Document Detail

The role of thoracic outlet syndrome in the double crush syndrome.
MedLine Citation:
PMID:  1705129     Owner:  NLM     Status:  MEDLINE    
The association between thoracic outlet syndrome (TOS) and carpal tunnel syndrome (CTS) (40 cases), ulnar neuropathy (UN) (19 cases) and radial tunnel syndrome (29 cases) is investigated. The possibility of a double crush syndrome is considered with reference to the difficulties in diagnosis. It is demonstrated that in approximately half of all cases the proximal neuropathy precedes the distal one. Despite the fact that surgical treatment of the thoracic outlet syndrome appears to improve the distal neuropathy it is still difficult to decide, in a given case, which decompression takes priority with the exception of carpal tunnel release which is generally to be performed first. The historical background and theoretical basis of the management of double crush syndrome is outlined and arguments for and against the association of the various neuropathies are presented.
A O Narakas
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Annales de chirurgie de la main et du membre supérieur : organe officiel des sociétés de chirurgie de la main = Annals of hand and upper limb surgery     Volume:  9     ISSN:  1153-2424     ISO Abbreviation:  Ann Chir Main Memb Super     Publication Date:  1990  
Date Detail:
Created Date:  1991-03-29     Completed Date:  1991-03-29     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9011039     Medline TA:  Ann Chir Main Memb Super     Country:  FRANCE    
Other Details:
Languages:  eng     Pagination:  331-40     Citation Subset:  IM    
Clinique Longeraie, Lausanne, Switzerland.
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MeSH Terms
Carpal Tunnel Syndrome / complications*
Middle Aged
Nerve Compression Syndromes / complications*
Prospective Studies
Radial Nerve*
Retrospective Studies
Thoracic Outlet Syndrome / complications*,  surgery
Ulnar Nerve*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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