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.
There are no specific diagnostic tests for thoracic outlet syndromes. The diagnosis is made by ruling out other diseases and by observing the patient. Two nonspecific tests that can suggest the presence of thoracic outlet syndrome are.
Compression of blood vessels or nerves in the thoracic outlet causes pain and/or abnormal nerve sensations. Compression usually occurs at the location where the blood vessels and nerves pass out of the thoracic outlet into the arm.
Some causes of thoracic outlet syndrome are the compression of the nerves and blood vessels in the thoracic outlet, just under your collarbone (clavicle), the anatomical defect, a car accident, an activity which is repetitive, and even the pregnancy.
Thoracic outlet syndrome is most common in women who are 35 to 55 years of age.
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.
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.
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.
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.
Could be thoracic outlet syndrome.
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.
Perhaps 64722 for decompression of the brachial plexus and 21615 for first rib resection.
TVP of C7, Anterior Scalene, Costoclavicular, and Pectoralis Minor.
The subclavian vein is involved in 40% of cases and the subclavian artery in 1% of cases.
The lower two nerves (C8 and T1) are most commonly affected in 90% of persons, following the ulnar nerve distribution.