Botulinum Toxin Treatment for Thoracic Outlet Syndrome Induced by Subclavius Muscle Hypertrophy
Thoracic outlet syndrome (TOS) is frequently caused by bone abnormalities and congenital or acquired soft-tissue alterations. Among these, isolated Subclavius Muscle (SM) hypertrophy represents a rare condition that could lead to a reduction in costoclavicular space and brachial plexus compression....
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-04-01
|
| Series: | NeuroSci |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2673-4087/2/2/9 |
| _version_ | 1827688253272096768 |
|---|---|
| author | Francesco Cavallieri Stefano Galletti Valentina Fioravanti Elisa Menozzi Sara Contardi Franco Valzania |
| author_facet | Francesco Cavallieri Stefano Galletti Valentina Fioravanti Elisa Menozzi Sara Contardi Franco Valzania |
| author_sort | Francesco Cavallieri |
| collection | DOAJ |
| description | Thoracic outlet syndrome (TOS) is frequently caused by bone abnormalities and congenital or acquired soft-tissue alterations. Among these, isolated Subclavius Muscle (SM) hypertrophy represents a rare condition that could lead to a reduction in costoclavicular space and brachial plexus compression. A 47-year-old forest ranger with a history of gun shooting during animal hunting and training sessions of skeet shooting for 20 years developed TOS due to ultrasonography-detected isolated SM hypertrophy, successfully treated with an ultrasound-guided Botulinum Toxin (BTX)-A injection. In our patient, ultrasonography of the brachial plexus has allowed SM hypertrophy to be recognized and to perform BTX-A injection just in the muscle, with a complete resolution of the symptoms. |
| first_indexed | 2024-03-10T09:51:15Z |
| format | Article |
| id | doaj.art-db58672fa4c047bfbcd8ffb2cb3c0a04 |
| institution | Directory Open Access Journal |
| issn | 2673-4087 |
| language | English |
| last_indexed | 2024-03-10T09:51:15Z |
| publishDate | 2021-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | NeuroSci |
| spelling | doaj.art-db58672fa4c047bfbcd8ffb2cb3c0a042023-11-22T02:48:18ZengMDPI AGNeuroSci2673-40872021-04-012213514010.3390/neurosci2020009Botulinum Toxin Treatment for Thoracic Outlet Syndrome Induced by Subclavius Muscle HypertrophyFrancesco Cavallieri0Stefano Galletti1Valentina Fioravanti2Elisa Menozzi3Sara Contardi4Franco Valzania5Neurology Unit, Neuromotor & Rehabilitation Department, Azienda USL-IRCCS di Reggio Emilia, 42123 Reggio Emilia, ItalyMuscoloskeletal Interventional Sonographic Unit, Casa di Cura Toniolo, 40141 Bologna, ItalyNeurology Unit, Neuromotor & Rehabilitation Department, Azienda USL-IRCCS di Reggio Emilia, 42123 Reggio Emilia, ItalyDepartment of Neuroscience, S. Agostino-Estense Hospital and University of Modena and Reggio Emilia, 41126 Modena, ItalyDepartment of Neuroscience, S. Agostino-Estense Hospital and University of Modena and Reggio Emilia, 41126 Modena, ItalyNeurology Unit, Neuromotor & Rehabilitation Department, Azienda USL-IRCCS di Reggio Emilia, 42123 Reggio Emilia, ItalyThoracic outlet syndrome (TOS) is frequently caused by bone abnormalities and congenital or acquired soft-tissue alterations. Among these, isolated Subclavius Muscle (SM) hypertrophy represents a rare condition that could lead to a reduction in costoclavicular space and brachial plexus compression. A 47-year-old forest ranger with a history of gun shooting during animal hunting and training sessions of skeet shooting for 20 years developed TOS due to ultrasonography-detected isolated SM hypertrophy, successfully treated with an ultrasound-guided Botulinum Toxin (BTX)-A injection. In our patient, ultrasonography of the brachial plexus has allowed SM hypertrophy to be recognized and to perform BTX-A injection just in the muscle, with a complete resolution of the symptoms.https://www.mdpi.com/2673-4087/2/2/9thoracic outlet syndromebotulinum toxinelectromyographyultrasoundsubclavius muscle |
| spellingShingle | Francesco Cavallieri Stefano Galletti Valentina Fioravanti Elisa Menozzi Sara Contardi Franco Valzania Botulinum Toxin Treatment for Thoracic Outlet Syndrome Induced by Subclavius Muscle Hypertrophy NeuroSci thoracic outlet syndrome botulinum toxin electromyography ultrasound subclavius muscle |
| title | Botulinum Toxin Treatment for Thoracic Outlet Syndrome Induced by Subclavius Muscle Hypertrophy |
| title_full | Botulinum Toxin Treatment for Thoracic Outlet Syndrome Induced by Subclavius Muscle Hypertrophy |
| title_fullStr | Botulinum Toxin Treatment for Thoracic Outlet Syndrome Induced by Subclavius Muscle Hypertrophy |
| title_full_unstemmed | Botulinum Toxin Treatment for Thoracic Outlet Syndrome Induced by Subclavius Muscle Hypertrophy |
| title_short | Botulinum Toxin Treatment for Thoracic Outlet Syndrome Induced by Subclavius Muscle Hypertrophy |
| title_sort | botulinum toxin treatment for thoracic outlet syndrome induced by subclavius muscle hypertrophy |
| topic | thoracic outlet syndrome botulinum toxin electromyography ultrasound subclavius muscle |
| url | https://www.mdpi.com/2673-4087/2/2/9 |
| work_keys_str_mv | AT francescocavallieri botulinumtoxintreatmentforthoracicoutletsyndromeinducedbysubclaviusmusclehypertrophy AT stefanogalletti botulinumtoxintreatmentforthoracicoutletsyndromeinducedbysubclaviusmusclehypertrophy AT valentinafioravanti botulinumtoxintreatmentforthoracicoutletsyndromeinducedbysubclaviusmusclehypertrophy AT elisamenozzi botulinumtoxintreatmentforthoracicoutletsyndromeinducedbysubclaviusmusclehypertrophy AT saracontardi botulinumtoxintreatmentforthoracicoutletsyndromeinducedbysubclaviusmusclehypertrophy AT francovalzania botulinumtoxintreatmentforthoracicoutletsyndromeinducedbysubclaviusmusclehypertrophy |