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Updated: Jun 19, 2026
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Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
[Upper extremity deep vein thrombosis following soft tissue trauma].
Ajay Pal Singh1, Arun Pal Singh, Surbhi Mahajan
1Department of Orthopedics and Traumatology, Guru Teg Bahadur Hospital, University College of Medical Science, University of Delhi, Delhi, India. docajaypal@gmail.com
Acta Orthopaedica Et Traumatologica Turcica
|October 8, 2009
Summary
A young man developed left proximal subclavian vein thrombosis after a shoulder injury. Prompt treatment with thrombolytics and anticoagulants led to complete symptom resolution, highlighting the importance of early diagnosis and intervention for this rare condition.
Area of Science:
- Vascular Medicine
- Thrombotic Disorders
Background:
- Soft tissue injuries, though common, can occasionally lead to rare vascular complications.
- Proximal subclavian vein thrombosis is an uncommon but serious condition that can arise after trauma.
Observation:
- A 27-year-old male presented with left shoulder soft tissue injury post-fall.
- Within three days, he was diagnosed with left proximal subclavian vein thrombosis.
Findings:
- The patient received intravenous urokinase, followed by unfractionated heparin and oral warfarin.
- Complete symptom resolution was observed after three months of oral anticoagulant therapy, which was continued for 12 months.
Implications:
- This case underscores the need for vigilance regarding unusual vascular complications following seemingly minor injuries.
- Early diagnosis and prompt, aggressive treatment of proximal subclavian vein thrombosis are crucial for minimizing patient morbidity and mortality.
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