Sorry i havent contacted anybody!!! My phone was shattered Wed morning right before i left 2 go to ST. LOUIS!! I have a loaner at the moment i just activated i have the same number but i did lose ALL my contacts if u sent me any texts?? I havent gotten them?? Again i am very sorry!!! I DID GET ANSWERS!!! The clot was cause from Venous Thoracic Outlet Syndrome!! I have 2 have surgery Jan 28th up at Barnes!! A 3 day stay at the hospital and then a 4 day stay at the Hotel at my expense because i will have a drain tube in my neck.. Cant really say im 2 Stoked bout all that?? But at least i know why the clot popped up n i also know ALL TESTS CONFIRMED AT THE MOMENT IT IS GONE!!! There is alot of scar tissue and damage though in the Vein the clot was which has to b repaired and i have to have my 1st rib removed.. Stay on thinners 3 months for precaution then i should be good!!! Thank u again everybody for all the thoughts n prayers!!! Updated: August 7, 2014 103 Pages What is Thoracic Outlet Syndrome? Thoracic outlet syndrome is a complex disorder characterized by a constellation of signs and symptoms resulting from the compression of blood vessels and nerves (neurovascular bundle) in the thoracic outlet region where they exit the chest. The thoracic outlet is a space located between the thorax (rib cage) and the clavicle (collar bone) which contains major blood vessels (subclavian artery and vein) and nerves (brachial plexus). The thoracic outlet is the area through which nerves and blood vessels travel to and from the arm. Thoracic outlet syndrome is considered a syndrome since it involves multiple systems, including: Neural (nerve) complexes Vascular structures Musculoskeletal system Neural Complex The nerves that travel through the thoracic outlet originate at the level of the cervical and/or thoracic spine (C5-C8 and T1). These nerves are bundled together into the brachial plexus. The brachial plexus passes through a notch in the bone at the base of the neck and then passes under the scalene muscles and continues under the collarbone and across the front of the shoulders. In the area of the axilla (arm pit) the brachial plexus divides into the three major nerves of the arm, ulnar, median, and radial nerves. Thoracic outlet syndrome involves the brachial plexus before it divides and typically affects the ulnar and radial nerves. Vascular Structures The blood vessels that travel through the thoracic outlet include: Subclavian artery which supplies oxygenated blood to the arm from the aorta Subclavian vein which returns the deoxygenated blood from the arm to the heart Musculoskeletal System The bones and muscles form the backdrop for proper passage and support for the nerves and blood vessels that traverse the upper body. The components involved in this process include: Proper bone alignment - the neck vertebrae, first rib and collarbone must be aligned properly to allow enough space for the brachial plexus and subclavian blood vessels to pass through the correct path without obstruction or interference. Proper muscle alignment - muscles of the upper body must be aligned in proper form, particularly the scalene muscles. The scalene muscles consist of three powerful muscles on each side of the neck that bend and rotate the neck, and assist in breathing by raising the first two ribs during inspiration (breathing in). The ideal posture which promotes the most appropriate muscle alignment is when the head sits directly atop the shoulders which we identify as erect posture. Anatomy of the Thoracic Outlet There are actually three spaces where compression can occur causing the symptoms of thoracic outlet syndrome , including: The thoracic outlet (also called the scalene triangle) - is located at the base of the neck above the first rib and behind the clavicle. This space lies closest to the neck. The boundaries of the thoracic outlet consist of: anterior scalene muscle which forms the front of the thoracic outlet middle scalene muscle which forms the back of the thoracic outlet first rib which forms the bottom of the thoracic outlet. The subclavian artery and the brachial plexus are located between the first rib and the scalene muscle while the subclavian vein sits outside the scalene muscle. Costoclavicular space - this space is located adjacent to the scalene triangle and lies between the following structures: clavicle first rib costoclavicular ligament edge of the middle scalene muscle The subclavian artery, vein, and brachial plexus all pass through the costoclavicular space. Subcoracoid space which lies adjacent to the costoclavicular space and is closest to the arm. The location of this space is: under the pectoralis muscle under the coracoid process in front of the ribs If there are any anomalous bony structures (e.g., cervical rib) touching upon these small spaces, they have the potential to compress the neurovascular structures which pass through them. Approximately 0.17 to 0.74% of the general population has an anomalous rib and only 10% of people with such a cervical rib actually develop thoracic outlet syndrome. Thoracic outlet syndrome typically occurs following trauma to the cervical spine. Because thoracic outlet syndrome is thought by some experts to be underdiagnosed and in some cases misdiagnosed, it is difficult to estimate with any degree of accuracy how many people suffer from this condition. The incidence of thoracic outlet syndrome in the U.S. population has been broadly estimated to range from 0.3% to 8%. The most common age range is 25 to 40 years and women are affected about 4 times more frequently than men
Posted on: Sat, 22 Nov 2014 19:50:14 +0000
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