- Neural Involvement (95%)
- Ulnar Nerve is the most commonly affected structure
- Extremity pain
- Extremity numbness
- Venous Involvement (4%)
- Distal extremity swelling
- Arterial Involvement (1%)
- Extremity falls asleep
- Glove distribution with or without paresis
- Management
-
Conservative (Physical Therapy)
- See specific conditions
- Elevate Shoulder
- Rest on arm of chair
- Sling
- Pendulum Shoulder Exercises
- Moist heat and Ultrasound
- Strengthening Exercises for Shoulder girdle Muscles
- Trapezius Muscle
- Shoulder shrug with weight
- Serratus anterior
- Bench Press, lifting Shoulders from table
- Correct faulty Posture
- Avoid positions that exacerbate symptoms
- Indications
- Vascular compromise (rare)
- Conservative management fails after 4-6 months
- Surgery (Consider after conservative Rx fails x4-6mo)
- Removal of first dorsal and cervical ribs
- Release of abnormal scalene Muscle insertions
- Vascular repair
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