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Thoracic outlet compression syndrome

E Atasoy1

  • 1Department of Surgery, University of Louisville, School of Medicine, Kentucky, USA.

The Orthopedic Clinics of North America
|April 1, 1996
PubMed
Summary

Thoracic outlet compression syndrome (TOCS) is a complex and often misdiagnosed condition affecting the upper extremity. This article provides a comprehensive overview of TOCS, covering its history, diagnosis, and treatment options.

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Area of Science:

  • Medical research
  • Neurology
  • Vascular Surgery

Background:

  • Thoracic outlet compression syndrome (TOCS) is a poorly understood and frequently misdiagnosed condition.
  • It represents a significant challenge in managing peripheral nerve compression in the upper extremity.

Purpose of the Study:

  • To provide a comprehensive review of thoracic outlet compression syndrome (TOCS).
  • To consolidate information on the historical, anatomical, etiological, and clinical aspects of TOCS.
  • To detail diagnostic and therapeutic strategies for TOCS.

Main Methods:

  • Literature review and synthesis of existing knowledge on TOCS.
  • Analysis of historical data, anatomical studies, and clinical case reports.
  • Compilation of information on diagnostic criteria and treatment outcomes.

Main Results:

  • TOCS encompasses a range of neurovascular compression issues at the thoracic outlet.
  • Accurate diagnosis remains challenging due to varied symptomatology and overlapping conditions.
  • Both conservative and surgical interventions are discussed, with varying outcomes.

Conclusions:

  • TOCS is an important yet often overlooked cause of upper extremity symptoms.
  • A thorough understanding of its multifaceted nature is crucial for effective management.
  • Further research is needed to improve diagnostic accuracy and treatment efficacy for TOCS.

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