Синдром верхней апертуры грудной клетки: клинические и диагностические особенности
Аннотация
С тех пор как был введен термин «синдром верхней апертуры грудной клетки» (thoracic outlet syndrome, TOS), не прекращаются споры о правомерности такого диагноза, его дефинициях, возможной диагностике и лечении. Заинтересованность разных анатомических структур обусловливает многообразие клинических вариантов. Факт поражения плечевого сплетения при наиболее частом варианте болезни – нейрогенном – редко удается подтвердить инструментально. За 60 лет поисков «золотого стандарта» диагностики TOS накопилось большое количество публикаций. В обзоре уделено внимание клиническим проявлениям нейрогенного варианта, а также рассмотрены методы инструментальной диагностики этой патологии.
Об авторах
А. Ф. Муртазина
Медицинский центр «Практическая неврология»
Россия
Россия, 117258 Москва, ул. Кржижановского, 17/2
Россия
Россия, 117258 Москва, ул. Кржижановского, 17/2
С. С. Никитин
Медицинский центр «Практическая неврология»
Россия
Россия, 117258 Москва, ул. Кржижановского, 17/2
Россия
Россия, 117258 Москва, ул. Кржижановского, 17/2
Е. С. Наумова
Медицинский центр «Практическая неврология»
Россия
Россия, 117258 Москва, ул. Кржижановского, 17/2
Россия
Россия, 117258 Москва, ул. Кржижановского, 17/2
Список литературы
1. Adson A.W., Coffey J.R. Сervical rib: a method of anterior approach for relief of symptoms by division of the scalenusanticus. Ann Surg 1927;85(6):839–57. PMID: 17865683.
2. Roos D.B. Historical perspectives and anatomic considerations. Semin Thorac Cardiovasc Surg 1996;8(2):183–9. PMID: 8672572.
3. Peet R.M., Henriksen J.D., Anderson T.P., Martin G.M. Thoracic-outlet syndrome: evaluation of a therapeutic exercise program. Proc Staff Meet Mayo Clin 1956;31(9):281–7. PMID: 13323047.
4. Chang K., Graf E., Davis K. et al. Spectrum of thoracic outlet syndrome presentation in adolescents. Arch Surg 2011;146(12):1383–7. DOI: 10.1001/archsurg.2011.739. PMID: 22184299.
5. Bahm J. Critical review of pathophysiologic mechanisms in thoracic outlet syndrome (TOS). Acta Neurochir Suppl 2007;100:137–9. DOI: 10.1007/978-3-211-72958-8_29. PMID: 17985563.
6. Wilbourn A.J. Thoracic outlet syndrome is overdiagnosed. Muscle Nerve 1999;22(1):130– 6; discussion 136–7. PMID: 9883870.
7. Brantigan C.O., Roos D.B. Diagnosing thoracic outlet syndrome. Hand Clin 2004;20(1):27– 36. DOI: http://dx.doi.org/10.1016/S0749-0712(03)00080-5. PMID: 15005381.
8. Buller L.T., Jose J., Baraga M., Lesniak B. Thoracic outlet syndrome: current concepts, imaging features, and therapeutic strategies. Am J Orthop (Belle Mead NJ) 2015;44(8):376– 82. PMID: 26251937.
9. Ferrante M.A. The thoracic outlet syndromes. Muscle Nerve 2012;45(6): 780–95. DOI: 10.1002/mus.23235. PMID: 22581530.
10. Laulan J., Fouquet B., Rodaix C. et al. Thoracic outlet syndrome: definition, aetiological factors, diagnosis, management and occupational impact. J Occup Rehabilit 2011;21(3):366–73. DOI: 10.1007/s10926-010-9278-9. PMID: 21193950.
11. Sanders R.J., Hammond S.L., Rao N.M. Diagnosis of thoracic outlet syndrome. J Vasc Surg 2007;46(3):601–4. DOI: 10.1016/j.jvs.2007.04.050. PMID: 17826254.
12. Watson L.A., Pizzari T., Balster S. Thoracic outlet syndrome part 1: clinical manifestations, differentiation and treatment pathways. Man Ther 2009;14(6):586–95. DOI: 10.1016/j.math.2009.08.007. PMID: 19744876.
13. Екимовская Е.В., Разумовский А.Ю., Рачков В.Е. Синдром верхней апертуры грудной клетки у детей. Детская хирургия 2011;5:46–50. [Ekimovskaya E.V., Razumovskyy A.Yu., Rachkov V.E. Superior thoracic outlet syndrome in children. Detskaya Khirurgiya = Russian Journal of Pediatric Surgery 2011;5:46–50. (In Russ.)].
14. Doneddu P.E., Coraci D., De Franco P. et al. Thoracic outlet syndrome: wide literature for few cases. Status of the art. Neurol Sci 2017;38(3):383–8. DOI: 10.1007/s10072-016-2794-4. PMID: 27987052.
15. Klaassen Z., Sorenson E., Tubbs R.S. et al. Thoracic outlet syndrome: a neurological and vascular disorder. Clin Anat 2014;27(5):724–32. DOI: 10.1002/ca.22271. PMID: 23716186.
16. Ferrante M.A., Ferrante N.D. The thoracic outlet syndromes: Part 1. Overview of the thoracic outlet syndromes and review of true neurogenic thoracic outlet syndrome. Muscle Nerve 2017;55(6):782– 93. DOI: 10.1002/mus.25536. PMID: 28006844.
17. Ozoa G., Alves D., Fish D.E. Thoracic outlet syndrome. Phys Med Rehabil Clin North Am 2011;22(3):473–83. DOI: 10.1016/j.pmr.2011.02.010. PMID: 21824588.
18. Laulan J. Thoracic outlet syndromes. The so-called “neurogenic types”. Hand Surg Rehabil 2016;35(3):155–64. DOI: 10.1016/j.hansur.2016.01.007. PMID: 27740456.
19. Mattox R., Battaglia P.J., Welk A.B. et al. Reference values for the scalene interval width during varying degrees of glenohumeral abduction using ultrasonography. J Manipulative Physiol Ther 2016;39(9):662–7. DOI: 10.1016/j.jmpt.2016.08.002. PMID: 28327294.
20. Talu G.K. Thoracic outlet syndrome. Agri 2005;17(2):5–9. PMID: 15977087.
21. Jeung M.Y., Gangi A., Gasser B. et al. Imaging of chest wall disorders. Radiographics 1999;19(3):617–37. DOI: 10.1148/radiographics.19.3.g99ma02617. PMID: 10336192.
22. Lapegue F., Faruch-Bilfeld M., Demondion X. et al. Ultrasonography of the brachial plexus, normal appearance and practical applications. Diagn Interv Imaging 2014;95(3):259– 75. DOI: 10.1016/j.diii.2014.01.020. PMID: 24603038.
23. Baumer P., Kele H., Kretschmer T. et al. Thoracic outlet syndrome in 3T MR neurography- fibrous bands causing discernible lesions of the lower brachial plexus. Eur Radiol 2014;24(3):756–61. DOI: 10.1007/s00330-013-3060-2. PMID: 24272223.
24. Ellison D.W., Wood V.E. Trauma-related thoracic outlet syndrome. J Hand Surg Br 1994;19(4):424–6. PMID: 7964090.
25. Machleder H.I., Moll F., Verity M.A. The anterior scalene muscle in thoracic outlet compression syndrome. Histochemical and morphometric studies. Arch Surg 1986;121(10):1141–4. PMID: 3767646.
26. Ferrante M.A., Ferrante N.D. The thoracic outlet syndromes: Part 2. The arterial, venous, neurovascular, and disputed thoracic outlet syndromes. Muscle Nerve 2017;56(4):663–73. DOI: 10.1002/mus.25535. PMID: 28006856.
27. Patton G.M. Arterial thoracic outlet syndrome. Hand Clin 2004;20(1):107–11. DOI: 10.1016/S0749-0712(03)00086-6. PMID: 15005392.
28. Butros S.R., Liu R., Oliveira G.R. et al. Venous compression syndromes: clinical features, imaging findings and management. Br J Radiol 2013;86(1030):20130284. DOI: 10.1259/bjr.20130284. PMID: 23908347.
29. Zucker E.J., Ganguli S., Ghoshhajra B.B. et al. Imaging of venous compression syndromes. Cardiovasc Diagn Ther 2016;6(6):519–32. DOI: 10.21037/cdt.2016.11.19. PMID: 28123973.
30. Christo P.J., McGreevy K. Updated perspectives on neurogenic thoracic outlet syndrome. Curr Pain Headache Rep 2011;15(1):14–21. DOI: 10.1007/s11916-010-0163-1. PMID: 21104206.
31. Bottros M.M., AuBuchon J.D., McLaughlin L.N. et al. Exercise-enhanced, ultrasound- guided anterior scalene muscle/pectoralis minor muscle blocks can facilitate the diagnosis of neurogenic thoracic outlet syndrome in the high-performance overhead athlete. Am J Sports Med 2017;45(1):189–94. DOI: 10.1177/0363546516665801. PMID: 27664077.
32. Boezaart A.P., Haller A., Laduzenski S. et al. Neurogenic thoracic outlet syndrome: a case report and review of the literature. Int J Shoulder Surg 2010;4(2):27–35. DOI: 10.4103/0973-6042.70817. PMID: 21072145.
33. Hooper T.L., Denton J., McGalliard M.K. et al. Thoracic outlet syndrome: a controversial clinical condition. Part 1: anatomy, and clinical examination/diagnosis. J Man Manip Ther 2010;18(2):74–83. DOI: 10.1179/106698110X12640740712734. PMID: 21655389.
34. Nichols A.W. Diagnosis and management of thoracic outlet syndrome. Curr Sports Med Rep 2009;8(5):240–9. DOI: 10.1249/JSR.0b013e3181b8556d. PMID: 19741351.
35. Nord K.M., Kapoor P., Fisher J. et al. False positive rate of thoracic outlet syndrome diagnostic maneuvers. Electromyogr Clin Neurophysiol 2008;48(2): 67–74. PMID: 18435210.
36. Plewa M.C., Delinger M. The false-positive rate of thoracic outlet syndrome shoulder maneuvers in healthy subjects. Acad Emerg Med 1998;5(4):337–42. PMID: 9562199.
37. Gilliatt R.W., Willison R.G., Dietz V., Williams I.R. Peripheral nerve conduction in patients with a cervical rib and band. Ann Neurol 1978;4(2):124–9. DOI: 10.1002/ana.410040206. PMID: 707983.
38. Passero S., Paradiso C., Giannini F. et al. Diagnosis of thoracic outlet syndrome. Relative value of electrophysiological studies. Acta Neurol Scand 1994;90(3):179–85. PMID: 7847058.
39. Veilleux M., Stevens J.C., Campbell J.K. Somatosensory evoked potentials: lack of value for diagnosis of thoracic outlet syndrome. Muscle Nerve 1988;11(6): 571–5. DOI: 10.1002/mus.880110608. PMID: 3386665.
40. Kothari M.J., Macintosh K., Heistand M., Logigian E.L. Medial antebrachial cutaneous sensory studies in the evaluation of neurogenic thoracic outlet syndrome. Muscle Nerve 1998;21(5):647–9. PMID: 9572246.
41. Seror P. Medial antebrachial cutaneous nerve conduction study, a new tool to demonstrate mild lower brachial plexus lesions. A report of 16 cases. Clin Neurophysiol 2004;115(10):2316–22. DOI: 10.1016/j.clinph.2004.04.023. PMID: 15351373.
42. Felice K.J., Butler K.B., Druckemiller W.H. Cervical root stimulation in a case of classic neurogenic thoracic outlet syndrome. Muscle Nerve 1999;22(9):1287–92. PMID: 10454729.
43. Tolson T.D. “EMG” for thoracic outlet syndrome. Hand Clin 2004;20(1):37–42. DOI: 10.1016/S0749-0712(03)00089-1. PMID: 15005382.
44. Boulanger X., Ledoux J.B., Brun A.L., Beigelman C. Imaging of the non-traumatic brachial plexus. Diagn Interv Imaging 2013;94(10):945–56. DOI: 10.1016/j.diii.2013.06.015. PMID: 23891030.
45. Sureka J., Cherian R.A., Alexander M., Thomas B.P. MRI of brachial plexopathies. Clin Radiol 2009;64(2):208–18. DOI: 10.1016/j.crad.2008.08.011. PMID: 19103352.
46. Demondion X., Herbinet P., Van Sint Jan S. et al. Imaging assessment of thoracic outlet syndrome. Radiographics 2006;26(6):1735–50. DOI: 10.1148/rg.266055079. PMID: 17102047.
47. Raptis C.A., Sridhar S., Thompson R.W. et al. Imaging of the patient with thoracic outlet syndrome. Radiographics 2016;36(4):984–1000. DOI: 10.1148/rg.2016150221. PMID: 27257767.
48. Demirbag D., Unlu E., Ozdemir F. et al. The relationship between magnetic resonance imaging findings and postural maneuver and physical examination tests in patients with thoracic outlet syndrome: results of a double-blind, controlled study. Arch Phys Med Rehabil 2007;88(7):844–51. DOI: 10.1016/j.apmr.2007.03.015. PMID: 17601463.
49. Moriarty J.M., Bandyk D.F., Broderick D.F. et al. ACR appropriateness criteria imaging in the diagnosis of thoracic outlet syndrome. J Am Coll Radiol 2015;12(5): 438–43. DOI: 10.1016/j.jacr.2015.01.016. PMID: 25824254.
50. Singh V.K., Jeyaseelan L., Kyriacou S. et al. Diagnostic value of magnetic resonance imaging in thoracic outlet syndrome. J Orthop Surg (Hong Kong). 2014;22(2):228– 31. DOI: 10.1177/230949901402200224. PMID: 25163962.
51. Chang K.V., Lin C.P., Lin C.S. et al. Sonographic tracking of trunk nerves: essential for ultrasound-guided pain management and research. J Pain Res 2017;10:79–88. DOI: 10.2147/JPR.S123828. PMID: 28115867.
52. Fried S.M., Nazarian L.N. Dynamic neuromusculoskeletal ultrasound documentation of brachial plexus/thoracic outlet compression during elevated arm stress testing. Hand (N Y) 2013;8(3):358–65. DOI: 10.1007/s11552-013-9523-8. PMID: 24426950.
53. Aranyi Z., Csillik A., Bohm J., Schelle T. Ultrasonographic identification of fibromuscular bands associated with neurogenic thoracic outlet syndrome: the “wedgesickle” sign. Ultrasound Med Biol 2016;42(10):2357–66. DOI: 10.1016/j.ultrasmedbio.2016.06.005. PMID: 27444863.
54. Braun R.M., Sahadevan D.C., Feinstein J. Confirmatory needle placement technique for scalene muscle block in the diagnosis of thoracic outlet syndrome. Tech Hand Up Extrem Surg 2006;10(3):173–6. DOI: 10.1097/01.bth.0000231967.74041.48. PMID: 16974223.
55. Torriani M., Gupta R., Donahue D.M. Botulinum toxin injection in neurogenic thoracic outlet syndrome: results and experience using an ultrasound-guided approach. Skeletal Radiol 2010;39(10):973–80. DOI: 10.1007/s00256-010-0897-1. PMID: 20186413.
56. Wilbourn A.J. 10 most commonly asked questions about thoracic outlet syndrome. Neurologist 2001;7(5):309–12. PMID: 14649631.
Для цитирования:
Муртазина А.Ф., Никитин С.С., Наумова Е.С. Синдром верхней апертуры грудной клетки: клинические и диагностические особенности. Нервно-мышечные болезни. 2017;7(4):10-19. https://doi.org/10.17650/2222-8721-2017-7-4-10-19
For citation:
Murtazina A.F., Nikitin S.S., Naumova E.S. Thoracic outlet syndrome: clinical and diagnostic features. Neuromuscular Diseases. 2017;7(4):10-19. (In Russ.) https://doi.org/10.17650/2222-8721-2017-7-4-10-19
Просмотров: 1305
Послать статью по эл. почте 