Disputed neurologic thoracic outlet syndrome

a highly controversial disorder in which the brachial plexus is reputedly compressed at one or more sites along its course, particularly within the interscalene triangle, and between the normal first thoracic rib and some other structures; frequently attributed to trauma (particularly automobile accidents), and most often diagnosed in young to middle-aged women; no characteristic clinical presentation, although forequarter pain is characteristic; no definite objective findings are present, and no undisputed ancillary diagnostic studies are available.