Effort thrombosis of the upper extremity in a young sportsman: Paget-Schroetter syndrome
- Resource Type
- Authors
- Graham, Roche-Nagle; Ronan, Ryan; Mary, Barry; David, Brophy
- Source
- British journal of sports medicine. 41(8)
- Subject
- musculoskeletal diseases
Male
Venous Thrombosis
Adolescent
Weight Lifting
Ultrasonography, Doppler
Case Report
Phlebography
Syndrome
Subclavian Vein
Risk Assessment
Upper Extremity
Treatment Outcome
Acute Disease
Humans
Thrombolytic Therapy
Axillary Vein
Follow-Up Studies
- Language
- ISSN
- 1473-0480
Paget‐Schroetter syndrome is the spontaneous thrombosis of the axillary/subclavian vein. A 16‐year‐old male presented with acute onset of right upper limb swelling after vigorous weight training. A venogram confirmed the diagnosis of Paget–Schroetter syndrome. He was started on intravenous thrombolytics followed by oral anticoagulation therapy. His symptoms resolved and he was symptom free at six‐month follow‐up. Thrombolytics and anticoagulation is the most widely accepted first‐line therapy for this syndrome. Defining any anatomical anomaly as the predisposing factor in this condition is essential in the selection of which patients will benefit from thoracic outlet decompression.