Thoracic outlet syndrome: A case with scalene muscle hypertropy who was followed by a long time in the diagnosis of cervical discopathy

Damla Yürük1, Güngör Enver Özgencil1, Ahmet Yılmaz1, Merve Hayriye Kocaoğlu2, Sırrı Sinan Bilgin3, İbrahim Aşık1

1Department Of Algology, Ankara University, Ankara, Turkey
2Department Of Anesthesiology And Reanimation, Ankara University, Ankara, Turkey
3Department Of Hand Surgery, Ankara University, Ankara, Turkey

Keywords: Thoracic outlet syndrome, hypertrophic scalene muscle, wrestling sport

Abstract

Summary
In this article, we present a case with diagnosis and treatment process who had mixed type of thoracic outlet syndrome as a result of scalene muscle hypertrophy. Many diseases in the differential diagnosis should be considered to be the definitive diagnosis of this syndrome ¸ questioning the activities of daily living, in addition to provocative tests of physical examination, it is necessary to examine the electrophysiological and imaging. Once diagnosed, despite conservative treatment is not decreased complaints required surgical treatment However, in patients diagnosed late ¸ despite the decrease of complaints after surgery; neurologic deficit remains.