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Revista de la Sociedad Española del Dolor

Print version ISSN 1134-8046

Abstract

PACHECO, E  and  RODRIGUEZ, L. Considerations for clinical examination of nonspecific neurogenic thoracic outlet syndrome. Rev. Soc. Esp. Dolor [online]. 2020, vol.27, n.5, pp.316-323.  Epub Dec 28, 2020. ISSN 1134-8046.  http://dx.doi.org/10.20986/resed.2020.3834/2020.

Thoracic outlet syndrome (SOT) is a controversial condition to this day, caused by compression of neurovascular structures in their passage between the neck and thorax. It is classified as vascular and neurogenic. If the electrophysiological tests are not positive it is subclassified as nonspecific neurogenic. This is between 95-98 % of cases, but its diagnostic criteria are not yet clear. The main aspects to be taken into account during the clinical examination are reviewed to guide the diagnosis of patients with nonspecific neurogenic SOT, such as symptoms, triggers, differential diagnosis, assessment scales and psychosocial factors.

Keywords : Thoracic outlet syndrome; neurovascular compression; cervicobrachialgia; differential diagnosis.

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