Turkish Journal of Physical Medicine and Rehabilitation 2021 , Vol 67 , Num 4

Vascular pectoralis minor syndrome as an overlooked condition: A case report

İlknur Aktaş 1 ,Ezgi Kaya 1 ,Pınar Akpınar 1 ,Feyza Ünlü Özkan 1 ,Ahmet Vural 2 ,Kenan Akgün 3
1 Department of Physical Medicine and Rehabilitation, Health Sciences University, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey
2 Department of Radiology, Health Sciences University Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey
3 Department of Physical Medicine and Rehabilitation, Istanbul University Cerrahpaşa Faculty of Medicine, Istanbul, Turkey
DOI : 10.5606/tftrd.2021.8105 Thoracic outlet syndrome is characterized by pain, paresthesia, muscle weakness, and arterial/venous symptoms caused by compression of the neurovascular structures. Compression mainly occurs at three distinct areas in the thoracic outlet: the retropectoralis minor space, the costoclavicular space, and the interscalene triangle. As the symptoms of these three compression sites are very similar, it is difficult to pinpoint the location of the compression and the treatment methods are quite different. Ultrasound-guided diagnostic injections play an important role in the differential diagnosis. Herein, we report a 49-year-old female patient who was previously diagnosed with thoracic outlet syndrome and scheduled for decompression of cervical ribs, but cured by conservative methods after being diagnosed with pectoralis minor syndrome. Keywords : Brachial plexus, pectoralis minor syndrome, thoracic outlet syndrome