title: Bilateral thoracic outlet syndrome with bilateral radial tunnel syndrome: a double-crush phenomenon. Case report.
abstract: A case of bilateral thoracic outlet syndrome combined with bilateral radial tunnel syndrome is reported. Persisting complaints in the upper extremities after bilateral first-rib resection and scalenotomy were due to radial nerve entrapment in the radial tunnel. Although this bilateral double-crush phenomenon is extremely rare, and has not been reported previously, persistence of symptoms after initial treatment of a nerve entrapment is an indication to search for another site of compression.
authors.affiliation: Department of Traumatology, University Hospital Rotterdam, Dijkzigt, The Netherlands.
authors.forename: J L
authors.initials: JL
authors.lastname: Putters
authors.forename: D M
authors.initials: DM
authors.lastname: Kaulesar Sukul
authors.forename: E J
authors.initials: EJ
authors.lastname: Johannes
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D009408:Nerve Compression Syndromes / Q000150:complications* / Q000601:surgery; D011826:Radial Nerve; D013901:Thoracic Outlet Syndrome / Q000150:complications* / Q000601:surgery