Document Detail

Thoracic outlet syndrome.
MedLine Citation:
PMID:  22179914     Owner:  NLM     Status:  In-Data-Review    
Background : The thoracic outlet syndrome (TOS) is recognized as a cause of upper limb pain. It is often under-diagnosed and its frequency under-estimated by rheumatologists. Aim: To report the diagnostic problems related to TOC though a literature review Methods: A narrative review of literature Results: The diagnosis of TOS is difficult because of intricacy of vascular and neurological symptoms. It requires provocative tests, electrophysiological investigations and Doppler ultrasonography. A good anatomical knowledge is mandatory in order to clarify the mechanisms and the location of the lesions which depend on sophisticated imaging exams. It is also recommended to exclude all other causes of upper limb pain, as well as peripheral nerve compression syndromes, which can coexist with TOS. Conclusion: Diagnosis and treatment of the TOS involves rheumatologists, neurologists, physiatrists, orthopedic surgeons,vascular surgeons, thoracic surgeons, neurosurgeons and sometimes psychiatrists who have to cooperate in order to prevent severe functional after-effects.
Raoudha Tekaya; Olfa Neji; Madiha Mahfoudhi; Chiraz Ben Hadj Yahia; Leila Abdelmoula; Lilia Chaabouni; Rafik Zouari
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  La Tunisie médicale     Volume:  89     ISSN:  0041-4131     ISO Abbreviation:  Tunis Med     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-12-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0413766     Medline TA:  Tunis Med     Country:  Tunisia    
Other Details:
Languages:  eng     Pagination:  809-13     Citation Subset:  IM    
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