Shoulder-arm pain from cervical bands and scalene muscle anomalies
Fourteen patients were identified with (1) pain and sensory changes in a brachial plexus distribution, (2) aggravation of pain with use of the affected extremity, and (3) pain on palpation over the brachial plexus. All patients had minimal or no intrinsic hand muscle atrophy. Only one patient had ce...
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| Veröffentlicht in: | Journal of the neurological sciences 1995-02, Vol.128 (2), p.175-180 |
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| creator | Liu, Jeffrey E. Tahmoush, Albert J. Roos, David B. Schwartzman, Robert J. |
| description | Fourteen patients were identified with (1) pain and sensory changes in a brachial plexus distribution, (2) aggravation of pain with use of the affected extremity, and (3) pain on palpation over the brachial plexus. All patients had minimal or no intrinsic hand muscle atrophy. Only one patient had cervical ribs. Nerve conduction studies were normal, and electromyography (EMG) showed mild chronic neuropathic changes in 2 patients. None of the patients responded to conservative therapy over a prolonged period (7–12 months). A compressive brachial plexopathy from abnormally attached or enlarged scalene muscles that affected both upper and lower trunks of the brachial plexus was found at surgery in all patients. In 13 patients, at least one fibrous band compressed the lower trunk of the brachial plexus. Therefore, neurogenic thoracic outlet syndrome can occur from cervical bands and scalene muscle anomalies without intrinsic hand muscle atrophy, cervical ribs, enlarged C7 transverse processes, or EMG abnormalities. |
| doi_str_mv | 10.1016/0022-510X(94)00220-I |
| format | Article |
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All patients had minimal or no intrinsic hand muscle atrophy. Only one patient had cervical ribs. Nerve conduction studies were normal, and electromyography (EMG) showed mild chronic neuropathic changes in 2 patients. None of the patients responded to conservative therapy over a prolonged period (7–12 months). A compressive brachial plexopathy from abnormally attached or enlarged scalene muscles that affected both upper and lower trunks of the brachial plexus was found at surgery in all patients. In 13 patients, at least one fibrous band compressed the lower trunk of the brachial plexus. Therefore, neurogenic thoracic outlet syndrome can occur from cervical bands and scalene muscle anomalies without intrinsic hand muscle atrophy, cervical ribs, enlarged C7 transverse processes, or EMG abnormalities.</description><identifier>ISSN: 0022-510X</identifier><identifier>EISSN: 1878-5883</identifier><identifier>DOI: 10.1016/0022-510X(94)00220-I</identifier><identifier>PMID: 7738593</identifier><identifier>CODEN: JNSCAG</identifier><language>eng</language><publisher>Shannon: Elsevier B.V</publisher><subject>Adolescent ; Adult ; Atrophy ; Biological and medical sciences ; Brachial plexopathy ; Brachial Plexus - physiopathology ; Cervical bands ; Cervical Rib Syndrome - diagnosis ; Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction ; Electromyography ; Female ; Fibrosis ; Hand - pathology ; Humans ; Male ; Medical sciences ; Movement ; Muscles - pathology ; Neck Muscles - pathology ; Nerve Compression Syndromes - classification ; Nerve Compression Syndromes - pathology ; Nerve Compression Syndromes - physiopathology ; Nerve Compression Syndromes - surgery ; Nervous system (semeiology, syndromes) ; Neurology ; Pain - etiology ; Palpation ; Reflex sympathetic dystrophy ; Sensation Disorders - etiology ; Shoulder-arm pain ; Spinal Cord Compression - physiopathology ; Thoracic outlet surgery ; Thoracic outlet syndrome ; Thoracic Outlet Syndrome - diagnosis ; Thoracic Outlet Syndrome - etiology ; Thoracic Outlet Syndrome - pathology ; Thoracic Outlet Syndrome - surgery</subject><ispartof>Journal of the neurological sciences, 1995-02, Vol.128 (2), p.175-180</ispartof><rights>1995</rights><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-55cd851235fe2170201b66de39dbe932e402e64b6204da93611d1c44088a1f333</citedby><cites>FETCH-LOGICAL-c386t-55cd851235fe2170201b66de39dbe932e402e64b6204da93611d1c44088a1f333</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0022-510X(94)00220-I$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3417014$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7738593$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Jeffrey E.</creatorcontrib><creatorcontrib>Tahmoush, Albert J.</creatorcontrib><creatorcontrib>Roos, David B.</creatorcontrib><creatorcontrib>Schwartzman, Robert J.</creatorcontrib><title>Shoulder-arm pain from cervical bands and scalene muscle anomalies</title><title>Journal of the neurological sciences</title><addtitle>J Neurol Sci</addtitle><description>Fourteen patients were identified with (1) pain and sensory changes in a brachial plexus distribution, (2) aggravation of pain with use of the affected extremity, and (3) pain on palpation over the brachial plexus. All patients had minimal or no intrinsic hand muscle atrophy. Only one patient had cervical ribs. Nerve conduction studies were normal, and electromyography (EMG) showed mild chronic neuropathic changes in 2 patients. None of the patients responded to conservative therapy over a prolonged period (7–12 months). A compressive brachial plexopathy from abnormally attached or enlarged scalene muscles that affected both upper and lower trunks of the brachial plexus was found at surgery in all patients. In 13 patients, at least one fibrous band compressed the lower trunk of the brachial plexus. Therefore, neurogenic thoracic outlet syndrome can occur from cervical bands and scalene muscle anomalies without intrinsic hand muscle atrophy, cervical ribs, enlarged C7 transverse processes, or EMG abnormalities.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Atrophy</subject><subject>Biological and medical sciences</subject><subject>Brachial plexopathy</subject><subject>Brachial Plexus - physiopathology</subject><subject>Cervical bands</subject><subject>Cervical Rib Syndrome - diagnosis</subject><subject>Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction</subject><subject>Electromyography</subject><subject>Female</subject><subject>Fibrosis</subject><subject>Hand - pathology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Movement</subject><subject>Muscles - pathology</subject><subject>Neck Muscles - pathology</subject><subject>Nerve Compression Syndromes - classification</subject><subject>Nerve Compression Syndromes - pathology</subject><subject>Nerve Compression Syndromes - physiopathology</subject><subject>Nerve Compression Syndromes - surgery</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Pain - etiology</subject><subject>Palpation</subject><subject>Reflex sympathetic dystrophy</subject><subject>Sensation Disorders - etiology</subject><subject>Shoulder-arm pain</subject><subject>Spinal Cord Compression - physiopathology</subject><subject>Thoracic outlet surgery</subject><subject>Thoracic outlet syndrome</subject><subject>Thoracic Outlet Syndrome - diagnosis</subject><subject>Thoracic Outlet Syndrome - etiology</subject><subject>Thoracic Outlet Syndrome - pathology</subject><subject>Thoracic Outlet Syndrome - surgery</subject><issn>0022-510X</issn><issn>1878-5883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKxDAUhoMo4zj6BgpdiOiimlvTdCPo4GVgwIUK7kKanGKklzGZDvj2pk6ZpZuEP-c7h5MPoVOCrwkm4gZjStOM4I_Lgl8NAaeLPTQlMpdpJiXbR9MdcoiOQvjCGAspiwma5DmTWcGm6P71s-trCz7VvklW2rVJ5bsmMeA3zug6KXVrQxKPJMQILSRNH0wN8alrdO0gHKODStcBTsZ7ht4fH97mz-ny5Wkxv1umhkmxTrPMWJkRyrIKKMkxxaQUwgIrbAkFo8AxBcFLQTG3umCCEEsM51hKTSrG2AxdbOeufPfdQ1irxgUDda1b6Pqg8pxmlOYignwLGt-F4KFSK-8a7X8UwWpQpwYvavCiCv4XsFrEtrNxfl82YHdNo6tYPx_relBRed0aF3YY4_FThEfsdotBdLFx4FUwDloD1nkwa2U79_8ev2JfiMg</recordid><startdate>19950201</startdate><enddate>19950201</enddate><creator>Liu, Jeffrey E.</creator><creator>Tahmoush, Albert J.</creator><creator>Roos, David B.</creator><creator>Schwartzman, Robert J.</creator><general>Elsevier B.V</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19950201</creationdate><title>Shoulder-arm pain from cervical bands and scalene muscle anomalies</title><author>Liu, Jeffrey E. ; Tahmoush, Albert J. ; Roos, David B. ; Schwartzman, Robert J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-55cd851235fe2170201b66de39dbe932e402e64b6204da93611d1c44088a1f333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Atrophy</topic><topic>Biological and medical sciences</topic><topic>Brachial plexopathy</topic><topic>Brachial Plexus - physiopathology</topic><topic>Cervical bands</topic><topic>Cervical Rib Syndrome - diagnosis</topic><topic>Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction</topic><topic>Electromyography</topic><topic>Female</topic><topic>Fibrosis</topic><topic>Hand - pathology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Movement</topic><topic>Muscles - pathology</topic><topic>Neck Muscles - pathology</topic><topic>Nerve Compression Syndromes - classification</topic><topic>Nerve Compression Syndromes - pathology</topic><topic>Nerve Compression Syndromes - physiopathology</topic><topic>Nerve Compression Syndromes - surgery</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Pain - etiology</topic><topic>Palpation</topic><topic>Reflex sympathetic dystrophy</topic><topic>Sensation Disorders - etiology</topic><topic>Shoulder-arm pain</topic><topic>Spinal Cord Compression - physiopathology</topic><topic>Thoracic outlet surgery</topic><topic>Thoracic outlet syndrome</topic><topic>Thoracic Outlet Syndrome - diagnosis</topic><topic>Thoracic Outlet Syndrome - etiology</topic><topic>Thoracic Outlet Syndrome - pathology</topic><topic>Thoracic Outlet Syndrome - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Jeffrey E.</creatorcontrib><creatorcontrib>Tahmoush, Albert J.</creatorcontrib><creatorcontrib>Roos, David B.</creatorcontrib><creatorcontrib>Schwartzman, Robert J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the neurological sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Jeffrey E.</au><au>Tahmoush, Albert J.</au><au>Roos, David B.</au><au>Schwartzman, Robert J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Shoulder-arm pain from cervical bands and scalene muscle anomalies</atitle><jtitle>Journal of the neurological sciences</jtitle><addtitle>J Neurol Sci</addtitle><date>1995-02-01</date><risdate>1995</risdate><volume>128</volume><issue>2</issue><spage>175</spage><epage>180</epage><pages>175-180</pages><issn>0022-510X</issn><eissn>1878-5883</eissn><coden>JNSCAG</coden><abstract>Fourteen patients were identified with (1) pain and sensory changes in a brachial plexus distribution, (2) aggravation of pain with use of the affected extremity, and (3) pain on palpation over the brachial plexus. All patients had minimal or no intrinsic hand muscle atrophy. Only one patient had cervical ribs. Nerve conduction studies were normal, and electromyography (EMG) showed mild chronic neuropathic changes in 2 patients. None of the patients responded to conservative therapy over a prolonged period (7–12 months). A compressive brachial plexopathy from abnormally attached or enlarged scalene muscles that affected both upper and lower trunks of the brachial plexus was found at surgery in all patients. In 13 patients, at least one fibrous band compressed the lower trunk of the brachial plexus. Therefore, neurogenic thoracic outlet syndrome can occur from cervical bands and scalene muscle anomalies without intrinsic hand muscle atrophy, cervical ribs, enlarged C7 transverse processes, or EMG abnormalities.</abstract><cop>Shannon</cop><pub>Elsevier B.V</pub><pmid>7738593</pmid><doi>10.1016/0022-510X(94)00220-I</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Journal of the neurological sciences, 1995-02, Vol.128 (2), p.175-180 |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adolescent Adult Atrophy Biological and medical sciences Brachial plexopathy Brachial Plexus - physiopathology Cervical bands Cervical Rib Syndrome - diagnosis Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction Electromyography Female Fibrosis Hand - pathology Humans Male Medical sciences Movement Muscles - pathology Neck Muscles - pathology Nerve Compression Syndromes - classification Nerve Compression Syndromes - pathology Nerve Compression Syndromes - physiopathology Nerve Compression Syndromes - surgery Nervous system (semeiology, syndromes) Neurology Pain - etiology Palpation Reflex sympathetic dystrophy Sensation Disorders - etiology Shoulder-arm pain Spinal Cord Compression - physiopathology Thoracic outlet surgery Thoracic outlet syndrome Thoracic Outlet Syndrome - diagnosis Thoracic Outlet Syndrome - etiology Thoracic Outlet Syndrome - pathology Thoracic Outlet Syndrome - surgery |
| title | Shoulder-arm pain from cervical bands and scalene muscle anomalies |
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