Neurogenic Thoracic Outlet Syndrome and Pectoralis Minor Syndrome
A 30-year-old woman presented with complaints of pain in her neck, right shoulder, right trapezius, right anterior chest wall, right axilla, right arm, elbow, and forearm; occipital headaches every other day; numbness and tingling in all fingers of the right hand, worse in the fourth and fifth fingers; aggravation of her symptoms when elevating her arms, especially to comb or blow dry her hair or drive a car; weakness of her right hand and dropping coffee cups; and coldness and color changes in her right hand. The symptoms had been present for 1 year and began following a rear-end collision.
Her history began 1 year ago when her automobile was sitting still at a traffic light and another vehicle hit her from the rear. She wore a seat belt and recalled going forward and backward, but did not recall what happened to her neck at the time of the accident. She had no immediate symptoms. On the next day she awoke with a sore neck and pain above her shoulder blades. A few days...
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