Thoracic Outlet Syndrome - WVU School of Medicine

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Clinical Diagnosis• Positive findings for all tests:– ⇓ or loss <strong>of</strong> the radial pulse– reproduction <strong>of</strong> symptoms• Adson/Scalene test:– Deep Breath, fully extends neck, and turns headto the side• Costoclavicular test:– shoulders drawn inferiorly and posteriorly• Hyperabduction test:– arm is hyperabducted to 180 degrees
Imaging• CXR & C-spine films:– detect cervical ribs & degenerative changes• Cervical CT performed if:– osteophytic changes & intervertebral spacenarrowing present• Angiography indicated for:– Pulsating paraclavicular mass– Absent radial pulse– Paraclavicular bruit
Page 1 and 2: Thoracic Outlet SyndromeVascular Ca
Page 3 and 4: Anatomy of Thoracic OutletQuickTime
Page 5 and 6: Pathophysiology• Brachial plexus
Page 8 and 9: Costoclavicular Triangle• Borders
Page 10 and 11: • Anatomic FactorsEtiology- Inter
Page 12 and 13: Traumatic Factors• Fractured clav
Page 14 and 15: Neurologic Presentation• More com
Page 16 and 17: Venous Presentation• Venous obstr
Page 21 and 22: AngiogramShows compression of subcl
Page 23 and 24: VenogramComplete occlusion of Left
Page 25 and 26: Surgical Treatment for TOS• Reser
Page 27 and 28: Surgical Pictures1st thoracic rib r
Page 29 and 30: Types of Recurrence• Pseudorecurr
Page 31 and 32: Summary• TOS mimics many other pr

Thoracic Outlet Syndrome - WVU School of Medicine

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