Neurogenic Thoracic Outlet Syndrome and Occupational Health: Case Report and Literature Review
DOI:
https://doi.org/10.25759/spmfr.216Keywords:
Muscular Atrophy, Occupational Health, Shoulder Pain, Thoracic Outlet SyndromeAbstract
The authors present a case report of neurogenic thoracic outlet syndrome associated with a postural syndrome, in a female patient with right shoulder pain and right hand finger cramps, progressive functional limitation in shoulder abduction more than 90º and manual tweezers. At the physical examination a postural malalignement of the rachis was evident, as well as thenar and hypothenar significant atrophy. Several diagnoses were considered, such as cervical radiculopathy, brachial plexitis, carpal tunnel syndrome/ Guyon syndrome, writer’s cramp and Hirayama disease. Only electromyography and nerve conduction studies were suggestive of the neurogenic thoracic outlet syndrome, as cervical spine, chest x-rays, cervical and brachial plexus nuclear magnetic resonance have not revealed significant alterations. Conservative treatment was provided by Physical Medicine and Rehabilitation, with improved pain symptoms and with significant functional gains. A brief and related review of the literature is also performed, framing the syndrome in the Occupational Medicine.
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