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Related Experiment Videos

The droopy shoulder syndrome.

T R Swift, F T Nichols

    Neurology
    |February 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Thoracic outlet syndrome often presents as "droopy shoulder syndrome" with neck and arm pain, primarily affecting women. Recognizing these specific signs can improve diagnosis and prevent unnecessary surgical interventions.

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    Area of Science:

    • Orthopedics
    • Neurology
    • Radiology

    Background:

    • Thoracic outlet syndrome (TOS) is a complex condition often misdiagnosed.
    • The "droopy shoulder syndrome" is proposed as a primary cause of TOS.
    • Current diagnostic criteria may overlook key clinical indicators.

    Observation:

    • Patients exhibit low-set, "droopy" shoulders and a long neck.
    • Symptoms include pain in the neck, shoulder, chest, arms, or hands.
    • Symptom exacerbation occurs with downward arm traction and relief with arm propping.

    Findings:

    • The condition predominantly affects women.
    • Standard vascular, neurologic, and electrical tests are typically normal.
    • A positive Tinel's sign over the brachial plexus is noted.

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  • Lateral cervical spine films reveal the T-2 vertebra positioned above the shoulders.

    • Implications:

    • Identifying "droopy shoulder syndrome" is crucial for accurate TOS diagnosis.
    • This recognition can enhance understanding of TOS pathophysiology.
    • Improved diagnostic accuracy may prevent inappropriate surgical procedures.