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Brief ReportBrief Report

Paget-Schroetter Syndrome in the Young and Active

Viju Vijaysadan, Aphrodite M. Zimmerman and Rafael E. Pajaro
The Journal of the American Board of Family Practice July 2005, 18 (4) 314-319; DOI: https://doi.org/10.3122/jabfm.18.4.314
Viju Vijaysadan
MD
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Aphrodite M. Zimmerman
MS
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Rafael E. Pajaro
MD
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Data supplements

  • Video Excerpts: Paget-Schroetter Syndrome in the Young and Active

    1. Inspection: Muscular body habitus, homogenous, no-pitting edema, and diffuse erythema that blanched to palpation are prominent features on inspection. 2. History: Patient reveals swelling, redness, and limitation of function. Opening up of collateral circulation after development of thrombus. 3. History: Patient reveals neurovascular symptoms accentuated on abduction due to extrinsic mechanical compression at sub-coracoid level. A provocative test, Wright�s, is positive. 4. Wrights� Test: attenuation of radial pulse on abduction beyond 180 degrees; here there is disappearance of radial pulse beyond 180 consistent with mechanical obstruction at sub- coracoid level due to hypertrophied muscles. Patient reveals symptoms and signs of thrombosis as palpable cord, in addition to other non-specific features that might be seen in various other diagnoses.

    Files in this Data Supplement:

    • 1. Inspection - Muscular body habitus, homogenous, no-pitting edema, and diffuse erythema that blanched to palpation are prominent features on inspection.
    • 2. History - Patient reveals swelling, redness, and limitation of function. Opening up of collateral circulation after development of thrombus.
    • 3. History - Patient reveals neurovascular symptoms accentuated on abduction due to extrinsic mechanical compression at sub-coracoid level. A provocative test, Wright�s, is positive.
    • 4. Wright's Test - Wrights� test shows attenuation of radial pulse on abduction beyond 180 degrees; here there is disappearance of radial pulse beyond 180 consistent with mechanical obstruction at sub-coracoid level due to hypertrophied muscles. Patient reveals symptoms and signs of thrombosis as palpable cord, in addition to other non-specific features that might be seen in various other diagnoses.
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The Journal of the American Board of Family Practice: 18 (4)
The Journal of the American Board of Family Practice
Vol. 18, Issue 4
July-August 2005
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Paget-Schroetter Syndrome in the Young and Active
Viju Vijaysadan, Aphrodite M. Zimmerman, Rafael E. Pajaro
The Journal of the American Board of Family Practice Jul 2005, 18 (4) 314-319; DOI: 10.3122/jabfm.18.4.314

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Paget-Schroetter Syndrome in the Young and Active
Viju Vijaysadan, Aphrodite M. Zimmerman, Rafael E. Pajaro
The Journal of the American Board of Family Practice Jul 2005, 18 (4) 314-319; DOI: 10.3122/jabfm.18.4.314
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