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Vascular problems in the proximal upper extremity.

R P Sotta1

  • 1Department of Orthopaedics and Rehabilitation, University of New Mexico School of Medicine, Albuquerque.

Clinics in Sports Medicine
|April 1, 1990
PubMed
Summary

Vascular occlusive disease in athletes, though rare, can cause arm pain and numbness. Early recognition is key, as return-to-sport prognosis may be uncertain due to limited data.

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Area of Science:

  • Sports Medicine
  • Vascular Surgery
  • Athletic Training

Background:

  • Vascular problems affecting the proximal upper extremity, including venous and arterial occlusion, are uncommon.
  • Existing literature primarily consists of case reports, highlighting the rarity of these conditions in sports medicine.

Purpose of the Study:

  • To review the presentation, mechanisms, and prognosis of vascular occlusive disease in athletes.
  • To emphasize the importance of recognizing subtle symptoms in athletes engaged in repetitive overhead activities.

Main Methods:

  • Review of existing case reports and literature on proximal upper extremity vascular occlusion in athletes.
  • Analysis of common injury mechanisms, including blunt trauma and repetitive overhead arm use.

Main Results:

  • Symptoms such as easy fatigability, poorly localized pain, and paresthesias can indicate vascular occlusive disease in athletes.
  • Blunt trauma and repetitive overhead activities are identified as primary causative factors.

Conclusions:

  • Physicians should maintain a high index of suspicion for vascular occlusive disease in athletes presenting with non-specific arm symptoms.
  • The reported good return-to-sport prognosis may be unreliable due to the limited number of documented cases.

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