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Article
December 1947

NEUROVASCULAR SYNDROME OF THE ARM ASSOCIATED WITH HYPERTROPHIED SUBCLAVIUS MUSCLEReport of a Case, Including Operative Treatment

Author Affiliations

NEW HAVEN, CONN.

Arch Surg. 1947;55(6):732-742. doi:10.1001/archsurg.1947.01230080743009
Abstract

DYSFUNCTION of an upper extremity due to pressure on vascular and nerve elements in the region of the shoulder are not uncommon and are extremely disabling. The scalenus anticus syndrome is well recognized and is frequently treated surgically with good result. The syndrome of thrombosis of the axillary vein is perhaps less well recognized, and its treatment is commonly entirely conservative in nature. It may be present with or without actual thrombosis. Various functional and mechanical factors have been suggested as of etiologic significance. Perhaps the most commonly accepted opinions have implicated the structures in the area of the clavicle and first rib (Aschoff,1 Löhr,2 Willan,3 Loewenstein,4 Gould and Patey,5 Picagli,6 Veal and McFetridge,7 Sampson and others8 and Judovich and others9).

The symptoms in the case reported here simulated those of both syndromes, and in fact the diagnosis of scalenus anticus

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