Essentials of thoracic outlet syndrome:A narrative review  

作　　者：Min Cheol Chang Du Hwan Kim 

机构地区：[1]Department of Rehabilitation Medicine,College of Medicine,Yeungnam University,Daegu 42415,South Korea [2]Department of Physical Medicine and Rehabilitation,College of Medicine,Chung-Ang University,Seoul 06973,South Korea

出　　处：《World Journal of Clinical Cases》2021年第21期5804-5811,共8页世界临床病例杂志

摘　　要：Thoracic outlet syndrome(TOS)is a group of diverse disorders involving compression of the nerves and/or blood vessels in the thoracic outlet region.TOS results in pain,numbness,paresthesia,and motor weakness in the affected upper limb.We reviewed the pathophysiology,clinical evaluation,differential diagnoses,and treatment of TOS.TOS is usually classified into three types,neurogenic,venous,and arterial,according to the primarily affected structure.Both true neurogenic and disputed TOS are considered neurogenic TOS.Since identifying the causative lesions is complex,detailed history taking and thorough clinical investigation are needed.Electrodiagnostic and imaging studies are helpful for excluding other possible disorders and confirming the diagnosis of true neurogenic TOS.The existence of a disputed TOS remains controversial.Neuromuscular physicians tend to be skeptical about the existence of disputed TOS,but thoracic surgeons argue that disputed TOS is under-diagnosed.Clinicians who encounter patients with TOS need to understand its key features to avoid misdiagnosis and provide appropriate treatment.

关 键 词：Brachial plexus DIAGNOSIS REVIEW Thoracic outlet syndrome TREATMENT Neuromuscular lesions 

分 类 号：R543[医药卫生—心血管疾病] R745[医药卫生—内科学]