Surgical treatment of thoracic outlet syndrome secondary to clavicular malunion. 2009

Moon Jib Yoo, and Joong Bae Seo, and Jong Pil Kim, and Ju Hong Lee
Department of Orthopaedic Surgery, Dankook University College of Medicine, Cheonan, Korea.

According to the literature, thoracic outlet syndrome (TOS) secondary to the malunion of displaced fractures of the clavicle is rare. Various surgical methods, including simple neurolysis, resection of the first rib or clavicle and corrective osteotomy, have been reported. We report a case of TOS secondary to malunion of the clavicle that was treated by an anterior and middle scalenectomy without a rib resection.

UI MeSH Term Description Entries
D008297 Male Males
D011859 Radiography Examination of any part of the body for diagnostic purposes by means of X-RAYS or GAMMA RAYS, recording the image on a sensitized surface (such as photographic film). Radiology, Diagnostic X-Ray,Roentgenography,X-Ray, Diagnostic,Diagnostic X-Ray,Diagnostic X-Ray Radiology,X-Ray Radiology, Diagnostic,Diagnostic X Ray,Diagnostic X Ray Radiology,Diagnostic X-Rays,Radiology, Diagnostic X Ray,X Ray Radiology, Diagnostic,X Ray, Diagnostic,X-Rays, Diagnostic
D002968 Clavicle A bone on the ventral side of the shoulder girdle, which in humans is commonly called the collar bone. Collar Bone,Bone, Collar,Bones, Collar,Clavicles,Collar Bones
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D013901 Thoracic Outlet Syndrome A neurovascular syndrome associated with compression of the BRACHIAL PLEXUS; SUBCLAVIAN ARTERY; and SUBCLAVIAN VEIN at the superior thoracic outlet. This may result from a variety of anomalies such as a CERVICAL RIB, anomalous fascial bands, and abnormalities of the origin or insertion of the anterior or medial scalene muscles. Clinical features may include pain in the shoulder and neck region which radiates into the arm, PARESIS or PARALYSIS of brachial plexus innervated muscles, PARESTHESIA, loss of sensation, reduction of arterial pulses in the affected extremity, ISCHEMIA, and EDEMA. (Adams et al., Principles of Neurology, 6th ed, pp214-5). Costoclavicular Syndrome,Neurovascular Syndrome, Thoracic Outlet,Scalenus Anticus Syndrome,Thoracic Outlet Nerve Compression Syndrome,Aperture Syndrome, Thoracic Outlet,Arterial Thoracic Outlet Syndrome,Nerve Compression Syndrome, Thoracic Outlet,Neurogenic Thoracic Outlet Syndrome,Neurologic Syndrome, Thoracic Outlet,Superior Thoracic Aperture Syndrome,Thoracic Outlet Neurologic Syndrome,Thoracic Outlet Neurovascular Syndrome,Thoracic Outlet Syndrome, Neurogenic,Venous Thoracic Outlet Syndrome,Costoclavicular Syndromes,Outlet Syndrome, Thoracic,Outlet Syndromes, Thoracic,Syndrome, Costoclavicular,Syndrome, Scalenus Anticus,Syndrome, Thoracic Outlet,Syndromes, Costoclavicular,Syndromes, Thoracic Outlet,Thoracic Outlet Syndromes
D017759 Fractures, Malunited Union of the fragments of a fractured bone in a faulty or abnormal position. If two bones parallel to one another unite by osseous tissue, the result is a crossunion. (From Manual of Orthopaedic Terminology, 4th ed) Fracture Malunion,Fractures, Abnormal Union,Fractures, Crossunited,Malunion, Fracture,Crossunited Fracture,Crossunited Fractures,Fracture Malunions,Fracture, Abnormal Union,Fracture, Crossunited,Fracture, Malunited,Malunions, Fracture,Malunited Fracture,Malunited Fractures

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