Scalenectomy Anterior as an Option for Thoracal Outlet Syndrome

Yunus Abdul Bari; Muhammad  Rafif Amir; Heri  Suroto; Reyhan Pradnya  Pradana

doi:10.37899/journallamedihealtico.v5i6.1677

Yunus Abdul Bari Department of Orthopedic and Traumatology, Airlangga University Hospital, Surabaya, East Java, Indonesia
Muhammad Rafif Amir Department of Orthopedic and Traumatology, Airlangga University Hospital, Surabaya, East Java, Indonesia
Heri Suroto Department of Orthopedic and Traumatology, Dr. Soetomo General Academic Hospital, Surabaya, East Java, Indonesia
Reyhan Pradnya Pradana Department of Orthopedic and Traumatology, Dr. Soetomo General Academic Hospital, Surabaya, East Java, Indonesia

DOI: https://doi.org/10.37899/journallamedihealtico.v5i6.1677

Keywords: Thoracal Outlet Syndrome, Scalenectomy Anterior, Case Report

Abstract

The term "thoracic outlet syndrome" (TOS) refers to a collection of conditions that cause compression of the neurovasculature as it leaves the thoracic outlet. The condition was initially identified in 1956. The scalene triangle, the costoclavicular space, and the subcoracoid region are the three spaces where TOS typically occurs. The brachial plexus, the axillary artery and vein, and the subclavian artery and vein are all of the structures involved with TOS. A 38-year-old male presented to the orthopaedic department. He complained about weakness and numbness in her left arm that had been present for 15 years. The complaints had been aggravated over the last 3 years which was exacerbated by activities that required her to lift her arm. The most prevalent causes of TOS are congenital, traumatic, or functional. TOS is classified into three categories based on its clinical presentation: neurogenic (nTOS), venous (vTOS), and arterial (aTOS), with nTOS being the most frequent. Treatment for Thoracal Outlet Syndrome is conservative. However, if conservative treatment does not work well, operative treatment is needed.

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