a mixture of these compressed anatomic structures. Although there are multiple compressive forces, the first rib is the common denominator, and extirpation of this structure is the 'gold' standard for therapy. The various syndromes are discussed in their clinical order of frequency. For severe nerve compression, whether upper or lower brachial plexus, the best surgical procedure is the transaxillary first rib resection, anterior scalenectomy, and neurovascular decompression. Axillary-subclavian vein occlusion ( ie Terms and Conditions Privacy statement Information for advertisers Contact us

98. BioMed Central | Full Text | Vascular Thoracic Outlet Syndrome To obtain access to Current Treatment Options in Cardiovascular Medicine through your institution use the options below. If you would like information about http://www.biomedcentral.com/1092-8464/4/195

home journals A-Z subject areas advanced search ... my BioMed Central To obtain access to Current Treatment Options in Cardiovascular Medicine through your institution use the options below. If you would like information about a personal subscription, please contact subs@phl.cursci.com Click here to view an abstract of this article Click here to login if you are already a subscriber to Current Treatment Options in Cardiovascular Medicine Subscribe to Current Treatment Options in Cardiovascular Medicine Register for a free online trial Ask your librarian to investigate institutional access Athens users please click here to gain access If you believe you are seeing this page in error, or cannot activate your subscription, e-mail us info@biomedcentral.com Terms and Conditions Privacy statement Information for advertisers ... Contact us

99. Thoracic Outlet Syndrome Orthopedics Brachial Thoracic Outlet. thoracic outlet syndrome Brachial Index, Neuro Neuritis, Plexus Injury, Thoracic Outlet, Thoracic Outlet http://www.fpnotebook.com/ORT25.htm

Home About Links Index ... Editor's Choice document.write(code); Advertisement Orthopedics Brachial Neurology ... Brachial Neuritis Assorted Pages Brachial Plexus Injury Thoracic Outlet Syndrome Cervical Rib Syndrome Costoclavicular Syndrome ... Costoclavicular Maneuver Thoracic Outlet Syndrome Book Home Page Cardiovascular Medicine Dentistry Dermatology Emergency Medicine Endocrinology Gastroenterology Geriatric Medicine Gynecology Hematology and Oncology HIV Infectious Disease Jokes Laboratory Neonatology Nephrology Neurology Obstetrics Ophthalmology Orthopedics Otolaryngology Pediatrics Pharmacology Practice Management Prevention Psychiatry Pulmonology Radiology Rheumatology Sports Medicine Surgery Urology Chapter Orthopedics Index Ankle Brachial Cervical Spine Dermatology Elbow Examination Foot Forearm Fracture Hand Hematology and Oncology Hip Infectious Disease Knee General Pulmonology L-Spine Neurology Pediatrics Prevention Procedure Radiology Rheumatology Shoulder Sports Medicine Symptom Evaluation T-Spine Wrist Page Brachial Index Neuro Neuritis Plexus Injury Thoracic Outlet Thoracic Outlet Cervical Rib Thoracic Outlet Costoclavicular Thoracic Outlet Hyperabduction Thoracic Outlet Scalenus General Neural Involvement Extremity pain Extremity numbness Arterial Involvement Extremity falls asleep Glove distribution with or without paresis Venous Involvement Distal extremity swelling Causes Costoclavicular Syndrome Cervical Rib Syndrome Hyperabduction Syndrome Scalenus Anticus Syndrome Overview Exam: Adson's Test Costoclavicular Maneuver Wright's Test Sensory and

100. Www.ohsu.edu/cliniweb/C10/C10.772.491.915.html thoracic outlet syndromethoracic outlet syndrome is a condition characterized by pain in the neck The pain of thoracic outlet syndrome is sometimes confused with the pain of http://www.ohsu.edu/cliniweb/C10/C10.772.491.915.html

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