PDF(Pubmed)
Abstract：
Thoracic outlet syndrome (TOS) involves inconsistent symptoms, presenting a challenge for medical providers to diagnose and treat. Thoracic outlet syndrome is defined as a compression injury to the brachial plexus, subclavian artery or vein, or axillary artery or vein occurring between the cervical spine and upper extremity. Three common subcategories are now used for clinical diagnosis: neurogenic, arterial, and venous. Postural position and repetitive motions such as throwing, weightlifting, and manual labor can lead to symptoms. Generally, TOS is considered a diagnosis of exclusion for athletes due to the poor accuracy of clinical testing, including sensitivity and specificity. Thus, determining a definitive diagnosis and reporting injury is difficult. Current literature suggests there is not a gold standard diagnostic test. Rehabilitation has been shown to be a vital component in the recovery process for neurogenic TOS and for arterial TOS and venous TOS in postoperative situations.
摘要：
胸出口综合征（TOS）涉及不一致的症状，对医疗提供者的诊断和治疗提出了挑战。胸廓出口综合征被定义为臂丛神经压迫性损伤，锁骨下动脉或静脉，或发生在颈椎和上肢之间的腋下动脉或静脉。现在有三个常见的亚类用于临床诊断：神经源性，动脉，和静脉。姿势位置和重复动作，如投掷，举重,体力劳动会导致症状。一般来说,由于临床测试的准确性较差，TOS被认为是运动员的排除诊断，包括敏感性和特异性。因此，确定明确的诊断和报告损伤是困难的.目前的文献表明，没有黄金标准的诊断测试。在术后情况下，康复已被证明是神经源性TOS以及动脉TOS和静脉TOS恢复过程中的重要组成部分。
