Paget-Schroetter Disease 453.72

synonyms:Paget-Schroetter Disease, axillo-subclavian vein thrombosis

ICD-9

• 453.82 Acute venous embolism and thrombosis of the deep veins of upper extremity
• 453.72 Chronic venous embolism and thrombosis of the deep veins of upper extremity

Etiology / Epidemiology / Natural History

• Associated with weight lifting, throwing athletes

Anatomy

Clinical Evaluation

• Diffuse upper extremity swelling/edema from the hand to the axilla. May be painful or painfree.
• Examine for signs of cellulitis / infection (erythema, axillary lymph adenopathy)

Xray / Diagnositc Tests

• Diagnosed with upper extremity ultrasound which demonstrates thrombus in the subclavian and axillary veins.

Classification / Treatment

• Venogram / angiojet thrombolysis

Associated Injuries / Differential Diagnosis

• Cellulitis / infections
• Lung tumor; Pancoast tumor
• Thoracic Outlet

Complications

Follow-up Care

Review References