1. Thoracic Outlet Syndrome National Library of Medicine PubMed articles on Cervical Rib Syndrome and thoracic outlet syndromeCategory Health Conditions and Diseases Thoracic Outlet......thoracic outlet syndrome. Back to previous level Cervical Rib SyndromeSearch PUBMED for Cervical Rib Syndrome All Review Therapy Diagnosis. http://www.ohsu.edu/cliniweb/C10/C10.772.491.915.html

Thoracic Outlet Syndrome Back to previous level Cervical Rib Syndrome Search PUBMED for Cervical Rib Syndrome: All Review Therapy Diagnosis

2. Welcome To Thoracic Outlet Syndrome Aims to facilitate the diagnosis of thoracic outlet syndrome and outline a treatment plan.Category Health Conditions and Diseases Thoracic Outlet......A web page explaining the diagnosis of thoracic outlet syndrome including, but notlimited to pain, chest pain, entrapment neuropathies, shoulder pain, neck http://www.tos-syndrome.com/

The objectives of this Page are to facilitate the diagnosis of Thoracic Outlet Syndrome. To offer a definition and method of diagnosis, as well as, the relationship of Thoracic Outlet Syndrome to chest pain and Reflex Sympathetic Dystrophy (Complex Regional Pain Syndrome). To show the importance of Air Plethysmography in the detection of Positional Subclavian Artery Obstruction and Sympathetic Tone. To outline a Treatment Plan To demonstrate a cost effective Neurovascular Machine used to diagnose Thoracic Outlet Syndrome, Large and Small vessel disease, Entrapment, Neuropathy, Sympathetic Tone, and Impotence. This unit has FDA Pre-Market approval. For further information, please fill out this form: CLICK HERE or e-mail Dr. Selmonosky at doconline@ellijay.com This site created and maintained by Harvest Graphics of Ellijay, GA Contact the Web Master at wieberg@ellijay.com This Page was last updated on: You are visitor number: Carlos A. Selmonosky, M.D.

3. Thoracic Outlet Syndrome From the Hand Surgery Center of Brooklyn and Staten Island, concise definition, signs, symptoms, and treatment related to thoracic outlet syndrome. http://www.handsurgeon.com/thoracic_outlet.html

of Brooklyn and Staten Island "Failure is not an option" What is the Thoracic Outlet? T he Thoracic Outlet is a space between the rib cage (thorax), and the collar bone (clavicle) through which the main blood vessels and nerves pass from the neck and thorax into the arm. The nerves and blood vessels leave the neck between the two muscles (scalene muscles). What is a syndrome? A syndrome is a set of symptoms and physical findings that point to a certain diagnosis. All the symptoms and physical findings are not always present. Various symptoms and physical findings may be present in different grades of severity. What is Thoracic Outlet Syndrome? T horacic outlet syndrome is a combination of pain, numbness, tingling, weakness, or coldness in the upper extremity caused by pressure on the nerves and/or blood vessels in the thoracic outlet. What Causes Thoracic Outlet Syndrome? T here are several causes of TOS. The common underlying cause of the syndrome is compression of the nerves and arteries of the arm in the Thoracic Outlet. In some cases the cause of compression is evident- an extra first rib or an old fracture of the clavicle, which reduces the space of the outlet. In other cases the cause is not clear. Compression may occur with repetitive activities that require the arms to be held overhead. Symptoms S ymptoms of TOS include pain, numbness and tingling, (pressure on sensory nerves) weakness and fatigue (pressure on motor nerves) or swelling and coldness in the arm and hand (pressure on blood vessels). The symptoms can mimic many other conditions, such as a herniated disk in the neck, carpal tunnel syndrome, and even bursitis of the shoulder. Thus this syndrome can be very difficult to diagnose.

4. NINDS Thoracic Outlet Syndrome Information Page thoracic outlet syndrome Menu This is a webforum to discuss and comment on thoracic outlet syndrome. This Web Forum is not moderated in any sense. http://www.ninds.nih.gov/health_and_medical/disorders/thoracic_doc.htm

National Institute of Neurological Disorders and Stroke Accessible version Science for the Brain The nation's leading supporter of biomedical research on disorders of the brain and nervous system Browse all disorders Browse all health organizations More about Thoracic Outlet Syndrome Studies with patients Research literature Press releases Search NINDS... (help) Contact us My privacy NINDS is part of the National Institutes of Health NINDS Thoracic Outlet Syndrome Information Page Reviewed 10-11-2002 Get Web page suited for printing Email this to a friend or colleague Table of Contents (click to jump to sections) What is Thoracic Outlet Syndrome? Is there any treatment? What is the prognosis? What research is being done? ... Additional resources from MEDLINEplus What is Thoracic Outlet Syndrome? Thoracic outlet syndrome (TOS) consists of a group of distinct disorders that affect the nerves in the brachial plexus (nerves that pass into the arms from the neck) and various nerves and blood vessels between the base of the neck and axilla (armpit). For the most part, these disorders have very little in common except the site of occurrence. The disorders are complex, somewhat confusing, and poorly defined, each with various signs and symptoms of the upper limb. True neurologic TOS is the only type with a clear definition that most scientists agree upon. The disorder is rare, painless, and caused by congenital anomalies (unusual anatomic features present at birth). It generally occurs in middle-aged women and almost always on one side of the body. Symptoms include weakness and wasting of hand muscles, and numbness in the hand.

5. Physical Therapy Corner: Thoracic Outlet Syndrome Sports Medicine Corners Physical Therapy Corner thoracic outlet syndrome More than just a pain in the neck. thoracic outlet syndrome is actually a collection of syndromes brought about by abnormal compression of the http://www.nismat.org/ptcor/thoracic_outlet

Home FAQ New Site Map Search NISMAT: Advanced search... About Philosophy Research ... Guestbook Sports Medicine Corners: Orthopaedics Exercise Physiology Nutrition Physical Therapy ... Links Physical Therapy Corner: Thoracic Outlet Syndrome More than just a pain in the neck. Thoracic outlet syndrome is actually a collection of syndromes brought about by abnormal compression of the neurovascular bundle by bony, ligamentous or muscular obstacles between the cervical spine and the lower border of the axilla. What does that mean? First of all a syndrome is defined as a group of signs and symptoms that collectively characterize or indicate a particular disease or abnormal condition. The neurovascular bundle which can suffer compression consists of the brachial plexus plus the C8 and Tl nerve roots and the subclavian artery and vein. The brachial plexus is the network of motor and sensory nerves which innervate the arm, the hand, and the region of the shoulder girdle. The vascular component of the bundle, the subclavian artery and vein transport blood to and from the arm, the hand, the shoulder girdle and the regions of the neck and head.

6. ACOFP - Member Publications Discussion of diagnosis of four major syndromes, presented by the American College of Osteopathic Family Physicians. http://www.acofp.org/member_publications/thoracic.htm

Osteopathic Principles Key to Treating Patients with Thoracic Outlet Syndromes Four major syndromes have specific characteristics and diagnostic tests by Elaine Wallace, DO A 28-year-old weight lifter presents to your office for assistance due to a complaint of progressive numbness in the lateral aspects of his forearms accompanied with a recent inability to bench press his usual weight routine. He increased his upper body workout (pectoralis and neck muscles) six weeks ago, but has no other life changes. He has a friend in a similar situation who received great relief after seeing her osteopathic physician and wants to know if you can help him. Where do you begin? There are few syndromes seen by the busy family practitioner that better demonstrate the osteopathic interrelationship of structure and function than does Thoracic Outlet Syndrome (TOS). Thoracic Outlet Syndrome is actually a group of upper extremity impingement syndromes involving the neurovascular bundle of the arm that are logical in progression, easy to diagnose and easy to help. The thoracic outlet is the upper lid (operculum) of the chest cage, so named because it is the site from which the arterial flow of the thorax flows out. Actually, more things flow into the thorax at the operculum than out, including venous flow, ascending and descending terminal ducts of the lymphatic system, the vagus nerve, the phrenic nerve and parts of the brachial plexus, the esophagus and the trachea.

7. MMG - Patient Education Thoracic Outlet Syndrome A Patient's Guide to thoracic outlet syndrome. Introduction. Thoracic OutletSyndrome (TOS) is a condition affecting the shoulder, arm, and hand. http://www.medicalmultimediagroup.com/pated/ctd/tos/tos.html

A Patient's Guide to Thoracic Outlet Syndrome Web Resources Available Introduction Anatomy Causes Symptoms ... Treatment Introduction Thoracic Outlet Syndrome (TOS) is a condition affecting the shoulder, arm, and hand. This condition is a very frustrating problem - both for the patient and for the physician. It is extremely difficult to prove that the diagnosis of Thoracic Outlet Syndrome is correct, because there is no test that has a high degree of accuracy in showing the problem. Usually, the diagnosis is made after all other causes of the symptoms have been ruled out - a frustrating and slow process sometimes! Anatomy The nerves and blood vessels that run into the arm and hand start at the side of the neck. They exit from the side of the spine through small openings between each vertebra called foramen . As they leave the spine the nerves are referred to as nerve roots . The individual spinal nerve roots then begin to join together to form the nerves that will run into the arm and hand. The nerves travel between two muscles in the neck (the scalene muscles), over the top of the rib cage, under the collar bone (clavicle), through the arm pit (axilla) and down the arm to the hand. The area where the nerves and vessels leave the neck between the two scalene muscles and over the first rib is know as the

8. MEDLINEplus: Thoracic Outlet Syndrome thoracic outlet syndrome. Contents of this page http://www.nlm.nih.gov/medlineplus/thoracicoutletsyndrome.html

Skip navigation Other health topics: A B C D ... List of All Topics Thoracic Outlet Syndrome Contents of this page: From the NIH General/Overviews Diagnosis/Symptoms Treatment ... Organizations Search MEDLINE for recent research articles on Thoracic Outlet Syndrome You may also be interested in these MEDLINEplus related pages: Shoulder Injuries and Disorders Brain and Nervous System Heart and Circulation From the National Institutes of Health Thoracic Outlet Syndrome (National Institute of Neurological Disorders and Stroke) General/Overviews Thoracic Outlet Syndrome (American Academy of Orthopaedic Surgeons) Diagnosis/Symptoms MR Imaging (MRI)-Musculoskeletal (American College of Radiology, Radiological Society of North America) Ultrasound-Musculoskeletal (American College of Radiology, Radiological Society of North America) X-Ray (Mayo Foundation for Medical Education and Research) Specific Conditions/Aspects Shoulder (American Academy of Orthopaedic Surgeons) Treatment Vascular Surgery: Thoracic Outlet Syndrome (Cleveland Clinic Foundation) Directories Find an Orthopaedist (American Academy of Orthopaedic Surgeons) Organizations American Academy of Orthopaedic Surgeons National Institute of Neurological Disorders and Stroke Information from the Medical Encyclopedia: Thoracic Outlet Syndrome Health services in North Carolina Other states coming - learn more The primary NIH organization for research on Thoracic Outlet Syndrome is the National Institute of Neurological Disorders and Stroke Health Topics Drug Information Encyclopedia ... U.S. National Library of Medicine

9. What Is TOS The simple definition of thoracic outlet syndrome is neurovascular symptoms in theupper extremities due to pressure on the nerves and vessels in the thoracic http://www.tos-syndrome.com/newpage2.htm

THORACIC OUTLET SYNDROME DEFINITIONS The following is a numerical listing for the drawing above. Please either print this listing or a copy of the drawing. Dynamic anatomical variations of tunnels have been postulated as possible etiologies for various tunnel syndromes. This figure shows dynamic compression of the brachial plexus in the thoracic outlet. 1: Pectoralis minor muscle; 2: coracoid process; 3: median nerve; 4: subclavian artery; 5: brachial plexus; 6: medial scalene muscle; 7: anterior scalene muscle; 8: internal jugular vein; 9: common carotid artery; 10: costoclavicular ligament; 11: subclavious muscle; 12: subclavian vein; 13: Clavicle; 14: First Ribs. TOS DEFINITION CARLOS A. SELMONOSKY, M.D. The throracic outlet syndrome is a group of symptoms arising not only from the upper extremity, but also from the chest, neck, shoulders and head. The symptoms are produced by a positional, intermittent compression of the brachial plexus and/or subclavian artery vein and the vertebral artery. The diagnosis is made easier by the physician's awareness and by use of the Selmonosky Triad during physical examination. (Elevation of the hands, supraclavicular tenderness, weakening of the 4th and 5th fingers.)

10. NISMAT Physical Therapy Corner Thoracic Outlet Syndrome From the Nicholas Institute of Sports Medicine and Athletic Trauma, the causes, signs, symptoms, diagnosis, and treatment. Includes photographs demonstrating some stretching exercises. http://www.nismat.org/ptcor/thoracic_outlet/index.html

11. AAOS Online Service Fact Sheet Thoracic Outlet Syndrome thoracic outlet syndrome. A syndrome is a combination of signs and symptoms that characterizes an abnormal condition. http://www.orthoinfo.org/fact/thr_report.cfm?Thread_ID=206&topcategory=Shoulder

12. AAOS Online Service Fact Sheet Thoracic Outlet Syndrome thoracic outlet syndrome. A syndrome is a a diagnosis. That’s certainlythe case with thoracic outlet syndrome, or TOS. TOS gets http://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=206&topcategory=Shoulder

13. MEDLINEplus Medical Encyclopedia: Thoracic Outlet Syndrome thoracic outlet syndrome. The following symptoms may indicate thoracicoutlet syndrome Discomfort in the last 3 fingers and inner forearm http://www.nlm.nih.gov/medlineplus/ency/article/001434.htm

Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Thoracic outlet syndrome Contents of this page: Illustrations Definition Causes, incidence, and risk factors Symptoms ... Calling your health care provider Illustrations Thoracic outlet anatomy Definition Return to top Thoracic outlet syndrome is a condition characterized by pain in the neck and shoulder, numbness tingling of the fingers, and weakening of the grip. Causes, incidence, and risk factors Return to top Thoracic outlet syndrome is a rare condition caused by compression of blood vessels and nerves in the area of the clavicle (collar bone). This compression is caused by the presence of an extra cervical rib (above the first rib) or an abnormal tight fibrous band connecting the spinal vertebra to the rib. People with long necks and droopy shoulders may be predisposed to develop this condition because of extra pressure on their nerves and blood vessels. Symptoms Return to top The following symptoms may indicate thoracic outlet syndrome: Discomfort in the last 3 fingers and inner forearm Numbness Pain Tingling Pain and tingling in the neck and shoulders (may be worsened by carrying something heavy, such as a suitcase)

14. OSH Answers: Thoracic Outlet Syndrome What are the symptoms of thoracic outlet syndrome? What are the occupationalfactors of thoracic outlet syndrome? thoracic outlet syndrome. http://www.ccohs.ca/oshanswers/diseases/thoracic.html

Canadian Centre for Occupational Health and Safety Contact Us Help Canada Site Subscriber's Corner ... Shop@CCOHS Thoracic Outlet Syndrome What is thoracic outlet syndrome? What are the occupational factors of thoracic outlet syndrome? What are the symptoms of thoracic outlet syndrome? How is thoracic outlet syndrome recognized? ... How can we prevent thoracic outlet syndrome? OSH Answers Feedback Printer Friendly Layout Inquiries Service The Inquiries Service at CCOHS answers questions on the health or safety concerns people have about the work they do. More on Inquiries Service Printer Friendly Layout Thoracic Outlet Syndrome What is thoracic outlet syndrome? Thoracic outlet syndrome is the general term used to describe a condition caused by the compressing of the nerves and blood vessels between the neck and shoulders. What are the occupational factors of thoracic outlet syndrome? There are only a few studies indicating a relationship between manual work and thoracic outlet syndrome. However, work activities involving prolonged restricted postures such as carrying heavy shoulder loads, pulling shoulders back and down, or reaching above shoulder level can cause the inflammation and swelling of tendons and muscles in the shoulders and upper arms. When swollen or inflamed, they can compress the nerves and blood vessels between the neck and shoulders. What are the symptoms of thoracic outlet syndrome?

15. Untitled thoracic outlet syndrome. Dr. Richard J Sanders, author of the book Thoracic OutletSyndrome , describes the cause,. diagnosis, and treatment of TOS. Definition. http://www.ecentral.com/members/rsanders/

Thoracic outlet syndrome Dr. Richard J Sanders, author of the book "Thoracic Outlet Syndrome", describes the cause, diagnosis, and treatment of TOS. Definition Thoracic Outlet Syndrome (TOS) is pain, numbness, tingling, and/or weakness in the arm and hand due to pressure against the nerves or blood vessels that supply the arm. It is due to tight muscles, ligaments, bands, or bony abnormalities in the thoracic outlet area of the body, which lies just behind the collar bone. Pressure on the nerves is the problem more than 95% of the time, but occasionally the artery or vein is involved. Common Symptoms The most frequent complaints are numbness and tingling in the fingers; pain in the neck, shoulder, and arm; headaches in the back of the head; weakness of the arm and dropping things from the hand; worsening of the symptoms when elevating the arm to do such things as comb or blow dry one's hair or drive a car, and coldness and color changes in the hand. The symptoms are often worse at night or when using the arm for work or other activities. Cause TOS is most often produced by hyperextension neck injuries. Auto accidents that cause whiplash injuries, and repetitive stress in the workplace, are the two most common causes. Some of the occupations that we see causing TOS include, working on assembly lines, keyboards, or 10-key pads, as well as filing or stocking shelves overhead. In some people, symptoms develop spontaneously, without an obvious cause. An extra rib in the neck occurs in less than 1% of the population. People born with this rib, called a cervical rib, are 10 times more likely to develop symptoms of TOS than other people. However, even in people with cervical ribs, it usually requires some type of neck injury to bring on the symptoms.

16. EMedicine - Thoracic Outlet Syndrome : Article By Andrew K Chang, MD thoracic outlet syndrome thoracic outlet syndrome refers to compressionof the neurovascular structures at the superior aperture of the thorax. http://www.emedicine.com/EMERG/topic578.htm

document.write(''); (advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Emergency Medicine Cardiovascular Thoracic Outlet Syndrome Last Updated: January 21, 2002 Rate this Article Email to a Colleague AUTHOR INFORMATION Section 1 of 9 Author Information Introduction Clinical Differentials ... Bibliography Author: Andrew K Chang, MD , Assistant Clinical Professor, Department of Emergency Medicine, University of California at Irvine Coauthor(s): J Stephen Bohan, MD, FACP, FACEP , Director, Observation Medicine, Clincial Director, Department of Emergency Medicine, Harvard Medical School, Brigham and Women's Hospital Andrew K Chang, MD, is a member of the following medical societies: American College of Emergency Physicians , and Massachusetts Medical Society Editor(s): Richard S Krause, MD , Program Director, Clinical Assistant Professor, Department of Emergency Medicine, State University of New York at Buffalo; Francisco Talavera, PharmD, PhD

17. EMedicine - Thoracic Outlet Syndrome : Article By Meghal Antani, MD thoracic outlet syndrome thoracic outlet syndromes are due to the compressionof the neurovascular structures passing through the thoracic outlet. http://www.emedicine.com/radio/topic688.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Radiology Vascular/interventional Thoracic Outlet Syndrome Last Updated: August 30, 2002 Rate this Article Email to a Colleague Synonyms and related keywords: Paget-von Schrötter syndrome, effort thrombosis, spontaneous thrombosis, traumatic thrombosis AUTHOR INFORMATION Section 1 of 11 Author Information Introduction Differentials X-ray ... Bibliography Author: Meghal Antani, MD , Consulting Staff, Department of Interventional Radiology, Washington Hospital Center Coauthor(s): Gary P Siskin, MD , Associate Professor, Department of Radiology, Albany Medical College; Division Chief, Division of Vascular and Interventional Radiology, Department of Radiology, Albany Medical Center Meghal Antani, MD, is a member of the following medical societies: American College of Radiology American Heart Association , and Editor(s): Anthony Watkinson, MD , Consultant and Senior Lecturer, Department of Radiology, The Royal Free Hospital;

18. The Thoracic Outlet Syndrome The thoracic outlet syndrome. Annie S. Dubuisson, MD. Am J Surg 170 3337, 1995.6. Kline DG, Hudson AR thoracic outlet syndrome, in Nerve injuries. http://www.medschool.lsumc.edu/Nsurgery/TOS.html

The Thoracic Outlet Syndrome Annie S. Dubuisson, MD Department of Neurosurgery, CHU Liege, Belgium (Dr. Dubuisson was a peripheral nerve fellow at LSUMC) Abstract: Thoracic outlet syndrome (TOS) is due to compression/irritation of brachial plexus (BP) elements ("neurogenic TOS") and/or subclavian vessels ("vascular TOS") in their passage from the cervical area toward the axilla. The usual site of entrapment is the interscalenic triangle. TOS is a source of disagreement among clinicians regarding its incidence, diagnostic criteria and optimal treatment. Constitutional factors, like a cervical rib, predispose to the development of TOS. The syndrome often develops during the 3rd or 4th decade, following external factors such as trauma, weight excess, incorrect shoulder posture. The clinical picture can be varied: pain in the cervical region and arm, paresthesias (medial side of arm predilected) aggravated by overhead positions of the arms, hand intrinsic muscle deficit/atrophy, easy fatiguability, paleness, coldness of hand. The clinical examination may be entirely normal or show cervical muscle spasm, tenderness of BP in the supraclavicular area, radial pulse attenuation and occurence of symptoms upon positional maneuvers, sensory or motor deficit. The diagnosis is based upon clinical evaluation and absence of other relevant pathology. Therefore, the cervical spine and distal peripheral nerves are studied by radiological and electrophysiological studies. There is no laboratory test confirming TOS: most of the time, there is no anatomic variation seen radiologically and electrophysiological testing is normal. The scalene muscle block appears a helpful diagnostic tool if used with the other clinical data.

19. Thoracic Outlet Syndrome MGH Department of Neurology's webforum discussion about TOS. Also link from main Neurology WebForum Category Health Conditions and Diseases Thoracic Outlet......thoracic outlet syndrome Menu. This is a webforum to discuss and comment on ThoracicOutlet Syndrome. Click here to Enter a new Neurology WebForum article http://neuro-www.mgh.harvard.edu/forum/ThoracicOutletSynd.Menu.html

Thoracic Outlet Syndrome Menu This is a webforum to discuss and comment on Thoracic Outlet Syndrome. Click here to Enter a new Neurology WebForum article... This Web Forum is not moderated in any sense. Anyone on the Internet can post articles or reply to previously posted articles, and they may do so anonymously. Therefore, the opinions and statements made in all articles and replies do not represent the official opinions of MGH and MGH Neurology. Neither is MGH or MGH Neurology responsible for the content of any articles or replies. No messages are screened for content. Archives: Archives: - Very Important Message! - Please Click Here to Read Current Posts: 11/30/99 to Present Useful Websites can be found and posted here! Consumer Report Article (1/13/00) 9:09 PM need info.morphine pump (1/13/00) 7:28 PM TOS In ME. (1/13/00) 10:58 AM ... WOW IT'S SO CLEAN IN HERE! (11/30/99) 2:40 PM IMPORTANT: If this page seems to be missing recently added documents, click the "Reload Page" button on your Web Browser to update the menu. Return to the main Neurology WebForum Page.

20. Thoracic Outlet Syndrome - Welcome! What is thoracic outlet syndrome (TOS)? thoracic outlet syndrome consistsof symptoms caused by compression of the nerves in the http://www.tellmeabouttos.com/

How How did you get TOS? Injury Cervical Ribs Other Current Results UCLA Dr. Collins 3D high-resolution brachial plexus MRI tosinfo.com What is Thoracic Outlet Syndrome (TOS)? Thoracic outlet syndrome consists of symptoms caused by compression of the nerves in the brachial plexus (nerves that pass into the arms from the neck) or blood vessels. Patients may have pain in the shoulder, arm, or hand, or in all three locations. The hand pain is often most severe in the fourth and fifth fingers. The pain is aggravated by the use of the arm, and "fatigue" of the arm is often prominent. Home Diagnosis Symptoms Testing ... Doctor's List Dr. recommended by tellmeabouttos.com This information was not put together by a medical professional. Please see a doctor for proper diagnosis. var site="s13tellmeabouttos"

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