J Korean Surgery Hand Soc Search

CLOSE


Journal of the Korean Society for Surgery of the Hand 2011;16(4):225-231.
Published online December 30, 2011.
Repetitive Microtrauma as a Cause of Thoracic Outlet Syndrome
Ji Youn Kim, Young Ho Kwon
1Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
2Department of Orthopaedic Surgery, Kosin University Gospel Hospital, Busan, Korea. handkwon@gmail.com
Received: 15 October 2011   • Revised: 5 December 2011   • Accepted: 6 December 2011
Abstract
Purpose
The aim of this study was to analyze the repetitive stress of neck and shoulder area as a cause of thoracic outlet syndrome which is relatively common but frequently underestimated. MATERIALS AND METHODS: We analyzed 110 patients (114 cases) diagnosed as thoracic outlet syndrome. We designed diagnostic criteria of thoracic outlet syndrome involving symptom, tenderness, Tinel's sign and provocation tests. We reviewed the clinical, radiologic records and questionnaire about repetitive job related microtrauma. The questionnaire was established to investigate the relation between work history and thoracic outlet syndrome based on Labor Standards by Ministry of Employment and Labor.

Results
Accumulated repetitive stress on the neck and shoulder associated with work as a presumed cause of thoracic outlet syndrome were found in 88 cases (77.2%). The most common stress related to the development of thoracic outlet syndrome was occupation that requires repetitive shoulder action (more than 2.5 times per a minute) and the most common duration they exposed to the labor per day was more than 4 hours a day.

Conclusion
Repetitive microtrauma of neck and shoulder can be a cause of thoracic outlet syndrome. In patients with a history of work related microtrauma, accurate physical examination and clinical history are important for diagnosing thoracic outlet syndrome.
 


About
Article and topics
Article category

Browse all articles >

Topics

Browse all articles >

Browse articles
Editorial policies
For contributors
Editorial Office
St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, 93 Ji-dong, Paldal-gu, Suwon 16247, Korea
Tel: +82-31-249-7186    Fax: +82-31-254-7186    E-mail: journal@handmicro.org                

Copyright © 2021 by Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve.

Developed in M2PI

Close layer
prev next