Thoracic Outlet Syndrome
is actually a collection of syndromes brought about by abnormal compression of the neurovascular bundle by bony, ligamentous or muscular obstacles between the cervical spine and the lower border of the axilla. This injury usually consists of the neurovascular bundle, the brachial plexus, and the subclavian artery and vein. The bony ligamentous and muscular obstacles all define the cervicoaxillary canal or the thoracic outlet and its course from the base of the neck to the axilla or armpit. is characterized by pain, numbness, tingling, and/or weakness in the arm and hand.
The anatomy that is involved in this injury is the neurovascular bundle, the brachial plexus, the subclavian artery ...
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factors ultimately lead to the narrowing of the costoclavicular space in the shoulder.
This injury is most commonly an overuse injury. This is due to the cause of the build up of scar tissue on the muscles of the neck by there being a stretching injury to the neck muscles. The tight muscles press against the nerves to the arm causing the symptoms. Neck pain and headaches are caused tightness of the neck muscles.
Treatment for this injury includes a trip to the doctor to rule out any other complications, then start out with a moderate stretching exercise program. Abdominal breathing and posture corrections should be done as well. Other conditions can coexist with , like carpal tunnel syndrome and ulnar nerve entrapment, and should be treated accordingly.
The prognosis of the injury is fairly good. Most people with thoracic outlet syndrome improve with stretching and nonsurgical treatment. With this type of injury athlete success rate is 80-85%.
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to Dr. George Pianka, MD., and Dr. Elliott B. Hershman, MD., if diagnosed with neurologic thoracic outlet, every effort should be made to manage the patient conservatively. Shoulder muscle exercises are often prescribed, along with local heat and a cervical collar. Surgery should be reserved for persistent symptoms for up to 3 or 4 months unless there is intractable pain, vascular compromise, or neurologic loss. Suprasclavicular exploration with division of the fiberous band, if present, is the recommended approach, whereas the trasaxillary approach is used for the first rib resection (The Upper Extremity in Sports Medicine p.705). As with vascular thoracic outlet syndrome, Dr. ...
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Thoracic Outlet Syndrome. (2004, August 11). Retrieved November 22, 2024, from http://www.essayworld.com/essays/Thoracic-Outlet-Syndrome/12498
"Thoracic Outlet Syndrome." Essayworld.com. Essayworld.com, 11 Aug. 2004. Web. 22 Nov. 2024. <http://www.essayworld.com/essays/Thoracic-Outlet-Syndrome/12498>
"Thoracic Outlet Syndrome." Essayworld.com. August 11, 2004. Accessed November 22, 2024. http://www.essayworld.com/essays/Thoracic-Outlet-Syndrome/12498.
"Thoracic Outlet Syndrome." Essayworld.com. August 11, 2004. Accessed November 22, 2024. http://www.essayworld.com/essays/Thoracic-Outlet-Syndrome/12498.
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