학술논문
Double-crush nerve compression in thoracic-outlet syndrome.
Document Type
Academic Journal
Source
The Journal of Bone & Joint Surgery. Jan 01, 1990 72(1):85-87
Subject
Language
English
ISSN
0021-9355
Abstract
We studied 165 cases of thoracic-outlet syndrome in 142 patients in whom resection of the first rib had been performed. In seventy-three cases (44 per cent), there was compression of a nerve distally, as shown by electromyography and conduction studies. The most common secondary compression was carpal tunnel syndrome (forty-one cases). Thirteen patients needed an operation at three sites or more. Our results show that proximal compression of a nerve lessens its ability to withstand more distal compression. Once the diagnosis of thoracic-outlet syndrome has been made, the possibility of an additional distal compression neuropathy should be investigated.