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Thoracic Outlet Syndrome

Ashley Koontz Sturts, DO Reviewed 04/2024
 


BASICS

DESCRIPTION

  • This syndrome consists of a constellation of symptoms that affect the head, neck, shoulders and upper extremities caused by compression of the neurovascular structures (brachial plex...

DIAGNOSIS

HISTORY

  • nTOS

    • High index of suspicion if there is a history of neck trauma or repetitive overhead activity

    • Upper extremity pain and paresthesias are considered common presenting symptoms (1)

    • Add...

TREATMENT

GENERAL MEASURES

  • Conservative management usually involves approaches to reduce and redistribute pressure and traction on the thoracic outlet

  • Physical therapy is first-line treatment along with...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Office follow-up visits every 3 to 4 weeks 

PATIENT EDUCATION

Physical therapy, postural exercises, ergonomic workstation 

PROGNOSIS

Durable long-te...

REFERENCES

1
Cavanna AC, Giovanis A, Daley A, et al. Thoracic outlet syndrome: a review for the primary care provider. J Osteopath Med. 2022;122(11):587-599. doi:10.1515/jom-2021-0276.
2
Garraud T, Pomar...

ADDITIONAL READING

SEE ALSO

  • Dengler NF, Ferraresi S, Rochkind S, et al. Thoracic Outlet Syndrome Part I: Systematic Review of the Literature and Consensus on Anatomy, Diagnosis, and Class...

CODES

ICD10

G54.0 Brachial plexus disorders 

SNOMED

  • 128210009 thoracic outlet syndrome (disorder)

  • 211236007 Scalenus anticus syndrome (disorder)

  • 413577001 Arterial thoracic outlet syndrome due to cervical ...

CLINICAL PEARLS

  • This syndrome is caused by compression of the neurovascular structures (brachial plexus and subclavian vessels) at the thoracic outlet, specifically in the area superior to the 1st rib...

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