The thoracic outlet syndromes

Part 1. Overview of the thoracic outlet syndromes and review of true neurogenic thoracic outlet syndrome

Mark Ferrante, Nicole D. Ferrante

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

The thoracic outlet syndromes (TOSs) are a group of etiologically and clinically distinct disorders with 1 feature in common: compression of 1 or more neurovascular elements as they traverse the thoracic outlet. The medical literature reflects 5 TOSs: arterial; venous; traumatic neurovascular; true neurogenic; and disputed. Of these, the first 4 demonstrate all of the features expected of a syndrome, whereas disputed TOS does not, causing many experts to doubt its existence altogether. Thus, some categorize disputed TOS as a cervicoscapular pain syndrome rather than as a type of TOS. To better understand these disorders, their distinctions, and the reasoning underlying the categorical change of disputed TOS from a form of TOS to a cervicoscapular pain syndrome, a thorough understanding of the pertinent anatomy, pathology, pathophysiology, and the electrodiagnostic manifestations of their pathophysiologies is required. This review of the TOSs is provided in 2 parts. In this first part we address information pertinent to all 5 TOSs and reviews true neurogenic TOS. In part 2 we review the other 4 TOSs. Muscle Nerve 55: 782–793, 2017.

Original languageEnglish (US)
Pages (from-to)782-793
Number of pages12
JournalMuscle and Nerve
Volume55
Issue number6
DOIs
StatePublished - Jun 1 2017

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Thoracic Outlet Syndrome
Pain
Anatomy
Thorax

All Science Journal Classification (ASJC) codes

  • Physiology
  • Clinical Neurology
  • Cellular and Molecular Neuroscience
  • Physiology (medical)

Cite this

The thoracic outlet syndromes : Part 1. Overview of the thoracic outlet syndromes and review of true neurogenic thoracic outlet syndrome. / Ferrante, Mark; Ferrante, Nicole D.

In: Muscle and Nerve, Vol. 55, No. 6, 01.06.2017, p. 782-793.

Research output: Contribution to journalArticle

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