Ernst Andrew J, Lamb Bryan, White Christopher
Physical Medicine and Rehabilitation, Medical College of Wisconsin, Wauwatosa, USA.
Cureus. 2021 May 25;13(5):e15225. doi: 10.7759/cureus.15225.
Thoracic outlet syndrome (TOS) most commonly manifests in overhead athletes (e.g., baseball pitchers, swimmers, weight lifters) due to nerve compression caused by skeletal abnormalities. We present the case of a 43-year-old recreational runner with unilateral upper extremity pain while running. Vascular imaging identified an aberrant subclavian artery origin with positional compression in the absence of cervical bone anomalies confirming arterial TOS. A first rib resection and anterior scalenectomy led to symptom resolution. This case emphasizes the importance of a broad differential and complete workup in non-overhead athletes presenting with symptoms consistent with neurogenic TOS, as vascular interventions may be necessary to prevent future complications.
胸廓出口综合征（TOS）最常见于从事过头运动的运动员（如棒球投手、游泳运动员、举重运动员），原因是骨骼异常导致神经受压。我们报告了一例43岁的业余跑步者，在跑步时出现单侧上肢疼痛。血管成像显示锁骨下动脉起源异常且存在位置性压迫，而颈椎骨无异常，确诊为动脉型TOS。首次肋骨切除术和前斜角肌切除术使症状得到缓解。该病例强调了对于出现与神经源性TOS相符症状的非过头运动运动员进行广泛鉴别诊断和全面检查的重要性，因为可能需要进行血管干预以预防未来并发症。
