[Efficacy of transecting the anterior scalene muscle in the scalenus anticus syndrome (syndrome of the scalene muscle)].
The authors observed 111 cases with the anterior scalenus syndrome. Ninety-three patients underwent surgical treatment. Acknowledging the predominant role of the anterior scalenus muscle in the pathogenesis of this disorder the authors performed scalenotomia. In the group of patients with a noncomplicated development of the disease (48 cases) the operation appeared to be effective in 93.7% of the cases, while in vascular complications (45 cases) the effectiveness of the operation was significantly reduced. A positive result in these cases was attained only in 51.1%. On the basis of these data the authors come to the conclusion that scalenotomia performed in the initial, noncomplicated stages of the disease is a good prophylactic measure for severe complications in the magistral vessels and is an effective method of treatment of the scalenus-anticus syndrome.
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011928:Raynaud Disease / Q000601:surgery; D013348:Subclavian Artery; D013350:Subclavian Vein; D013562:Sympathectomy; D013577:Syndrome; D013901:Thoracic Outlet Syndrome / Q000175:diagnosis / Q000601:surgery*; D014652:Vascular Diseases / Q000175:diagnosis
Effektivnost' operatsii peresechneiia peredneĭ lestnichnoĭ myshtsy pri skalenus-sindrome (sindrome lestnichnoĭ myshtsy)