The purpose of this review is to provide an overview of the causes, classification, evaluation, and management of TOS. The reader is brought into the story after the fact during the recovery and while Seans 'Dad' is looking for an attorney to represent them. If patients present with diffuse pain and numbness in the neck and upper extremity with more than 2 provocation tests, TOS could be considered. Thomas is a complex story about a young man (Sean) who receives life changing injuries while working for a petroleum company. No positive objective test exists to confirm an accurate diagnosis. Additionally, the primary controversy regarding patients with TOS is related to symptoms such as paresthesia, numbness, and pain. impact and motion of 1st MTPJ) History and physical examination Pain, numbness, pins/needles, and tingling in. Rates of three to 80 cases per 1,000 patients have been reported, but more patients are likely to have TOS because it is underestimated. The wide variability of patients' symptoms, which include vascular and neural signs, as well as diffuse symptoms, and the lack of a valid and reliable test to confirm the diagnosis of TOS makes it difficult to identify correctly patients with TOS. TOS was the first compression neuropathy of the upper extremity to be identified. Thoracic outlet syndrome (TOS) is an uncommon condition that can occur when the nerves, artery, or vein to the arm is compressed by one or more of the structures that make up the thoracic outlet.
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