Thoracic outlet syndrome


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Definition

By Mayo Clinic staff

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Illustration showing thoracic outlet 
Thoracic outlet

Thoracic outlet syndrome is a group of disorders that occur when the blood vessels or nerves in the space between your collarbone and your first rib (thoracic outlet) become compressed. This can cause pain in your shoulders and neck and numbness in your fingers.

Common causes of thoracic outlet syndrome include physical trauma from a car accident, repetitive injuries from job- or sports-related activities, certain anatomical defects (such as having an extra rib), and pregnancy. Sometimes doctors can't determine the cause of thoracic outlet syndrome.

Treatment for thoracic outlet syndrome usually involves physical therapy and pain relief measures. Most people improve with these approaches. In some cases, however, your doctor may recommend surgery.

References
  1. NINDS thoracic outlet syndrome information page. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/thoracic/thoracic.htm. Accessed May 8, 2013.
  2. Thoracic outlet syndrome. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=a00336. Accessed May 8, 2013.
  3. Thoracic outlet compression syndromes. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/neurologic_disorders/peripheral_nervous_system_and_motor_unit_disorders/thoracic_outlet_compression_syndromes.html?qt=thoracic%20outlet%20&alt=sh. Accessed May 8, 2013.
  4. Thoracic outlet syndrome. The Society for Vascular Surgery. http://www.vascularweb.org/vascularhealth/Pages/thoracic-outlet-syndrome.aspx. Accessed May 8, 2013.
  5. Goshima K. Overview of thoracic outlet syndromes. http://www.uptodate.com/home. Accessed May 8, 2013.
  6. Bromberg MB. Brachial plexus syndromes. http://www.uptodate.com/home. Accessed May 13, 2013.
  7. Neurological diagnostic tests and procedures. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/misc/diagnostic_tests.htm. Accessed May 8, 2013.
DS00800 Aug. 1, 2013

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