Paget-Schroetter Syndrome in the Young and Active

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.

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• 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.