Síndrome do Desfiladeiro Torácico e Saúde Ocupacional: Caso Clínico e Revisão da Literatura.
DOI:
https://doi.org/10.25759/spmfr.185Keywords:
Síndrome do desfiladeiro torácico, forma neurogénica de síndrome do desfiladeiro torácico, Saúde Ocupacional, dor no ombro, atrofia muscular.Abstract
Os autores apresentam um caso de síndrome do desfiladeiro torácico neurogénica associada a síndrome postural, numa jovem que apresentava queixas de dor no ombro direito e cãibras nos dedos da mão ipsilateral, associadas a limitação funcional progressiva de movimentos de abdução do ombro superior a 90º e pinças manuais. No exame objetivo eram evidentes alterações da estática do ráquis e atrofias tenar e hipotenar relevantes. Foi efetuado diagnóstico diferencial com radiculopatia cervical, plexite braquial, síndrome do túnel cárpico/ síndrome de Guyon, distonia do escrivão, doença de Hirayama. Apenas a eletromiografia e o estudo de condução nervosa foram sugestivos do diagnóstico, dado o radiograma simples de tórax/ cervical, ressonância magnética nuclear cervical e de plexo braquial não terem revelado alterações de relevo. Foi realizado tratamento conservador por Medicina Física e de Reabilitação, com melhoria da sintomatologia álgica e ganhos funcionais significativos. É feita uma breve e contextualizada revisão da literatura., enquadrando a síndrome no âmbito da Saúde Ocupacional.
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