Br J Sports Med 41:540-541 doi:10.1136/bjsm.2006.033456
  • Case Report

Effort thrombosis of the upper extremity in a young sportsman: Paget–Schroetter syndrome

  1. Graham Roche-Nagle1,
  2. Ronan Ryan1,
  3. Mary Barry1,
  4. David Brophy1
  1. 1St Vincent’s Hospital, Dublin, Ireland
  1. Correspondence to:
 MrG Roche-Nagle
 Department of Vascular Surgery, St Vincent’s Hospital, Merrion Road, Dublin 4, Ireland; grnagle{at}
  • Accepted 21 January 2007
  • Published Online First 8 February 2007


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.


  • Published Online First 9 February 2007

  • Competing interests: None declared.