Work-Related Neurogenic Thoracic Outlet Syndrome: Diagnosis and Treatment

Details

• Personal Author:
  Franklin GM
• Description:
  Outcomes of surgery for neurogenic thoracic outlet syndrome (NTOS) in workers' compensation are poor in a majority of patients, partly due to nonspecificity of diagnosis. Most cases have no objective evidence of the presence of brachial plexus dysfunction. Up to 20% of patients experience a new adverse event. Objective neurologic signs and electrodiagnostic evidence of brachial plexus dysfunction must be present before proceeding with invasive procedures. This guideline includes objective criteria that must be met before thoracic outlet syndrome surgery can be approved in Washington State. Evidence does not support the use of scalene blocks, botulinum toxin therapy, or vascular studies to diagnose NTOS. [Description provided by NIOSH]
• Subjects:
  Diagnosis Musculoskeletal System Nervous System Nervous System Diseases Occupational Health Safety
• Keywords:
  Author Keywords: Diagnosis Diagnostic Tests Medical Treatment Nerve Tissue Nervous System Disorders Neurological Disorders Neurophysiology Practice Guidelines Surgery Thoracic Outlet Syndrome Treatment Upper Extremities Workers' Compensation Workers Compensation

  More +
• ISSN:
  1047-9651
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 10 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  25
• Issue:
  3
• NIOSHTIC Number:
  nn:20063660
• Citation:
  Phys Med Rehabil Clin N Am 2015 Aug; 25(3):551-561
• Contact Point Address:
  Gary M. Franklin MD, MPH, Washington State Department of Labor and Industries, Olympia, WA 98501
• Email:
  fral235@lni.wa.gov
• Federal Fiscal Year:
  2015
• Performing Organization:
  University of Washington
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Physical Medicine and Rehabilitation Clinics of North America
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:11b49a7e3ad6d638d571ecb0f8b7b47765fe315cd8003d792332280cca258f68bb252f495e192509d408bee62126abc212d9391f591885fd0e2ee4f645eb23f6
• Download URL:
  https://stacks.cdc.gov/view/cdc/222225/cdc_222225_DS1.pdf
• File Type:
  [PDF - 244.77 KB ]