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Children frequently complain of upper extremity pain often secondary to trauma, yet rarely do they suffer from thoracic outlet compression syndrome (TOCS). Through 1997 the literature contains only 6 reported cases: 4 in the United States, 1 in Turkey, and 1 in Italy.1-3 Although family physicians need to focus on the common causes of symptoms, we must consider the unexpected possibilities. Fortunately, we can use our knowledge of adult medicine to recognize unusual pediatric presentations.

Thoracic Outlet Compression Syndrome: A Rare Cause of Upper Extremity Symptoms in Children