The role of the ultrasound examination of the brachial plexus in thoracic outlet syndrome
Introduction. Difficulties in determining the compression of the neurovascular bundle with the thoracic outlet syndrome raises the question of finding an accessible and reproducible method for the neuroimaging of the brachial plexus and surrounding tissues.Purpose of the study – to develop an ultras...
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| Format: | Article |
| Language: | Russian |
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ABV-press
2020-06-01
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| Series: | Нервно-мышечные болезни |
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| Online Access: | https://nmb.abvpress.ru/jour/article/view/372 |
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| author | D. S. Druzhinin S. S. Nikitin L. M. Boriskina E. S. Druzhinina M. L. Novikov A. A. Eliseeva |
| author_facet | D. S. Druzhinin S. S. Nikitin L. M. Boriskina E. S. Druzhinina M. L. Novikov A. A. Eliseeva |
| author_sort | D. S. Druzhinin |
| collection | DOAJ |
| description | Introduction. Difficulties in determining the compression of the neurovascular bundle with the thoracic outlet syndrome raises the question of finding an accessible and reproducible method for the neuroimaging of the brachial plexus and surrounding tissues.Purpose of the study – to develop an ultrasound diagnostic algorithm using a stress test to determine the level and cause of brachial plexus compression in comparison with the results of a clinical assessment.Materials and methods. 111 patients with verified compression of the brachial plexus at the level of the interstitial (65.7 %) and bone-clavicular space (21.6 %), as well as the tendon of the pectoralis minor muscle (12.6 %) were examined. The study protocol including the Adson ultrasound stress test, the assessment of the lower trunk in the interstitial space, and the test with ultrasound evaluation of the axillary artery at the level of the tendon of the pectoralis minor muscle with passive abduction of the arm back and up was used.Conclusion. An ultrasound study of the brachial plexus demonstrated informativeness in assessing the level and possible cause of compression, which opens up the possibility of using the method in routine neurological practice. |
| first_indexed | 2024-03-12T04:51:55Z |
| format | Article |
| id | doaj.art-85a51de1eae64cdc836e767762e230b8 |
| institution | Directory Open Access Journal |
| issn | 2222-8721 2413-0443 |
| language | Russian |
| last_indexed | 2024-03-12T04:51:55Z |
| publishDate | 2020-06-01 |
| publisher | ABV-press |
| record_format | Article |
| series | Нервно-мышечные болезни |
| spelling | doaj.art-85a51de1eae64cdc836e767762e230b82023-09-03T09:22:19ZrusABV-pressНервно-мышечные болезни2222-87212413-04432020-06-01101435210.17650/2222-8721-2020-10-1-43-52259The role of the ultrasound examination of the brachial plexus in thoracic outlet syndromeD. S. Druzhinin0S. S. Nikitin1L. M. Boriskina2E. S. Druzhinina3M. L. Novikov4A. A. Eliseeva5ФГБОУ ВО «Ярославский государственный медицинский университет» Минздрава России; Региональная общественная организация «Общество специалистов по нервно-мышечным болезням», Медицинский центр «Практическая неврология»Региональная общественная организация «Общество специалистов по нервно-мышечным болезням», Медицинский центр «Практическая неврология»Региональная общественная организация «Общество специалистов по нервно-мышечным болезням», Медицинский центр «Практическая неврология»Региональная общественная организация «Общество специалистов по нервно-мышечным болезням», Медицинский центр «Практическая неврология»; ФГБОУ ВО «Российский национальный исследовательский медицинский университет им. Н. И. Пирогова» Минздрава РоссииМедицинский центр «Мотус»СПб ГБУЗ «Городской консультативно-диагностический центр № 1»Introduction. Difficulties in determining the compression of the neurovascular bundle with the thoracic outlet syndrome raises the question of finding an accessible and reproducible method for the neuroimaging of the brachial plexus and surrounding tissues.Purpose of the study – to develop an ultrasound diagnostic algorithm using a stress test to determine the level and cause of brachial plexus compression in comparison with the results of a clinical assessment.Materials and methods. 111 patients with verified compression of the brachial plexus at the level of the interstitial (65.7 %) and bone-clavicular space (21.6 %), as well as the tendon of the pectoralis minor muscle (12.6 %) were examined. The study protocol including the Adson ultrasound stress test, the assessment of the lower trunk in the interstitial space, and the test with ultrasound evaluation of the axillary artery at the level of the tendon of the pectoralis minor muscle with passive abduction of the arm back and up was used.Conclusion. An ultrasound study of the brachial plexus demonstrated informativeness in assessing the level and possible cause of compression, which opens up the possibility of using the method in routine neurological practice.https://nmb.abvpress.ru/jour/article/view/372плечевое сплетениесиндром верхней апертурыультразвуковое исследование нервовкомпрессионные нейропатииtos |
| spellingShingle | D. S. Druzhinin S. S. Nikitin L. M. Boriskina E. S. Druzhinina M. L. Novikov A. A. Eliseeva The role of the ultrasound examination of the brachial plexus in thoracic outlet syndrome Нервно-мышечные болезни плечевое сплетение синдром верхней апертуры ультразвуковое исследование нервов компрессионные нейропатии tos |
| title | The role of the ultrasound examination of the brachial plexus in thoracic outlet syndrome |
| title_full | The role of the ultrasound examination of the brachial plexus in thoracic outlet syndrome |
| title_fullStr | The role of the ultrasound examination of the brachial plexus in thoracic outlet syndrome |
| title_full_unstemmed | The role of the ultrasound examination of the brachial plexus in thoracic outlet syndrome |
| title_short | The role of the ultrasound examination of the brachial plexus in thoracic outlet syndrome |
| title_sort | role of the ultrasound examination of the brachial plexus in thoracic outlet syndrome |
| topic | плечевое сплетение синдром верхней апертуры ультразвуковое исследование нервов компрессионные нейропатии tos |
| url | https://nmb.abvpress.ru/jour/article/view/372 |
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