Neurologic Thoracic Outlet Syndrome: Summarizing a Complex History and Evolution

Stewman, Chaney MD1; Vitanzo, Peter C. Jr MD2; Harwood, Marc I. MD3

Current Sports Medicine Reports:
doi: 10.1249/JSR.0000000000000038
Chest and Abdominal Conditions
Abstract

Thoracic outlet syndrome (TOS) is a blanket term encapsulating many different clinical entities. Neurologic or neurogenic TOS (NTOS) is its main contributor, but it remains a complicated and sometimes controversial entity. NTOS incorporates numerous types, etiologies, clinical presentations, diagnostic findings, and therapeutic modalities. This article reviews the spectrum of disease within the thoracic outlet that affects the brachial plexus, with a special emphasis on the commonly afflicted sports medicine patient.

Author Information

1Department of Family and Community Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA; 2Department of Family and Community Medicine, Jefferson Medical College, Thomas Jefferson University and Rothman Orthopaedic Institute, Jefferson Medical College, Philadelphia, PA; and 3Department of Family and Community Medicine, Jefferson Medical College, Thomas Jefferson University and Rothman Orthopaedic Institute, Jefferson Medical College, Philadelphia, PA.

Address for correspondence: Marc I. Harwood, MD, Family and Community Medicine, Thomas Jefferson University—Jefferson Medical College, 925 Chestnut St, 5th Floor, Philadelphia, PA 19107; E-mail: marc.harwood@jefferson.edu.

Copyright © 2014 by the American College of Sports Medicine.