Warren, Sherwyn E.
July 1972
Angiology;Jul/Aug1972, Vol. 23 Issue 7, p392
Academic Journal
Pain in the upper extremity may be caused by the following relatively common conditions: (1) arterial embolus, (2) Raynaud's, (3) thoracic outlet syndrome, (4) subclavian artery stenosis, (5) subclavian and axillary venous thrombosis, and (6) Buerger's disease. Diagnosis can be established by including in the physical examination careful neurological evaluation, evaluation of pulses, and the specific costoclavicular maneuvers for thoracic outlet syndrome and by special procedures including cold stimulation, electromyography, arteriograpliy. venography and biopsy. Medical treatment may be tried where there are no neurological symptoms or acute ischemic changes. When these are present and if there is unsatisfactory response to medical measures, effective surgical treatment is available. This may consist of embolectomy, thrombectoiny, vascular reconstruction, sympathectomy or rib resection for the appropriate condition.


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