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Diagnostics 2017, 7(2), 37; doi:10.3390/diagnostics7020037

Choosing Surgery for Neurogenic TOS: The Roles of Physical Exam, Physical Therapy, and Imaging

1
Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, University of Colorado Denver, Denver, CO 80045 USA
2
Ashbaugh Center for Physical Therapy, Denver, CO 80222, USA
3
Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, University of Colorado Anschutz Medical Campus, 12631 East 17th Ave, Room 5409, Mail Stop C 312, Aurora, CO 80045, USA
*
Author to whom correspondence should be addressed.
Received: 23 May 2017 / Revised: 15 June 2017 / Accepted: 16 June 2017 / Published: 23 June 2017
(This article belongs to the Special Issue Diagnosis and Treatment of Thoracic Outlet Syndrome)
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Abstract

Neurogenic thoracic outlet syndrome (nTOS) is characterized by arm and hand pain, paresthesias, and sometimes weakness resulting from compression of the brachial plexus within the thoracic outlet. While it is the most common subtype of TOS, nTOS can be difficult to diagnose. Furthermore, patient selection for surgical treatment can be challenging as symptoms may be vague and ambiguous, and diagnostic studies may be equivocal. Herein, we describe some approaches to aid in identifying patients who would be expected to benefit from surgical intervention for nTOS. We describe the role of physical examination, physical therapy, and imaging in the evaluation and diagnosis of nTOS. View Full-Text
Keywords: neurogenic thoracic outlet syndrome; physical examination; physical therapy; imaging neurogenic thoracic outlet syndrome; physical examination; physical therapy; imaging
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Kuwayama, D.P.; Lund, J.R.; Brantigan, C.O.; Glebova, N.O. Choosing Surgery for Neurogenic TOS: The Roles of Physical Exam, Physical Therapy, and Imaging. Diagnostics 2017, 7, 37.

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