![]() | neurological problems |
pains in the shoulder, chest, arms and hands (painful palpation in the supraclavicular area)
parestesis (most often in dermatoma C8 and Th1)
a muscular weakness: it is not too strong, it is especially in the area of muscles innervated by lower part of brachial plexus10 , and therefore we do not meet it at the examination of the shoulder girdle
![]() | vascular problems |
an oedema of the periphery of the limb
a weakness of pulse, reduction of the temperature of hands
cyanosis, Raynaud phenomenon, possibility of ulceration of fingers
an enlargement of veins (sometimes)
systolic murmur in the supraclavicular area
an illness with an affection of motor neuron of medullary lower segments C of the spine11 and roots of nerves in this localisation12
plexopathy or sec. affection of plexus at tumour – Pancoast tumour
a compression of peripheral nerves:
n. ulnaris
n. medianus13
10this plexus innervates mainly muscles of thenar, hypothenar and forearm
11tumours of C spine, syringomyelia, arachnoiditis
12radicular sy of the root C7, 8, Th 1 at the prolapsus of disc
13most frequent cause of the problems which is tunelessly interpreted as thoracic outlet syndrome