Australian journal of general practice · 2023
Neurogenic thoracic outlet syndrome: When to consider the diagnosis and current management options.
ОбзорСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Kam Fai Ho Kelvin, Guazzo Lucy, Muller Juanita
Аннотация
BACKGROUND: Thoracic outlet syndrome (TOS) refers to a group of compressive disorders that occur in the thoracic outlet and can affect the brachial plexus, subclavian artery and vein. Neurogenic TOS (nTOS) is the most common form of TOS, accounting for approximately 97% of cases. nTOS and its resulting compressive brachial plexopathy can lead to potentially disabling symptoms and reduced quality of life.
OBJECTIVE: This article reviews the current literature on nTOS and summarises the pathophysiology, diagnostic pathways and the management options for nTOS.
DISCUSSION: nTOS is an uncommon but disabling disorder with no single 'rule-in' test, often resulting in diagnostic delays and late referral. Initial management is non-operative with targeted physiotherapy. If this is unsuccessful, symptoms can be relieved with scalene botulinum toxin injections and surgical intervention.
OBJECTIVE: This article reviews the current literature on nTOS and summarises the pathophysiology, diagnostic pathways and the management options for nTOS.
DISCUSSION: nTOS is an uncommon but disabling disorder with no single 'rule-in' test, often resulting in diagnostic delays and late referral. Initial management is non-operative with targeted physiotherapy. If this is unsuccessful, symptoms can be relieved with scalene botulinum toxin injections and surgical intervention.