Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 7 , Pages 844-851 , July 2007

The Relationship Between Magnetic Resonance Imaging Findings and Postural Maneuver and Physical Examination Tests in Patients With Thoracic Outlet Syndrome: Results of a Double-Blind, Controlled Study

  • Derya Demirbag, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, University of Trakya, Edirne, Turkey
  • ,
  • Ercument Unlu, MD

      Affiliations

    • Department of Radiology, University of Trakya, Edirne, Turkey.
    • Corresponding Author InformationReprint requests to Ercument Unlu, MD, Mimar Sinan m, Muammer Aksoy c, Yorulmaz apt, No: 50 Daire: 1, 22030 Edirne, Turkey
  • ,
  • Ferda Ozdemir, MD

      Affiliations

    • Department of Physical Medicine and Rehabilitation, University of Trakya, Edirne, Turkey
  • ,
  • Hakan Genchellac, MD

      Affiliations

    • Department of Radiology, University of Trakya, Edirne, Turkey.
  • ,
  • Osman Temızoz, MD

      Affiliations

    • Department of Radiology, University of Trakya, Edirne, Turkey.
  • ,
  • Huseyın Ozdemır, MD

      Affiliations

    • Department of Radiology, University of Trakya, Edirne, Turkey.
  • ,
  • M. Kemal Demır, MD

      Affiliations

    • Department of Radiology, University of Trakya, Edirne, Turkey.

References 

  1. Roos DB, Owens JC. Thoracic outlet syndrome. Arch Surg. 1966;93:71–74
  2. Novak CB, Mackinnon SE. Thoracic outlet syndrome. Orthop Clin North Am. 1996;27:747–762
  3. Demondion X, Bacqueville E, Paul C, Duquesnoy B, Hachulla E, Cotten A. Thoracic outlet: assessment with MR imaging in asymptomatic and symptomatic populations. Radiology. 2003;227:461–468
  4. Huang JH, Zager EL. Thoracic outlet syndrome. Neurosurgery. 2004;55:897–903
  5. Davidovic LB, Kostic DM, Jakovljevic NS, Kuzmanovic IL, Simic TM. Vascular thoracic outlet syndrome. World J Surg. 2003;27:545–550
  6. Mackinnon SE, Novak CB. Thoracic outlet syndrome. Curr Probl Surg. 2002;39:1070–1145
  7. Matsumura JS, Rilling WS, Pearce WH, Nemcek AA, Vogelzang RL, Yao JS. Helical computed tomography of the normal thoracic outlet. J Vasc Surg. 1997;26:776–783
  8. Panegyres PK, Moore N, Gibson R, Rushworth G, Donaghy M. Thoracic outlet syndromes and magnetic resonance imaging. Brain. 1993;116:823–841
  9. Tateishi A. Diagnosis and management of thoracic outlet syndrome. Nippon Seikeigeka Gakkai Zasshi. 1980;54:817–827
  10. Ohkawa Y, Isoda H, Hasegawa S, Furuya Y, Takahashi M, Kaneko M. MR angiography of thoracic outlet syndrome. J Comput Assist Tomogr. 1992;16:475–477
  11. Seror P. Frequency of neurogenic thoracic outlet syndrome in patients with definite carpal tunnel syndrome: an electrophysiological evaluation in 100 women. Clin Neurophysiol. 2005;116:259–263
  12. Remy-Jardin M, Doyen J, Remy J, Artaud D, Fribourg M, Duhamel A. Functional anatomy of the thoracic outlet: evaluation with spiral CT. Radiology. 1997;205:843–851
  13. Wilbourn AJ. The thoracic outlet syndrome is overdiagnosed. Arch Neurol. 1990;47:328–330
  14. Roos DB. The thoracic outlet syndrome is underrated. Arch Neurol. 1990;47:327–330
  15. Remy-Jardin M, Remy J, Masson P, et al. CT angiography of thoracic outlet syndrome: evaluation of imaging protocols for the detection of arterial stenosis. J Comput Assist Tomogr. 2000;24:349–361
  16. Lang EK. Arteriography of thoracic outlet syndrome. In:  Baum S editors. Abrams angiography: vascular and interventional radiology. Boston: Little, Brown Medical; 1997;p. 995–1010
  17. Kadir S. Arteriography of the upper extremities. In:  Kadir S editors. Diagnostic angiography. Philadelphia: WB Saunders; 1986;p. 172–206
  18. Charon JP, Milne W, Sheppard DG, Houston JG. Evaluation of MR angiographic technique in the assessment of thoracic outlet syndrome. Clin Radiol. 2004;59:588–595
  19. Cosottini M, Zampa V, Petruzzi P, Ortori S, Cioni R, Bartolozzi C. Contrast-enhanced three-dimensional MR angiography in the assessment of subclavian artery diseases. Eur Radiol. 2000;10:1737–1744
  20. Demondion X, Boutry N, Drizenko A, Paul C, Francke JP, Cotten A. Thoracic outlet: anatomic correlation with MR imaging. AJR Am J Roentgenol. 2000;175:417–422
  21. Longley DG, Yedlicka JW, Molina EJ, Schwabacher S, Hunter DW, Letourneau JG. Thoracic outlet syndrome: evaluation of the subclavian vessels by color duplex sonography. AJR Am J Roentgenol. 1992;158:623–630
  22. Demondion X, Vidal C, Herbinet P, Gautier C, Duquesnoy B, Cotten A. Ultrasonographic assessment of arterial cross-sectional area in the thoracic outlet on postural maneuvers measured with power Doppler ultrasonography in both asymptomatic and symptomatic populations. J Ultrasound Med. 2006;25:217–224
  23. Ide J, Kataoka Y, Yamaga M, Kitamura T, Takagi K. Compression and stretching of the brachial plexus in thoracic outlet syndrome: correlation between neuroradiographic findings and symptoms and signs produced by provocation manoeuvres. J Hand Surg [Br]. 2003;28:218–223
  24. Smedby Ö, Rostad H, Klaastad Ø, Lilleås F, Tillung T, Fosse E. Functional imaging of the thoracic outlet syndrome in an open MR scanner. Eur Radiol. 2000;10:597–600
  25. Gillard J, Perez-Cousin M, Hachulla E, et al. Diagnosing thoracic outlet syndrome: contribution of provocative tests, ultrasonography, electrophysiology, and helical-computed tomography in 48 patients. Joint Bone Spine. 2001;68:416–424

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

PII: S0003-9993(07)00224-9

doi: 10.1016/j.apmr.2007.03.015

Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 7 , Pages 844-851 , July 2007