Neurogenic thoracic outlet syndrome

Common Name(s)

Neurogenic thoracic outlet syndrome

Neurogenic thoracic outlet syndrome (neurogenic TOS) occurs when the nerve between the collar bone and the first rib (the top rib) is compressed. The thoracic outlet is the small opening just below the collarbone that allows the blood vessels and nerves to serve the arms. Neurogenic TOS involves the brachial plexus, the nerve that controls the movement and feeling of the shoulders, arms, and hands. Neurogenic TOS accounts for 95% of TOS cases. The remaining 5% are vascular TOS.

Symptoms may include numbness or tingling in the arms or fingers and achy or shooting pains in the neck, shoulders, or hands. It is also possible to have a weakening grip and experience Gilliatt-Sumner hand – where the muscles at the base of the thumb waste away (atrophy). Headaches in the back of the head are common. Arms may feel tired if raised over the head to do work.

Neurogenic TOS is most often caused by neck trauma (whiplash), injury due to slipping or falling on floors or ice, or stress from repeated movements at work in assembly lines or keyboard use. All of these events may cause scar tissue in the neck muscles which may cause neurogenic TOS.

The syndrome may be difficult to diagnose because symptoms vary greatly and are similar to the symptoms of other conditions. Diagnosis will include provocation tests in which you are asked to move in certain ways to see if symptoms appear. Your doctor will look for tenderness in certain places in your neck, chest, or arms. To confirm the diagnosis, your doctor may use imaging tests including X-rays, CT scans, and MRIs, as well as a nerve conduction test. Treatments for TOS include physical therapy, medications, or surgery. If you or a family member has been diagnosed with vascular TOS, talk to your doctor and specialist(s) about the most current treatment options. Support groups are a good source of information and can help connect you with others affected by TOS.

Source: Advocacy organizations associated with the condition.

 

Advocacy and Support Organizations

 

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Advocacy and Support Organizations

 

Condition Specific Organizations

Following organizations serve the condition "Neurogenic thoracic outlet syndrome" for support, advocacy or research.

There are currently no organizations listed in Disease InfoSearch that support this condition. Create a listing.

 

 

General Support Organizations

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Scientific Literature

Articles from the PubMed Database

Research articles describe the outcome of a single study. They are the published results of original research.
The terms "Neurogenic thoracic outlet syndrome" returned 18 free, full-text research articles on human participants. First 3 results:

Associations between clinical diagnostic criteria and pretreatment patient-reported outcomes measures in a prospective observational cohort of patients with neurogenic thoracic outlet syndrome.
 

Author(s): Joshua Balderman, Katherine Holzem, Beverly J Field, Michael M Bottros, Ahmmad A Abuirqeba, Chandu Vemuri, Robert W Thompson

Journal: J. Vasc. Surg.. 2017 Aug;66(2):533-544.e2.

 

Neurogenic thoracic outlet syndrome (NTOS) is caused by dynamic compression of the brachial plexus at the level of the supraclavicular scalene triangle or the subcoracoid (pectoralis minor) space, or both. The purpose of this study was to characterize relationships between 14 clinical ...

Last Updated: 24 Jul 2017

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Performance Metrics in Professional Baseball Pitchers before and after Surgical Treatment for Neurogenic Thoracic Outlet Syndrome.
 

Author(s): Robert W Thompson, Corey Dawkins, Chandu Vemuri, Michael W Mulholland, Tyler D Hadzinsky, Gregory J Pearl

Journal: Ann Vasc Surg. 2017 Feb;39():216-227.

 

High-performance throwing athletes may be susceptible to the development of neurogenic thoracic outlet syndrome (NTOS). This condition can be career-threatening but the outcomes of treatment for NTOS in elite athletes have not been well characterized. The purpose of this study was ...

Last Updated: 17 Sep 2016

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The enigma of neurogenic thoracic outlet syndrome following motor vehicle collisions.
 

Author(s): A Ian Munro, G Duncan McPherson

Journal: Can J Surg. 2016 Aug;59(4):276-80.

 

The concept of neurogenic thoracic outlet syndrome (N-TOS) including upper and lower plexus syndromes secondary to soft tissue neck injury after motor vehicle collisions (MVCs) has been contentious. We considered that analysis of objective data from this group of patients could provide ...

Last Updated: 26 Jul 2016

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Reviews from the PubMed Database

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The terms "Neurogenic thoracic outlet syndrome" returned 0 free, full-text review articles on human participants.

 
 
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Clinical Trial Information This information is provided by ClinicalTrials.gov

There are currently no open clinical trials for this condition.