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Imaging to intervention: Thoracic outlet syndrome.
Clin Imaging
September 2022
Mallinckrodt Institute of Radiology at Washington University School of Medicine, St. Louis, MO, United States of America. Electronic address:
Thoracic outlet syndrome (TOS) is a clinical disorder resulting from compression of the neurovascular bundle of the lower neck and upper chest. TOS can be categorized into neurogenic, venous, and arterial subtypes which result from anatomical compression of the brachial plexus, subclavian vein, and subclavian artery, respectively. This can lead to neurogenic pain as well as vascular injury with thrombosis and thromboembolism.
View Article and Find Full Text PDFPaget-Schroetter syndrome: A contemporary review of the controversies in management.
Phlebology
August 2020
Department of Vascular Surgery, Royal Prince Alfred Hospital, Camperdown, NSW, Australia.
Aim: To assess the current evidence, controversies and technologies behind the various approaches and steps in the management of Paget-Schroetter syndrome.
Materials And Methods: We performed a narrative review based on a literature search in Embase, Medline, Pubmed and Google Scholar through keyword searching related to upper extremity deep vein thrombosis, Paget-Schroetter syndrome and venous thoracic outlet syndrome.
Results: There is a paucity of high-quality evidence assessing the efficacy of contemporary approaches for the management of acute upper extremity deep vein thrombosis which, though promising, is largely limited to single institution case studies and small series.
Upper deep venous thrombosis secondary to biceps brachii tear: A clinical case.
Rev Esp Cir Ortop Traumatol (Engl Ed)
November 2020
Cirugía Ortopédica y Traumatología, Hospital General Universitario Ciudad Real, Ciudad Real, España.
We describe an unusual case of axillary vein thrombosis after extensive muscular and fibrillar rupture of the long tendon of the right biceps brachii in a 43-year-old patient after an effort. The difficult diagnosis of this condition requires high suspicion and early treatment.
View Article and Find Full Text PDF[Síndrome de Paget-Schrötter: presentación de cuatro casos].
Medicina (B Aires)
September 2019
Servicio de Clínica Médica, Hospital Británico de Buenos Aires, Argentina. E-mail:
Deep vein thrombosis (DVT) of the upper limb is a rare entity, estimated to account for 10% of all cases of DVT. Classically, they are classified into primary (idiopathic, due to subclavian vein compression or exercise related) and secondary (cancer, thrombophilia, trauma, shoulder surgery, associated to venous catheters or due to hormonal causes). The Paget- Schrötter syndrome is a primary thrombosis of the subclavian vein in the subclavian-axillary junction, related either to repetitive movements or to exercise; leading to microtrauma in the endothelium with consequent activation of the coagulation cascade.
View Article and Find Full Text PDFPaget-Schroetter syndrome as a result of 1st rib stress fracture due to gym activity presenting with Urschel's sign - A case report and review of literature.
Int J Surg Case Rep
June 2018
Department of Orthopaedics, Sengkang General Hospital, Singapore. Electronic address:
Background: Paget-Schrotter Syndrome (PSS) also known as "effort thrombosis" is a form of primary thrombosis in the subclavian vein at the costoclavicular junction is usually seen in younger patients after repeated strenuous activity of the shoulders and arms. When occurring in younger patients, PSS presents itself with predisposing factors such as unilateral dull, aching pain in the shoulder or axilla and swelling of the arm and hand.
Case Presentation: We report a rare case of unusual left axillo-subclavian vein thrombosis following narrowing of thoracic outlet due to stress injury of rib fracture likely during gym activity in absence of other clear risk factors and a negative hypercoagulable workup in a 27-year-old man who was admitted as left deltoid rupture 5 days after his usual gym.
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