Current concepts in clinical features and diagnosis of thoracic outlet syndrome

Semin Vasc Surg. 2024 Mar;37(1):3-11. doi: 10.1053/j.semvascsurg.2024.01.005. Epub 2024 Jan 23.

Abstract

The diagnosis and clinical features of thoracic outlet syndrome have long confounded clinicians, owing to heterogeneity in symptom presentation and many overlapping competing diagnoses that are "more common." Despite the advent and prevalence of high-resolution imaging, along with the increasing awareness of the syndrome itself, misdiagnoses and untimely diagnoses can result in significant patient morbidity. The authors aimed to summarize the current concepts in the clinical features and diagnosis of thoracic outlet syndrome.

Keywords: Brachial plexus; Compression; Scalene triangle; Subclavian vessels; Upper limb tension test.

Publication types

  • Review

MeSH terms

  • Diagnosis, Differential
  • Diagnostic Errors
  • Diagnostic Imaging / methods
  • Humans
  • Predictive Value of Tests*
  • Prognosis
  • Risk Factors
  • Thoracic Outlet Syndrome* / diagnosis
  • Thoracic Outlet Syndrome* / diagnostic imaging
  • Thoracic Outlet Syndrome* / physiopathology
  • Thoracic Outlet Syndrome* / therapy