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Czasopismo

2007 | 66 | 3 |

Tytuł artykułu

An accessory middle scalene muscle causing thoracic outlet syndrome

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
The aim of our study is to present a very rare accessory middle scalene muscle, leading to thoracic outlet syndrome. In particular, a muscular bundle was discovered on a male cadaver connecting the middle portion of the middle scalene muscle with the anterior scalene muscle insertion to Lisfranc’s tubercle. This triangular accessory muscle and, especially, its sharp medial border compressed the middle and lower trunk of the brachial plexus and the subclavian artery. This anomaly is of great importance because it emphasises the fact that it is not primarily the anterior scalene muscle that produces symptoms of thoracic outlet syndrome but the anterior displacement of the middle scalene muscle or its accessory muscular bands. We also present the relative international literature and the clinical significance of our finding.

Wydawca

-

Czasopismo

Rocznik

Tom

66

Numer

3

Opis fizyczny

p.194-197,fig.,ref.

Twórcy

autor
  • Aristotle University of Thessaloniki, Medical School, Amfoterou str.38, 54250 Thessaloniki, Greece
autor
autor
autor
autor

Bibliografia

  • 1 Daseler EH, Anson BJ (1959) Surgical anatomy of the subclavian artery and its branches. Surg Gynecol Obstet, 108: 149–174.
  • 2 Edwards DP, Mulkern E, Raja AN, Barker P (1999) Transaxillary first rib excision for thoracic outlet syndrome. J R Coll Surg Edinb, 44: 362–365.
  • 3 Kirgis HD, Reed AF (1947) Anatomical relations of possible significance in the production of the scalenus anticus syndrome. Anat Rec, 97: 348–362.
  • 4 Kirgis HD, Reed AF (1948) Significant anatomic relations in the syndrome of the scalene muscles. Ann Surg, 127: 1182–1193.
  • 5 Kline DG, Hudson AR (1995) Nerve injuries: operative results for major nerve injuries, entrapments, and tumors. WB Saunders, Philadelphia, p. 611.
  • 6 Leffert RD, Perlmutter GS (1999) Thoracic outlet syndrome. Results of 282 transaxillary first rib resections. Clin Orthop, 368: 66–79.
  • 7 Murphy T (1910) Brachial neuritis caused by pressure of first rib. Med J Aust, 15: 582–585.
  • 8 Natsis K, Totlis T, Tsikaras P, Anastasopoulos N, Skandalakis P, Koebke J (2006) Variations of the course of the upper trunk of the brachial plexus and their clinical significance for the thoracic outlet syndrome: a study on 93 cadavers. Am Surg, 72: 188–192.
  • 9 Parry DJ, Waterworth A, Scott DJ (2000) Post-traumatic clavicular pseudo-arthrosis: an unusual case of venous thoracic outlet syndrome. Eur J Vase Endovasc Surg, 20: 403–404.
  • 10 Peet RM, Henriksen JD, Anderson TP, Martin GM (1956) Thoracic outlet syndrome: evaluation of a therapeutic exercise program. Proc Mayo Clin, 31: 281–287.
  • 11 Raaf J (1995) Surgery for cervical rib and scalenus anticus syndrome. JAMA, 157: 219–223.
  • 12 Roos DB (1982) The place for scalenectomy and firstrib resection in thoracic outlet syndrome. Surgery, 92: 1077–1085.
  • 13 Sales de Gauzy J, Baunin C, Puget C, Fajadet P, Cahuzac JP (1999) Congenital pseudarthrosis of the clavicle and thoracic outlet syndrome in adolescence. J Pediatr Orthop B, 8: 299–301.
  • 14 Telford ED, Mottershead S (1947) The “costoclavicular syndrome”. Br Med J, 1: 325–328.
  • 15 Telford ED, Mottershead S (1948) Pressure at the cervicobrachial junction. J Bone Joint Surg. 30: 249–65.
  • 16 Thomas GI, Jones TW, Stavney LS, Manhas DR (1983) The middle scalene muscle and its contribution to the thoracic outlet syndrome. Am J Surg, 145: 589–592.
  • 17 Urschel HC Jr (2000) The history of surgery for thoracic outlet syndrome. Chest Surg Clin N Am, 10: 183–188.
  • 18 Urschel HC Jr, Razzuk MA (1997) Upper plexus thoracic outlet syndrome: optimal therapy. Ann Thorac Surg, 63: 935–939.
  • 19 Wood VE, Ellison DW (1994) Results of upper plexus thoracic outlet syndrome operation. Ann Thorac Surg, 58: 458–461.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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