Reeducation du syndrome de la traversee thoraco-brachiale. A propos de 60 malades

ABSTRACT

Sixty patients were treated by physical therapy for thoracic outlet syndrome [TOS] between 1995 and 1999. Females were predominant [76%] the average age was 34.5 years [I8 to 60]. Risk factors were hypermobility, cervical traumatism and profession. Neurological signs were predominant and positive provocation tests were found Adson [4S%], sonnette [62%], E.A.S.T. [51%]. Thoracic pain inaugurated the symptoms in 3 times pseudo-angina [2], dyspnea [1]. Radiological results were positive for cervical rib [8], apophysomegaly of C7 [25], clavicular traumatism [1]. Electromyogram was positive in 2 out of 3 patients, RMI in 2 of 4, and dynamic echo doppler in 3 of 4. After rehabilitation, immediate results were satisfactory in more than 70% of cases. After six months one patient had recurrence of symptoms, 66% were compliant with treatment, and 84% were satisfied. At one year the symptoms recurred in 2 patients, 15% were still compliant, and 81% were satisfied. Surgery was needed in 4 patients with cervical ribs