Año 2020 / Volumen 27 / Número 5

Artículo Especial

Consideraciones para el examen clínico del síndrome de opérculo torácico neurogénico inespecífico
Considerations for clinical examination of nonspecific neurogenic thoracic outlet syndrome

Rev. Soc. Esp. Dolor. 2020; 27(5): 316-323 / DOI: 10.20986/resed.2020.3834/2020

Edison Pacheco, Leonardo Rodríguez


El síndrome del opérculo torácico (SOT) es una condición causada por la compresión de las estructuras neurovasculares en su paso entre cuello y tórax. Se clasifica en vascular y neurogénico. Si las pruebas electrofisiológicas no son positivas, se subclasifica como neurogénico inespecífico. Este último constituye entre el 95 y el 98 % de los casos, pero aún no están claros sus criterios diagnósticos. En el presente artículo se revisan los principales aspectos a tener en cuenta durante el examen clínico para guiar el diagnóstico de los pacientes con SOT neurogénico inespecífico, como sintomatología, factores desencadenantes, diagnóstico diferencial, escalas de valoración y factores psicosociales.


Thoracic outlet syndrome (SOT) is a controversial condition to this day, caused by compression of neurovascular structures in their passage between the neck and thorax. It is classified as vascular and neurogenic. If the electrophysiological tests are not positive it is subclassified as nonspecific neurogenic. This is between 95-98 % of cases, but its diagnostic criteria are not yet clear. The main aspects to be taken into account during the clinical examination are reviewed to guide the diagnosis of patients with nonspecific neurogenic SOT, such as symptoms, triggers, differential diagnosis, assessment scales and psychosocial factors.

Artículo Completo


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Tablas y Figuras

Tabla I

Figura 1

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Pacheco E, Rodríguez L. Consideraciones para el examen clínico del síndrome de opérculo torácico neurogénico inespecífico. Rev Soc Esp Dolor 2020; 27(5): 316-323 / DOI: 1020986/resed20203834/2020

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Recibido: 09/07/2020

Aceptado: 07/09/2020

Prepublicado: 10/09/2020

Publicado: 16/10/2020

Tiempo de revisión del artículo: 58 días

Tiempo de prepublicación: 63 días

Tiempo de edición del artículo: 99 días


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