Se desconoce la causa que provoca malestar en el paciente. Entumecimiento de los dedos de las manos. Palidez de las manos y tono azulado en toda la extremidad afectada. Hormigueo y debilidad en la mano afectada y en el cuello. Causas Traumatismo. Se pueden modificar las estructuras internas tras sufrir este tipo de lesiones.

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ABSTRACT Introduction: the term thoracic outlet syndrome includes various disorders, difficult to treat, that occur as a result of intermittent or persistent compression of the different elements that come out of the chest to the arm and cause vascular, neurological or mixed symptoms.

Objective: to provide updated information on the subject to the Neurosurgery and Orthopedics specialists of the province, since they are the specialties which most often treat this patients. Method: a literature search was carried out on different domestic and foreign data bases, available online; the most updated works were selected in both Spanish and English languages and, from them, a review about this disorder was developed, which includes a brief description of it, its presentation, surgical anatomy and treatment options and its results.

Development: adequate patient assessment has prognostic value facing the treatment options, either conservative or surgical, so that the selection of candidates either can generate excellent results in a high percentage of cases. Conclusions: thoracic outlet syndrome is one of the most controversial entity in Medicine; it is three times more common in women than in men and is predominant in ages between 30 and 45 years.

The fundamental symptomatological spectrum is neuropathic and not vascular; structuring of the signs and symptoms consolidates over a long period of time approaching, on average, two and a half years. Diplomado en Cuidados Intensivos del Adulto. Profesor Titular. Investigador Auxiliar. Figura No. Atrofia tenar de la mano izquierda.

Maniobra de Telford. Thoracic outlet syndrome: results of transaxillary first rib resections. Clin Orthop Relat Res. Anomalies of thoracic outlet in human fetuses: anatomical study. Ann Vasc Surg. Thoracic outlet syndrome: differential diagnosis and surgical therapeutic options. Current management of thoracic outlet syndrome. Curr Treat Options Cardiovasc Med. Roos DB. Congenital anomalies associated with thoracic outlet syndrome. Anatomy, symptoms, diagnosis, and treatment.

Am J Surg. Cervicoscapulalgies professionnelles. Fouquet B, Borie JM. Late outcome of surgical treatment of the non-specific neurogenic thoracic outlet syndrome. Neurol Res. Surgical treatment of TOS in young adults: single centre experience with minimum three-year follow-up. Int Orthop. Contemporary management of thoracic outlet syndrome. Curr Opin Cardiol.

Recibido: 4 de febrero de Aprobado: 4 de noviembre de Dra.


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