Brachial

Hyperabduction Syndrome

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Hyperabduction Syndrome

  • Mechanism
  1. Prolonged Shoulder hyperabduction
    1. Occurs during sleep
    2. Overhead painting
  2. Compression of neurovascular structures
    1. Pass under coracoid process and pectoralis minor
  • Symptoms
  1. Extremity Numbness and Paresthesias
  2. Less severe than other forms of thoracic outlet
  • Management
  1. Prevent arm hyperabduction at night
    1. Gauze strip tied to wrist and attached to foot of bed