Scalene syndrome

In this article, we analyzed the specialized literature regarding the exclusivity of scalene syndrome manifestations. This syndrome is a part of Thoracic outlet syndrome (TOS) and is classified as vascular (arterial and venous) and/or neurogenic. The scalene syndrome, depending on the compressed structure in the interscalene triangle, is characterized by a different clinical picture: nerve-pain, muscle weakness, paresthesia, then limitation of movements, artery- reduction of blood flow in the vertebral artery, swelling, paleness of the hand. It is more common in women between the ages of 20 and 50. Among the most common causes are: trauma, congenital anomalies, osteochondrosis and hypertrophy of the anterior scalene muscle. Particular attention is paid to diagnostic methods: physical tests (Roots, Adson, Wright) and instrumental tests (electromyography, electroneurography, specific signs on USG, CT, MRI). The characteristics of conservative and surgical treatment, which possess a favorable prognosis and pain-free life with full range of motion, are presented.