Thoracic Outlet Syndrome Flashcards
1
Q
What is thoracic outlet syndrome?
A
Compression of the brachial plexus, subclavian artery or vein at the site of the thoracic outlet
1
Q
What are risk factors for TOS?
A
- Younger women
- Aged 30-50
2
Q
What causes TOS?
A
- Following neck trauma in patients with anatomical predispositions
- Presence of cervical rib
3
Q
How does TOS present?
A
- Painless muscle wasting of hand muscles: issues with grasping objects
- Numbness and tingling
- Cold hands, blanching or swelling may be present if autonomic nerves affected
4
Q
How is TOS investigated?
A
- Chest and C-spine X-rays
- CT/MRI may be useful
5
Q
How is TOS managed?
A
- Education, rehab and physio
- Surgical decompression can be done if physical anomaly
