Neurogenic Thoracic Outlet Syndrome in Athletes - Nonsurgical Treatment Options. - OpacWWW

Szczegóły
Abstrakt

Tytuł:: Neurogenic Thoracic Outlet Syndrome in Athletes - Nonsurgical Treatment Options.
Autorzy:: Warrick A; Department of Physical Medicine and Rehabilitation, University of California Davis School of Medicine, Sacramento, CA.
Davis B
Źródło:: Current sports medicine reports [Curr Sports Med Rep] 2021 Jun 01; Vol. 20 (6), pp. 319-326.
Typ publikacji:: Comparative Study; Journal Article; Review
Język:: English
Imprint Name(s):: Original Publication: Philadelphia, PA : Current Science Inc., c2002-
MeSH Terms:: Athletes*
Physical Therapy Modalities*
Thoracic Outlet Syndrome/*therapy
Anesthetics/administration & dosage ; Decompression, Surgical ; Diagnosis, Differential ; Dissection/methods ; Humans ; Medical Illustration ; Muscle Stretching Exercises ; Nerve Compression Syndromes/etiology ; Physical Examination ; Return to Sport ; Terminology as Topic ; Thoracic Outlet Syndrome/diagnosis ; Thoracic Outlet Syndrome/etiology ; Ultrasonography, Interventional
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Substance Nomenclature:: 0 (Anesthetics)
Entry Date(s):: Date Created: 20210608 Date Completed: 20210817 Latest Revision: 20210817
Update Code:: 20240104
DOI:: 10.1249/JSR.0000000000000854
PMID:: 34099610
: Czasopismo naukowe

Abstract: Neurogenic thoracic outlet syndrome (NTOS) is an etiologically and clinically diverse disorder caused by compression of the brachial plexus traversing the thoracic outlet. Athletes who perform repetitive overhead activities are at risk of developing NTOS with sport-specific symptoms. This article reviews the controversial NTOS nomenclature, common sites of anatomic compression, and red flag symptoms that require immediate intervention. It also reviews the congenital, traumatic, and functional etiologies of NTOS, with a discussion of the differential diagnosis, diagnostic criteria, and workup for NTOS. Nonsurgical treatment is highlighted with an emphasis on thoracic outlet syndrome-specific physical therapy and updates on injection options and ultrasound guided hydrodissection. This article compares nonsurgical versus surgical functional outcome data with an emphasis on athletes with NTOS. Functional assessment tools and performance metrics for athletes are reviewed, as well as return to sport considerations.
(Copyright © 2021 by the American College of Sports Medicine.)

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Neurogenic Thoracic Outlet Syndrome in Athletes - Nonsurgical Treatment Options.