ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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Thoracic Outlet Syndrome: An Unusual Case With Deformed Scalene Muscles As Fibrous Bundles
Arif Osman TOKAT*, Serkan ENÖN**, Murat ÖZKAN***, Şinasi YAVUZER****
* Op.Dr., Sağlık Bakanlığı Ankara Eğitim ve Araştırma Hastanesi Genel Cerrahi Kliniği,** Op.Dr., Ankara Üniversitesi Tıp Fakültesi Göğüs Cerrahisi AD, *** Dr., Ankara Üniversitesi Tıp Fakültesi Göğüs Cerrahisi AD,****Prof.Dr., Ankara Üniversitesi Tıp Fakültesi Göğüs Cerrahisi AD, ANKARA
Aim: Thoracic Outlet Syndrome (TOS) is a syndrome that reveals different symptoms resulted from compression of plexsus brachialis, subclavian vein and artery in thoracic outlet. Generally; it comes out by factors of macro or micro traumas, excessive myoactivity and myotendinitis associated with congenital lesions. In this case; we pres-ent a patient with unusual anatomical features of thoracic outlet.
Case: Herein; we present a case of a young woman in which scalene muscles lost their own features and became as fibrous bundles. Transaxillary first and cervical rib re-section with scalenotomy was performed.
Conclusion: With existent narrow anatomical structure of this region; any compressive factor leads TOS in all cases, easily. Thus; resection of first and cervical rib with transaxillary approach is the best choice of treatment.Keywords: Thoracic Outlet SyndromesTurkiye Klinikleri J Med Sci 2003, 23:476-479
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