Traumatic Thoracic Outlet Syndrome.

概要

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Few studies describe the interrelation between the thoracic outlet syndrome (TOS) and whiplash injury. A prospective study was carried out to determine the pathogenic significance of trauma or injury to the upper body in the development of neurovascular compression at the thoracic outlet. 29 cases of cervical strain injuries (N-group), 30 cases of probable TOS with positive Morley-test alone (PT-group), and 52 patients of definite TOS with further positive Roos & wright stress test (T-group) were compared on sex, age, weight, symptom, various clinical and radiographic findings, The PT-and T-groups had more elderly patients with headache, arm numbness, lumbago, and shoulder stiffness. The history from the onset of accident, duration of symptom, and treatment indicated significant difference in the TOS patients. Radiography of TOS cases also showed a higher percentage of neck-lengh/height ratio, and demonstrated the midbottom line of T1 vertebral body at the lowest part of the cervical spine. The presence of persons susceptible to traumatic TOS should be well-understood through correct initial treatment for patients with trauma.
西日本整形・災害外科学会の論文