title: Upper extremity deep vein thrombosis (Paget-Schroetter syndrome) after surfing: a case report.
abstract: This case report summarises the presentation of a 28-year-old female with signs and symptoms characteristic of thoracic outlet syndrome, but who was later found to have an effort-induced Upper Extremity Deep Vein Thrombosis (UEDVT), otherwise known as Paget-Schroetter syndrome. Effort-induced UEDVT is rare, but the similarity between the signs and symptoms of thoracic outlet syndrome and this type of thrombosis can result in patients with this condition presenting to musculoskeletal therapists. The key features of the case are described, followed by an overview of UEDVT and the importance of recognising this condition in musculoskeletal therapy practice. The role of therapists in referring for early medical diagnostics is key to ensuring management of the thrombosis is instigated early, therefore reducing the risk of life threatening consequences such as pulmonary embolism.
authors.affiliation: Kadoorie Centre for Critical Care Research & Education, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom. Electronic address: david.keene@ndorms.ox.ac.uk.
authors.forename: David J
authors.initials: DJ
authors.lastname: Keene
mesh_terms: D000328:Adult; D001265:Athletic Injuries / Q000150:complications / Q000175:diagnosis; D003937:Diagnosis, Differential; D042241:Early Diagnosis; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010808:Physical Examination / Q000379:methods; D035583:Rare Diseases; D018570:Risk Assessment; D012720:Severity of Illness Index; D000070599:Shoulder Injuries / Q000150:complications* / Q000175:diagnosis; D013901:Thoracic Outlet Syndrome / Q000175:diagnosis* / Q000209:etiology; D015912:Thrombolytic Therapy / Q000379:methods*; D016896:Treatment Outcome; D056824:Upper Extremity Deep Vein Thrombosis / Q000175:diagnosis* / Q000188:drug therapy* / Q000209:etiology
keywords: Effort induced upper extremity deep vein thrombosis; Venous thoracic outlet syndrome