Thoracic Outlet Syndrome

Improved Essays
Thoracic outlet syndrome (TOS) was first identified by Sir Ashley Cooper in 1921 and was further evaluated by Rob and Standeven in 1958 (McKenzie). Thoracic outlet syndrome is a nonspecific diagnosis that refers to an array of conditions caused by compression of the neurovascular structures that pass through the thoracic outlet (Nichols). These conditions can be named based on their location of compression or the cause of symptoms (McKenzie). Factors that predispose patients to the development of TOS include: occupation, gender, medical conditions, and genetic abnormalities, according to McKenzie. “Although most cases of TOS occur in non-athletes, there are certain sports-related injuries that may place one at increased risk” (Kuschner). “The …show more content…
Symptoms including weakness and wasting of hand muscles, and numbness in the hand. Disputed TOS is caused by injury to the nerves in the brachial plexus. The most prominent symptom of the disorder is pain and other symptoms include weakness and fatigue. Venous is generally rare that affects men and women equally. The cause of this type of TOS remains unknown but often develops suddenly, frequently following prolonged limb exertion. Lastly, traumatic TOS is caused by traumatic or repetitive activities such as a motor vehicle accident or hyperextension injury. The most common symptom is pain often occurring with tenderness; paresthesia, sensory loss, and weakness also may occur. Certain body postures may worsen symptoms of the disorder. …show more content…
“Prevalence is three times as frequent among females as it is among males” (McKenzie). Predisposing factors, according to Kim McKenzie, include: middle aged females with poorly developed axial and shoulder girdle musculature, and vigorous occupations or weight lifting that result in muscle hypertrophy. Tightness of the scalene and pectoral muscles that have become chronically contracted due to the weight of heavy breasts in some women has also been seen as an etiological factor by Phillips Grieve. High incidences have also been shown in individuals working as cashiers, overhead stockers, musicians, typists, packers, and assembly line workers according to Sallston

Related Documents

  • Improved Essays

    Mr Jetke Case Summary

    • 620 Words
    • 3 Pages

    Mr. Jetke had completed an Independent Medical Evaluation (IME) and a clarification addendum was received by the claims adjuster, Rachel Ryke. Mrs. Ryke has now recommended case management to proceed with closure, as the IME physician does not feel that surgery is related to his work related injury, but rather it is degenerative in nature/aging process of the shoulder. No further treatment is needed pertaining to his work incident. .…

    • 620 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Introduction What is carpal tunnel syndrome? Well basically carpel tunnel syndrome is a disease where the patient feels a tingling sensation in their hands and arms. He might feel that his hand or arm has gone numb. This disease is mainly caused by the twisting of the nerve that goes to the wrist of the patient. This problem can be caused due to a number of reasons, including the nature of the work done by the hands, the forceful and sudden movements of the hands even sudden jerks done to the hand can cause carpet tunnel syndrome.…

    • 4019 Words
    • 17 Pages
    Great Essays
  • Decent Essays

    Analytical Summary

    • 621 Words
    • 3 Pages

    CLINICAL SUMMARY: DOI: 5/11/2012. Patient is a 48-year old male truck driver who sustained a work-related injury to his back when he was rear ended by another party. Patient is status post bilateral L3-L4 and L4-L5 left-sided and sublaminar laminotomy with neuroforaminotomy; and synovial facet cyst resection at left L4-L5 per the operative report dated 04/20/15. MRI of the lumbar spine dated 02/03/16 revealed transitional lumbosacral junction, sacralized L5 and rudimentary L5-S1 disc; left laminectomy at L3-L4; and early degenerative disc disease and slight bulging of the disc at L3-4 and L4-5.…

    • 621 Words
    • 3 Pages
    Decent Essays
  • Superior Essays

    Cervical Stinger

    • 1065 Words
    • 5 Pages

    Washington Redskins vs. Dallas Cowboys….. What’s With the Stretcher?? With the recent head/neck injuries that were sustained this weekend by Washington Redskins players, Dashaun Phillips and Kyshoen Jarrett (a fellow Hokie!), after helmet-to-helmet hits with the Dallas Cowboys running back Darren McFadden I’ve decided to elaborate on what a “cervical stinger” is and how it can potentially be prevented. (Image from Maguzz.com) What is a “Cervical Stinger?”…

    • 1065 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    Carpal Tunnel Syndrome

    • 977 Words
    • 4 Pages

    Introduction: Carpal Tunnel Syndrome (CTS) is one of the most well-known nerve entrapment syndromes. This occurs when the medial nerve is pressed at the wrist. As a result, this causes a tingling sensation and weakness in the wrist and hand. Patients who have CTS are probably suffering from Occupational Carpal Tunnel Syndrome. This is due to a combination of factors, increased pressure on the median nerve and tendons rather than the actual nerve itself.…

    • 977 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    How CTE Affects the Brain Chronic Traumatic Encephalopathy (CTE) is a degenerative brain disease found in athletes, military veterans, and others with a history of repetitive brain trauma. In CTE, a protein called Tau forms clumps that slowly spread throughout the brain, killing brain cells. CTE has been seen in people as young as 17, but symptoms do not generally begin to appear until years after the onset of head impacts ( Ann McKee 1). Everyone that has CTE has something in common, Repeated hits to the skull that shakes the brain and Tau slowly forms over time.…

    • 663 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Influencing the Outcome for Effective Treatment of Cubital Tunnel Syndrome Cubital tunnel syndrome is the second most common compression neuropathy of the upper extremity after carpal tunnel syndrome (Trehan et al, 2012). It represents a source of considerable discomfort and disability for the patient and in extreme cases may progress to loss of function of the hand (Cutts, S., 2007). Some specialists refer to this condition as ulnar nerve compression as it takes place within the cubital tunnel and most commonly occurs at the elbow (Trehan et al, 2012). Pressure is put on the ulnar nerve each time the elbow is bent which reduces the supply of blood to the nerves and causing damage over time (Trehan et al, 2012).…

    • 1845 Words
    • 8 Pages
    Great Essays
  • Improved Essays

    Complex Regional Pain Syndrome (CRPS), also known as reflex sympathetic dystrophy (RSD) (Mosely, 2004), is an umbrella term for a variety of clinical presentations characterized by chronic persistent pain that is disproportionate to any preceding injury and that is not restricted anatomically to the distribution of a specific peripheral nerve. CRPS can be sub classified into two diagnostic subtypes: type I, in which no peripheral nerve injury can be identified, and type II, where symptoms are associated with a definable nerve lesion, although this distinction is not always easily made. Both subtypes of CRPS are characterized by severe pain that is disproportionate to the inciting event; most commonly affecting the hand or foot but which can spread to other body regions (O’Connell et al. 2013).…

    • 810 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    CTE is caused my repetitive trauma to the brain such as concussions that lead to a buildup of a protein called tau. Many football players and boxers are exposed to this disease due to the amount of contact they endure through…

    • 343 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    A 35-year-old male presents with the sudden onset of weakness in his right upper extremity following a fall in which he landed on his right shoulder. These symptoms began about one month prior to his visit. On examination there is weakness and atrophy (wasting) of the deltoid and biceps muscle. No atrophy is noted elsewhere. No fasciculations are noted.…

    • 1545 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Injury Scenarios

    • 593 Words
    • 3 Pages

    Injury Scenario: Wednesday, February 15, 2018: John, a 20-year-old male collegiate swimmer, was preparing for an upcoming sweet meet at his local university. While John was warming up, jumping up and down and gently swinging his arms, he noticed mild pain in the area of his right lower rib cage. John ignored the pain and decided to still compete in the swim meet. Despite the mild discomfort, John was able to complete three races during the swim meet.…

    • 593 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    (Traumatic Brain Injuries) in the 2012 year. A concussion can cause many different symptoms such as loss of consciousness, memory loss, headache, and, on the rare occasion, death. TBI’s could be caused by many different things, but they are most common in children and teens when in a situation involving body to body contact in sports. There could be head to head contact, head to ground contact, or head to boards. There have been rules and regulations made to reduce an athlete’s risk of suffering from this injury, but there is always more that could be done.…

    • 1753 Words
    • 8 Pages
    Superior Essays
  • Improved Essays

    CTE is a brain disease that is caused by head trauma and progresses…

    • 1662 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    Elder Interview Paper

    • 1758 Words
    • 8 Pages

    There are many interesting people in life. Getting to know someone’s life experiences is a privilege that encourages learning and self-reflection. For my elder interview, I had the privilege of interviewing Ms. B, a retired disabled senior. During the interview we discussed her childhood, career, culture, language, family, religion, disability, retirement and her philosophy of aging. In this paper, I will analyze the interview with Ms. B and use supporting research to support my topic.…

    • 1758 Words
    • 8 Pages
    Improved Essays
  • Improved Essays

    Motor Neuron Symptoms

    • 407 Words
    • 2 Pages

    The motor neuron diseases (MNDs) are a group of progressive neurological disorders that destroy motor neurons, the cells that control essential voluntary muscle activity such as speaking, walking, breathing, and swallowing. Normally, messages from nerve cells in the brain (called upper motor neurons) are transmitted to nerve cells in the brain stem and spinal cord (called lower motor neurons) and from them to particular muscles. Upper motor neurons direct the lower motor neurons to produce movements such as walking or chewing. Lower motor neurons control movement in the arms, legs, chest, face, throat, and tongue. Spinal motor neurons are also called anterior horn cells.…

    • 407 Words
    • 2 Pages
    Improved Essays