Paget-Schroetter Syndrome in a Patient With Posterior Shoulder Subluxation: A Case Report.

Röthlisberger, David; Rashid, Mustafa S; Ruijs, Peter; Zumstein, Matthias A (2024). Paget-Schroetter Syndrome in a Patient With Posterior Shoulder Subluxation: A Case Report. Clinical journal of sport medicine, 34(5), pp. 503-505. Lippincott, Williams & Wilkins 10.1097/JSM.0000000000001227

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Paget-Schroetter syndrome describes a primary thrombosis of the subclavian vein induced by effort. In most cases, the clinical presentation includes painful swelling, discoloration, and visible collateral circulation in the arm. Paget-Schroetter syndrome is treated with anticoagulation, rest, and physical therapy. In certain cases, invasive treatment such as thrombolysis and decompression surgery (first rib resection) may be necessary. We present the case of a 28-year-old healthy male patient with effort-induced deep vein thrombosis of the upper extremity after posterior shoulder subluxation. Anticoagulation, rest, and physical therapy were used to treat the patient, who became asymptomatic and was able to resume normal activities without restriction. To our knowledge, this is the first case of effort-induced upper extremity deep vein thrombosis after posterior shoulder subluxation. Paget-Schroetter syndrome is rare diagnosis that requires vigilance during musculoskeletal assessment for shoulder pain and swelling. The early detection, radiological confirmation, and prompt initiation of treatment are essential to successful management of Paget-Schroetter syndrome. The impact of associated posterior shoulder subluxation remains unclear.

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