Treatment of true neurogenic and arterial thoracic outlet syndromes is usually successful. Treatment of disputed thoracic outlet syndrome is often unsuccessful. This may relate to the uncertainty of the underlying cause of the pain.
Thoracic outlet syndrome is most common in women who are 35 to 55 years of age.
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 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.
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.
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.
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 costoclavicular test is a clinical examination used to assess for thoracic outlet syndrome, particularly when symptoms are related to compression of the neurovascular structures in the space between the clavicle and the first rib. During the test, the patient is asked to assume a position that compresses this space—often by extending and elevating the arm while the clinician palpates the radial pulse. A positive result is indicated by a decrease or disappearance of the radial pulse, suggesting potential vascular compromise. This test helps guide further diagnostic evaluation and management of thoracic outlet syndrome.