Thoracic Outlet Syndrome in Sport: A Systematic Review
Thoracic outlet syndrome (TOS) is a rare and heterogeneous syndrome secondary to a compression of the neurovascular bundle in the thoracic outlet area. Muscle hypertrophy is recognized to induce vascular or neurogenic compression, especially in sports involving upper-arm solicitation. Athletes repre...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-06-01
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| Series: | Frontiers in Physiology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fphys.2022.838014/full |
| _version_ | 1818470025015590912 |
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| author | Thomas Garraud Thomas Garraud Germain Pomares Germain Pomares Pauline Daley Pauline Daley Pierre Menu Pierre Menu Pierre Menu Pierre Menu Marc Dauty Marc Dauty Marc Dauty Marc Dauty Alban Fouasson-Chailloux Alban Fouasson-Chailloux Alban Fouasson-Chailloux Alban Fouasson-Chailloux |
| author_facet | Thomas Garraud Thomas Garraud Germain Pomares Germain Pomares Pauline Daley Pauline Daley Pierre Menu Pierre Menu Pierre Menu Pierre Menu Marc Dauty Marc Dauty Marc Dauty Marc Dauty Alban Fouasson-Chailloux Alban Fouasson-Chailloux Alban Fouasson-Chailloux Alban Fouasson-Chailloux |
| author_sort | Thomas Garraud |
| collection | DOAJ |
| description | Thoracic outlet syndrome (TOS) is a rare and heterogeneous syndrome secondary to a compression of the neurovascular bundle in the thoracic outlet area. Muscle hypertrophy is recognized to induce vascular or neurogenic compression, especially in sports involving upper-arm solicitation. Athletes represent a distinctive population because of a specific management due to an ambitious objective, which is returning to high-level competition. We evaluated the scientific literature available for the management of TOS in athletes. Article research extended to March 2021 without other restriction concerning the date of articles publication. The search was performed independently by two assessors. A first preselection based on the article titles was produced, regarding their availability in English or French and a second preselection was produced after reading the abstracts. In case of doubt, a third assessor’s advice was asked. Case reports were selected only if the sport involved was documented, as well as the level of practice. Cohorts were included if data about the number and the sport level of athletes were detailed. Seventy-eight articles were selected including 40 case reports, 10 clinical studies and 28 reviews of literature. Baseball pitchers seem to be highly at risk of developing a TOS. The surgical management appears particularly frequent in this specific population. The prognosis of TOS in athletes seems to be better than in the general population, possibly due to their better physical condition and their younger age. Some studies showed interesting and encouraging results concerning return to previous sport level. Literature shows a strong link between TOS and certain sports. Unfortunately, this syndrome still lacks rigorous diagnostic criteria and management guidelines for athletes. |
| first_indexed | 2024-04-13T21:32:17Z |
| format | Article |
| id | doaj.art-44f4dfe392dc49de91d8af73818af99c |
| institution | Directory Open Access Journal |
| issn | 1664-042X |
| language | English |
| last_indexed | 2024-04-13T21:32:17Z |
| publishDate | 2022-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Physiology |
| spelling | doaj.art-44f4dfe392dc49de91d8af73818af99c2022-12-22T02:29:06ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2022-06-011310.3389/fphys.2022.838014838014Thoracic Outlet Syndrome in Sport: A Systematic ReviewThomas Garraud0Thomas Garraud1Germain Pomares2Germain Pomares3Pauline Daley4Pauline Daley5Pierre Menu6Pierre Menu7Pierre Menu8Pierre Menu9Marc Dauty10Marc Dauty11Marc Dauty12Marc Dauty13Alban Fouasson-Chailloux14Alban Fouasson-Chailloux15Alban Fouasson-Chailloux16Alban Fouasson-Chailloux17Hôpital Privé du Confluent, Rhumatologie, Nantes, FranceService de Médecine du Sport, CHU Nantes, Nantes, FranceInstitut Européen de la Main, Luxembourg. LuxembourgMedical Training Center, Hopital Kirchberg, Luxembourg. LuxembourgService de Médecine du Sport, CHU Nantes, Nantes, FranceCHU Nantes, Service de Médecine Physique et Réadaptation Locomotrice et Respiratoire, Nantes, FranceService de Médecine du Sport, CHU Nantes, Nantes, FranceCHU Nantes, Service de Médecine Physique et Réadaptation Locomotrice et Respiratoire, Nantes, FranceInserm, UMR 1229, RMeS, Regenerative Medicine and Skeleton, Université de Nantes, ONIRIS, Nantes, FranceIRMS, Institut Régional de Médecine du Sport, Nantes, FranceService de Médecine du Sport, CHU Nantes, Nantes, FranceCHU Nantes, Service de Médecine Physique et Réadaptation Locomotrice et Respiratoire, Nantes, FranceInserm, UMR 1229, RMeS, Regenerative Medicine and Skeleton, Université de Nantes, ONIRIS, Nantes, FranceIRMS, Institut Régional de Médecine du Sport, Nantes, FranceService de Médecine du Sport, CHU Nantes, Nantes, FranceCHU Nantes, Service de Médecine Physique et Réadaptation Locomotrice et Respiratoire, Nantes, FranceInserm, UMR 1229, RMeS, Regenerative Medicine and Skeleton, Université de Nantes, ONIRIS, Nantes, FranceIRMS, Institut Régional de Médecine du Sport, Nantes, FranceThoracic outlet syndrome (TOS) is a rare and heterogeneous syndrome secondary to a compression of the neurovascular bundle in the thoracic outlet area. Muscle hypertrophy is recognized to induce vascular or neurogenic compression, especially in sports involving upper-arm solicitation. Athletes represent a distinctive population because of a specific management due to an ambitious objective, which is returning to high-level competition. We evaluated the scientific literature available for the management of TOS in athletes. Article research extended to March 2021 without other restriction concerning the date of articles publication. The search was performed independently by two assessors. A first preselection based on the article titles was produced, regarding their availability in English or French and a second preselection was produced after reading the abstracts. In case of doubt, a third assessor’s advice was asked. Case reports were selected only if the sport involved was documented, as well as the level of practice. Cohorts were included if data about the number and the sport level of athletes were detailed. Seventy-eight articles were selected including 40 case reports, 10 clinical studies and 28 reviews of literature. Baseball pitchers seem to be highly at risk of developing a TOS. The surgical management appears particularly frequent in this specific population. The prognosis of TOS in athletes seems to be better than in the general population, possibly due to their better physical condition and their younger age. Some studies showed interesting and encouraging results concerning return to previous sport level. Literature shows a strong link between TOS and certain sports. Unfortunately, this syndrome still lacks rigorous diagnostic criteria and management guidelines for athletes.https://www.frontiersin.org/articles/10.3389/fphys.2022.838014/fullthoracic outlet syndromeathletessportmanagementneurogenic |
| spellingShingle | Thomas Garraud Thomas Garraud Germain Pomares Germain Pomares Pauline Daley Pauline Daley Pierre Menu Pierre Menu Pierre Menu Pierre Menu Marc Dauty Marc Dauty Marc Dauty Marc Dauty Alban Fouasson-Chailloux Alban Fouasson-Chailloux Alban Fouasson-Chailloux Alban Fouasson-Chailloux Thoracic Outlet Syndrome in Sport: A Systematic Review Frontiers in Physiology thoracic outlet syndrome athletes sport management neurogenic |
| title | Thoracic Outlet Syndrome in Sport: A Systematic Review |
| title_full | Thoracic Outlet Syndrome in Sport: A Systematic Review |
| title_fullStr | Thoracic Outlet Syndrome in Sport: A Systematic Review |
| title_full_unstemmed | Thoracic Outlet Syndrome in Sport: A Systematic Review |
| title_short | Thoracic Outlet Syndrome in Sport: A Systematic Review |
| title_sort | thoracic outlet syndrome in sport a systematic review |
| topic | thoracic outlet syndrome athletes sport management neurogenic |
| url | https://www.frontiersin.org/articles/10.3389/fphys.2022.838014/full |
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