Abstract
It is recognized that the results of surgery for the scalenus anticus syndrome have, in many cases, been disappointing. It is the purpose of this report to suggest that the possible cause for failure, in some of the patients, may be due to unrecognized pressure on the brachial plexus from either a taut or a hypertrophied lateral belly of the omohyoid muscle. It is not the intention of the author to discuss the scalenus anticus syndrome itself, since the subject has been dealt with exhaustively in the literature. A 30-year-old Caucasian housewife was seen Feb. 8, 1951, complaining of a mass in the left supraclavicular fossa of 10 months' duration. Four months previous to her first visit, while reaching into a deep box with the left arm and turning her head to the right to speak to an acquaintance, she experienced a sudden onset of pain involving the left side
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