Diagnosis and Treatment of Arterial Thoracic Outlet Syndrome in a Collegiate Volleyball Player: A Case Report

in International Journal of Athletic Therapy and Training
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  • 1 Anderson Regional Medical Center
  • 2 Lamar University
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A 19-year-old female volleyball player reported shoulder pain, numbness, tingling, and difficulty gripping in her left arm. Provocation tests were positive for thoracic outlet syndrome (TOS). Duplex ultrasonography revealed occlusion of the subclavian artery. The athlete underwent a first rib resection and scalenectomy. A cervical rib and 75% of the first rib were excised. Rehabilitation consisted of regaining range of motion and strength. Return to play occurred after 14 weeks of rehabilitation. Thoracic outlet syndrome is rare and often misdiagnosed. All sports medicine professionals should have an understanding of TOS symptoms and path to diagnosis.

Craig is with Anderson Regional Medical Center, Meridian, MS, USA. Jordan, Chilek, Boatwright, and Morales are with the Department of Health & Kinesiology, Lamar University, Beaumont, TX, USA.

Jordan (Sjordan5@lamar.edu) is corresponding author.
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