Exercise-Induced Scalenus Syndrome

Baltopoulos, Panagiotis; Tsintzos, Charalampos; Prionas, George; Tsironi, Maria

doi:10.1177/0363546507312166

Cited by 29 publications

(24 citation statements)

References 37 publications

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“…Ossäre Ursachen können eine Halsrippe [4], eine überschießende Kallusbildung nach Fraktur der Clavicula oder Tumoren sein [5]. Zusätzlich kann ein TOS durch Hypertrophie der Skalenusmuskulatur verursacht werden [6]. Tabelle 1 Differenzialdiagnosen der Akrozyanosen.…”

Section: Diagnoseunclassified

Unklare einseitige, schmerzhafte Akrozyanose – ein dermatologischer Fall?

Putz

Metz

Elsner

2014

J Deutsche Derma Gesell

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Section: Diagnoseunclassified

Unklare einseitige, schmerzhafte Akrozyanose – ein dermatologischer Fall?

Putz

Metz

Elsner

2014

J Deutsche Derma Gesell

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“…In addition to plain x-rays, CT may provide further anatomic detail, identify scalene muscle hypertrophy, and assist in rib resection preoperative planning (6). Dynamic CT angiography with the upper extremity in hyperabduction may confirm neurovascular compression and predict a successful operative decompression (23).…”

Section: Diagnosismentioning

confidence: 99%

Diagnosis and Management of Thoracic Outlet Syndrome

Nichols

2009

Current Sports Medicine Reports

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Thoracic outlet syndrome (TOS) results from compression of the neurovascular structures that pass through the thoracic outlet. TOS may be classified as neurogenic TOS (NTOS), venous TOS (VTOS), or arterial TOS (ATOS). NTOS presents with upper-extremity symptoms attributable to compression of the brachial plexus. VTOS, also known as Paget-Schröetter Syndrome, involves subclavian-axillary venous occlusion, thrombus formation, and rare embolization. ATOS results from obstruction of the subclavian artery with claudication, thrombus formation, and possible embolization. Adjunct diagnostic studies frequently confirm the diagnoses of VTOS and ATOS, but not of NTOS. Successful TOS treatment depends on the establishment of an accurate diagnosis and identification of causative factors. NTOS should be treated initially with physical therapy, but may require surgical decompression, including first rib excision and scalenectomy. VTOS usually requires urgent thrombolysis, anticoagulation, and surgical decompression. The treatment of ATOS is directed at restoring arterial blood flow in addition to surgical decompression.

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“…[1][2][3] This case report describes a patient presenting with neurovascular symptoms typical of TOS, where the causative factor was the rare anomaly of an absent right anterior scalene muscle. This variant has, to the best of our knowledge, only been described in 1 cadaver case to date.…”

Section: Introductionmentioning

confidence: 99%

Thoracic Outlet Syndrome in a Patient With Absent Scalenus Anterior Muscle

Collins¹,

Bhana²,

Patricios³

et al. 2014

Clinical Journal of Sport Medicine

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This case report describes the rare anomaly of an absent right anterior scalene muscle presenting with the symptoms and signs of the thoracic outlet syndrome. The thoracic outlet syndrome in our patient can be attributed to the absence of the right anterior scalene muscle, which resulted in the brachial plexus being in proximity to the subclavian vein and artery in a narrowed and abnormal interscalene space. In addition, the absence of the anterior scalene muscle resulted in the neurovascular structures being compressed onto the first rib in the costoclavicular space. The most likely cause of the presentation is, however, the possibility of the presence of aberrant muscle slips, which would cause compression of the structures in the anterior (venous) and posterior (neurological) sections of the thoracic outlet.

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Exercise-Induced Scalenus Syndrome

Abstract: Surgical intervention for scalenus anticus syndrome can allow an athlete to return to full activity and improve quality of life. Surgical intervention seems to be the treatment of choice in terms of restoring quality of life and physical activity.

Cited by 29 publications

References 37 publications

Unklare einseitige, schmerzhafte Akrozyanose – ein dermatologischer Fall?

Unklare einseitige, schmerzhafte Akrozyanose – ein dermatologischer Fall?

Diagnosis and Management of Thoracic Outlet Syndrome

Thoracic Outlet Syndrome in a Patient With Absent Scalenus Anterior Muscle

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