Difficult diagnosis of a neurogenic thoracic outlet syndrome and review of the current literature

Rosa, Joao Maia; Sousa, Arnaldo; Fonte, Helder; Campos Pereira, Eva; Sapage, Rita; Trigueiros, Miguel

http://hdl.handle.net/10400.26/38127

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Abstract(s)

Thoracic outlet syndrome (TOS) is an uncommon disorder, without a clear clinical presentation or a fully accepted definition. The patients usually present a set of symptoms arising from compression of the brachial plexus or subclavian vessels during their passage through the thorax, between the base of the cervical region and the axilla. The authors present a case of a 20 year old woman with sporadic paresthesia in the territory of C7-T1 nerve root. At the physical examination she had a positive Wright's test. The imaging studies revealed the presence of a right cervical rib. A partial rib resection was performed with exploration of the braquial plexus and at the current follow up; 24 months after the surgery, the patient is asymptomatic. Our objective is to present a case of TOS and to highlight the clinical-management and treatment challenges of this pathology.

Keywords

Thoracic outlet syndrome Cervical rib Wright’s test Braquial plexus compression Lower trunk Portugal imagiologia compression of brachial plexus

URI

http://hdl.handle.net/10400.26/38127

Citation

Rosa JM, Sousa A, Fonte H, Pereira E, Sapage R, Trigueiros M. Difficult diagnosis of a neurogenic thoracic outlet syndrome and review of the current literature. Int J Res Orthop 2020;6:1087-9.