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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}rcsi.ie
  • Accepted 21 January 2007
  • Published Online First 8 February 2007

Abstract

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.

Footnotes

  • Published Online First 9 February 2007

  • Competing interests: None declared.