Upper-extremity thrombosis in a patient after biceps tenodesis

Area of Science:

• Vascular Surgery
• Sports Medicine
• Diagnostic Imaging

Background:

• Upper extremity deep venous thrombosis (DVT) is rare compared to lower extremity DVT.
• Exertional DVT occurs in athletes, especially baseball players, often in the dominant arm.
• Recognizing upper extremity DVT signs is vital, as it can arise post-exertion or post-surgery.

Observation:

• A case of superficial venous thrombosis mimicking DVT in a baseball player's surgical arm post-biceps tenodesis is presented.
• Superficial venous thrombosis is uncommon in the upper extremity.
• Despite superficial and deep venous system connections, concurrent superficial venous thrombosis and DVT are rare.

Findings:

• Superficial venous thrombosis may present as a palpable cord, contrasting with the generalized swelling typical of DVT.
• Superficial venous thrombosis management involves symptomatic treatment, while DVT necessitates anticoagulation.
• Superficial venous thrombosis generally resolves with minimal sequelae, unlike DVT, which increases future thrombosis risk.

Implications:

• Distinguishing between superficial venous thrombosis and DVT in the upper extremity is critical for appropriate clinical management.
• Accurate diagnosis impacts treatment strategies, patient outcomes, and long-term prognosis.
• Understanding these differences aids healthcare professionals in managing upper extremity venous conditions effectively.