Neurogenic Thoracic Outlet Syndrome caused by Subacute Clavicle Osteomyelitis

A rare case of neurogenic thoracic outlet syndrome caused by subacute osteomyelitis (SOM) of clavicle is presented. It was treated by clavicle resection, I rib resection and scalenectomy followed by reconstruction of the clavicle by 6th rib vascularised bone transfer based on serratus anterior muscle as a rotational flap.