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Haven's syndrome

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A syndrome characterised by pain in the wrist which progresses to the shoulder, a pallor of the hand and wrist, and loss of radial pulsation.

Description

A syndrome characterised by pain in the wrist which progresses to the shoulder, a pallor of the hand and wrist, and loss of radial pulsation. Haven attributed the condition to compression of the subclavian artery by the scalenus muscle. Symptoms resemble Naffziger’s syndrome in which the brachial plexus or the subclavian artery is compressed by the scalenus muscle. Relief of symptoms follow severance of the scalenus tendon at its insertion or by resection of a portion of the muscle.

See also Adson-Caffey syndrome, or cervical rib syndrome, under Alfred Washington Adson, American neurosurgeon, 1887-1951.

Bibliography

  • H. C. Naffziger:
    The scalenus syndrome.
    Surgery, Gynecology and Obstetrics, Chicago, 1937, 64: 119-120.
  • H. Haven:
    Neurocirculatory scalenus anticus syndrome in the presence of developmental defects of the first rib.
    Yale Journal of Biology and Medicine, New Haven, Connecticut, 1938-1939, 11: 443-458.

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