Thoracic Outlet Syndrome Crossword

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Across
  1. 7. Observed in either C5,6 muscle groups or C8, T1 muscle groups reflected by poor grip strength.
  2. 8. Cervical nerve root compression caused by cervical disc disease. It should be excluded during the diagnosis.
  3. 11. Differing signs from TOS includes loss of wrist range of motion, predominantly extension.
  4. 14. Active and passive for the cervical spine, cervicothoracic junction, shoulder, elbow, wrist, and hands.
  5. 15. reserved for patients who have failed conservative management.
  6. 16. Presence of cervical rib or anomalous first rib
  7. 17. Options include surgery, lifestyle modification, pain management, anticoagulation, physical therapy, and rehabilitation.
Down
  1. 1. alignment TOS patients often have a long neck with sloping shoulders.
  2. 2. Should persist for 4-6 months prior to consideration for surgery. Can include shoulder exercises, cervical spine exercises, and specific muscle strengthening.
  3. 3. Should include a detailed body chart, the nature and intensity of symptoms, and a detailed history.
  4. 4. TOS that accounts for 3-5% of cases. Involves the subclavian and axillary vasculature.
  5. 5. Thought to stress the scalene triangle. Is positive if there is obliteration or diminution of the radial pulse and/or a reproduction of the patient's symptoms.
  6. 6. Both true and disputed TOS
  7. 9. Will have similar signs of restricted and painful shoulder range of motion and weakness in shoulder muscles. Differing signs of positive testing.
  8. 10. Nerve roots C5,6
  9. 12. Is confirmed by provocative physical exam maneuvers, radiographic, and/or vascular studies.
  10. 13. Can coexist with TOS due to the compression of affecting nerves. Involves ptosis of the eye and a constricted pupil.