The thoracic outlet syndromes

Part 2. The arterial, venous, neurovascular, and disputed thoracic outlet syndromes

Mark Ferrante, Nicole D. Ferrante

Research output: Contribution to journalArticle

4 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 TOSs as 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 electrodiagnostic manifestations of these pathophysiologies is required. This review of the TOSs is provided in 2 parts. In part 1 we covered general information pertinent to all 5 TOSs and reviewed true neurogenic TOS in detail. In part 2, we review the arterial, venous, traumatic neurovascular, and disputed forms of TOS. Muscle Nerve 56: 663–673, 2017.

Original languageEnglish (US)
Pages (from-to)663-673
Number of pages11
JournalMuscle and Nerve
Volume56
Issue number4
DOIs
StatePublished - Oct 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 2. The arterial, venous, neurovascular, and disputed thoracic outlet syndromes. / Ferrante, Mark; Ferrante, Nicole D.

In: Muscle and Nerve, Vol. 56, No. 4, 01.10.2017, p. 663-673.

Research output: Contribution to journalArticle

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