Elbaz C
Phlebologie. 1975 Jul-Sep;28(3-4):397-418.
Under this name are included all the neurovascular disorders of ftthe upper limb caused by compression of the subclavian vessels and the vessels of the brachial plexus. There are three dangerous anatomical regions where trouble can arise: the now of scalene muscles, the costo-clavicular interspace, and the pulley of the smaller pectoral muscle. The clinical manifestations are fairly variable but often indicate the diagnosis. Certain clinical tests, in particular angiography with the arm in hyperabduction contribute towards confirmation. With minor forms of the syndrome rehabilitation should suffice. In other cases the cause of the sompression can be removed by surgery: sectioning of the anterior scalene, suppresion of a cervical rib, and particularly resection of the first rib, as this plays an important role.
这个名称涵盖了由锁骨下血管和臂丛神经血管受压引起的上肢所有神经血管疾病。有三个危险的解剖区域可能出现问题：斜角肌间隙、肋锁间隙和胸小肌的滑车。临床表现相当多样，但通常能提示诊断。某些临床检查，特别是上肢过度外展时的血管造影有助于确诊。对于症状较轻的综合征形式，康复治疗应该就足够了。在其他情况下，可以通过手术消除压迫原因：切断前斜角肌、切除颈肋，特别是切除第一肋，因为第一肋起着重要作用。
