Torasik Çýkýþ Basý Sendromu

Omuzun ve üst ekstremitenin nörovasküler yapýlarýna basý, lokal bir travma veya sporculardaki gibi tekrarlayýcý aktivite sonucu geliþebilir. Sporcularýn omuzlarýnda alýþýlmadýk hareketler normal anatomik yapýyý patolojik hale getirir ve nörovasküler yapýlara basý yaparak semptom oluþturur. Basýya uðrayan damar ve sinirlerin durumuna ve basý yerine göre semptomlar oluþur. Bu semptomlar ekstremitede halsizlikten hipoesteziye, hatta kan akýmýnýn kaybýna kadar deðiþir. Özgün anatomik yapýnýn basýsýna baðlý spesifik sendromlar oluþur; Bunlardan en önemlisi torasik çýkýþ sendromudur (TÇS). Sporcularda veya kollarýný sürekli baþýnýn üstünde tutarak çalýþan iþçilerde üst ekstremde aðrýsý varsa, ayýrýcý tanýda omuzun nörovasküler basý sendromlarý mutlaka düþünülmelidir.

Thoracic outlet Compression Syndrome

The compression of neurovascular structures in shoulder and upper extremities may come out by a local trauma or like in sportsmen by recurrent activities. Unusual actions of shoulders in sportsmen, make the normal structure pathologic and by compressing neurovascular structures, symptoms are defined. Signs and symptoms depend on the degree to which particular nerves and vascular structures are compromised and on the position of compression. Those symptoms are changeable from weakness to anesthesia of the limb, even though venous engorgement. According to compression of specific anatomic structure, special syndromes are occurred. The most important of those are thoracic outlet syndrome, venous thrombosis, axillery artery occlusion and quadrilateral space syndrome. The workers who are always using their arms above their heads or sportsmen should already examined based on differential diagnosis of neurovascular compression syndromes of shoulder if they had upper limb pain