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  • Title: [Efficacy of transecting the anterior scalene muscle in the scalenus anticus syndrome (syndrome of the scalene muscle)].
    Author: Pokrovskiĭ AV, Moskalenko IuD, Gashtov AKh, Seleznev AN.
    Journal: Zh Nevropatol Psikhiatr Im S S Korsakova; 1976; 76(8):1172-7. PubMed ID: 973521.
    Abstract:
    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.
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