TVP of C7, Anterior Scalene, Costoclavicular, and Pectoralis Minor.
Thoracic outlet syndrome is due to a compression of nerves or arteries at the brachial plexus, and carpal tunnel syndrome is due to nerve compression at the wrist.
CPT codes are for procedures. ICD-9 codes are applied to diagnoses. ICD-9 code for thoracic outlet compression syndrome arterial is 353.0. The ICD-10 cross-map to this code will be G54.0. Supercoder has detailed info on this.
Tinel's test is used to assist in the diagnosis of carpal tunnel syndrome, not thoracic outlet syndrome. It is performed by tapping the median nerve along its course in the wrist. The test is positive when it causes tingling or pain in the thumb, index finger and middle finger.
Thoracic outlet syndrome is most common in women who are 35 to 55 years of age.
It pertains to the thorax... But you can use it as a thoracic spine, thoracic surgery, thoracic cavity, thoracic outlet syndrome, thoracic spine pain, thoracic vertebrae, thoracic medicine, thoracic surgeons, thoracic strains, sprain thoracic, or thoracic spine disorder; it's pretty self explanatory.
Although the underlying causes are not certain, the condition seems to be associated with lifting heavy objects onto the shoulders or reaching for objects above shoulder level.
A nerve root impingement is what occurs when the root of a nerve i.e. the portion that enters the vertebral column via a vertebral foramen (hole in the spine) is pressed upon (impinged) by a number of possible things. The more common of these being osteophytes (degenerative bony changes in the spinal body). A space occupying lesion (tumor of some kind begning or malignant). Spinal muscle tissue becoming hypertonic (stuck in contraction) and causing a narrowing of the foraminal space as a result. Disc degeneration resulting in a narrowing of the foraminal space. Trauma can also result in nerve root compression. Degenerative vertebral disorders (such as spinal TB, ankylosing spondylitis etc) may also result in nerve root compression. Localised to the Cervical spine (neck) Thoracic outlet syndrome (can create nerve root impingement often resulting in parasthesia (abnormal sensation) and/or numbness in the arm and hand of the affect side (i.e left nerve root compression = left arm and hand issues). TOS is essentially the same as hypertonic changes in the muscles lower down however as it is such a common dysfunction it has its own name. Nerve root impingement can create neurological symptoms (pain, parasthesia, numbness or in motor nerves, loss of motor function). These symptoms tend to occur below the site of impingement however they can also present above the impingement i.e pain in your neck as a result of a T1 impingement.
Neurogenic TOS is thoracic outlet syndrome caused by a nerve disorder.
Neurologic TOS requires outpatient referral and conservative outpatient physiotherapy. Vascular thoracic outlet syndrome requires more urgent care that typically includes immediate heparinization, vascular surgery consultation, color flow.
Compression fractures are most common along the spine involving the vertebrae. This is when a bone in the spine collapses and is most commonly found in the thoracic area of the spine.
Could be thoracic outlet syndrome.
Inferior mainly, then lateral and interior to some structures.