Reynoso CR

Language: Spanish
References: 11
Page: 37-48
PDF size: 349.08 Kb.

ABSTRACT

The definition of thoracic outlet (SST) is set to the virtual space to funnel shaped, which leads the nerve and vascular structures on their way to the upper limb. The incidence of a cervical rib partial or total is up to the 1 in the population, but only develops symptoms 10 of these cases. The SST occurs in women 3 times more than men, in the range between 30 to 45 years mainly. The semiologyc spectrum is essentially neuropathic and non-vascular and as such, the structuring of the signs and symptoms is consolidated over a long period of time from 2 and a half years average. Typical thoracic exit, also known as neuralgia cervicobrachial painful irradiation is the first of its cardinal symptoms and depends on the compressed nerve structure. To make the diagnosis must register the progression of symptoms, not enough to be conclusive in diagnosis, which requires ruling out other pathologies. The presence of partial cervical rib I mega process transverse C7 is associated with muscle variants or constrictive bands. Treatment begins with rehabilitation while clamping the diagnosis (relaxing muscle, relaxation of the mass of muscle, sliding of the brachial plexus, ultrasound, heat, interescapular, analgesics), 53 patients in the surgical series were operated due to poor response to the management of rehabilitation and major alteration of their occupational and everyday activities.

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