Thoracic outlet syndromes: Årsak

Forklaringen er i de fleste tilfeller at skalenusmuskulaturen er blitt unormalt stram. Det kan skyldes en nakkeskade som har medført skade på skalenusmuskelen som hovner opp og tar mer plass, eller det kan være medfødte trange forhold i området.
Den trange åpningen fra brysthulen sammen med en eventuelt stram skalenusmuskel klemmer på nervepleksuset. En antatt hyppig medvirkende årsak kan være stress og anspent arbeidsstilling foran dataskjerm, eller mye arbeid over hodenivå - med påfølgende stramninger i skalenusmusklene.
Sammenklemte blodårer, i færre enn 5 prosent av tilfellene, skyldes oftere medfødte forandringer i området, f.eks. et ekstra halsribbein.
Dette dokumentet er basert på det profesjonelle dokumentet Thoracic outlet syndromes . Referanselisten for dette dokumentet vises nedenfor
- Goshima K. Overview of thoracic outlet syndromes. UpToDate, last updated Jan 31, 2019. UpToDate
- Kuhn JE, Lebus V GF, Bible JE. Thoracic outlet syndrome. J Am Acad Orthop Surg. 2015 Apr;23(4):222-32. doi: 10.5435/JAAOS-D-13-00215 DOI
- Rosenbaum DA. Thoracic Outlet Syndrome. Medscape, last updated Jan 10, 2019. emedicine.medscape.com
- Hong J, Pisapia JM, Ali ZS, et al. Long-term outcomes after surgical treatment of pediatric neurogenic thoracic outlet syndrome. J Neurosurg Pediatr 2018; 21:54. PubMed
- Moore R, Wei Lum Y. Venous thoracic outlet syndrome. Vasc Med. 2015;20:182-9. doi: 10.1177/1358863X14568704 DOI
- Ferrante MA, Ferrante ND. The thoracic outlet syndromes: Part 1. Overview of the thoracic outlet syndromes and review of true neurogenic thoracic outlet syndrome. Muscle Nerve. 2017 Jun;55(6):782-793 . pmid:28006844 PubMed
- Ferrante MA, Ferrante ND. The thoracic outlet syndromes: Part 2. The arterial, venous, neurovascular, and disputed thoracic outlet syndromes. Muscle Nerve. 2017 Oct;56(4):663-673 . pmid:28006856. PubMed
- Orlando MS, Likes KC, Mirza S, et al. A decade of excellent outcomes after surgical intervention in 538 patients with thoracic outlet syndrome. J Am Coll Surg 2015; 220:934. PMID: 25840533 PubMed
- Sanders RJ, Rao NM. The forgotten pectoralis minor syndrome: 100 operations for pectoralis minor syndrome alone or accompanied by neurogenic thoracic outlet syndrome. Annals of vascular surgery 2010; 6: 701-8. PubMed
- Urschel HC, Kourlis H. Thoracic outlet syndrome: a 50-year experience at Baylor University Medical Center. Proc (Bayl Univ Med Cent). 2007;20:125-135. PubMed
- Sanders RJ, Hammond SL, Rao NM. Diagnosis of thoracic outlet syndrome. J Vasc Surg 2007; 46:601. PubMed
- Stewman C, Vitanzo PC Jr, Harwood MI. Neurologic thoracic outlet syndrome: summarizing a complex history and evolution. Curr Sports Med Rep. 2014;13:100-106. PubMed
- Machanic BI, Sanders RJ. Medial antebrachial cutaneous nerve measurements to diagnose neurogenic thoracic outlet syndrome. Ann Vasc Surg. 2008;22:248-254. PubMed
- Povlsen B, Hansson T, Povlsen SD. Treatment for thoracic outlet syndrome. Cochrane Database of Systematic Reviews 2014, Issue 11. Art. No.: CD007218. DOI: 10.1002/14651858.CD007218.pub3. DOI
- Lo CNC, Bukry SA, Alsuleman S, et al. Systematic review: the effectiveness of physical treatments on thoracic outlet syndrome in reducing clinical symptoms. Hong Kong Physiother J. 2011;29:53-63. PubMed
- Stewman C, Vitanzo PC, Harwood MI, Beredjiklian PK. Thoracic outlet syndrome. BestPractice, last updated Mar 2018.
- Peek J, Vos CG, Ünlü Ç, et al. Outcome of Surgical Treatment for Thoracic Outlet Syndrome: Systematic Review and Meta-Analysis. Ann Vasc Surg 2017; 40:303. PubMed