{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T20:06:09Z","timestamp":1790021169570,"version":"4.0.1"},"reference-count":5,"publisher":"CSIRO Publishing","issue":"2","license":[{"start":{"date-parts":[[2025,5,22]],"date-time":"2025-05-22T00:00:00Z","timestamp":1747872000000},"content-version":"vor","delay-in-days":1788,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,6,29]]},"abstract":"ABSTRACT<\/jats:title>\n \n INTRODUCTION<\/jats:title>\n Paget-Schroetter syndrome, or effort thrombosis, refers to a deep venous thrombosis in an upper extremity. It is most commonly located in the axillary or subclavian veins and is associated with vigorous repetitive movements and anatomic abnormalities.<\/jats:p>\n <\/jats:sec>\n \n CASE PRESENTATION<\/jats:title>\n This case study describes an 18-year-old Division 1 soccer player who presented with worsening axillary swelling and pain. He was found to have subclavian stenosis at the level of the thoracic inlet between the clavicle and first rib, with deep venous thrombosis in his right axillary, subclavian, proximal brachial, and basilic veins. It was diagnosed with ultrasound and confirmed with venography. He was treated initially with enoxaparin and warfarin before having mechanical thrombolysis, balloon venoplasty, infusion of tissue plasminogen activator, and a right first rib resection.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSION<\/jats:title>\n As Paget-Schroetter syndrome is rare, early recognition and management leads to fewer long-lasting sequelae and less morbidity. Left untreated, it can result in pulmonary embolism and residual upper extremity obstruction.<\/jats:p>\n <\/jats:sec>","DOI":"10.1071\/hc19101","type":"journal-article","created":{"date-parts":[[2020,6,29]],"date-time":"2020-06-29T02:17:25Z","timestamp":1593397045000},"page":"181-183","source":"Crossref","is-referenced-by-count":5,"title":["Soccer player with unusual right shoulder and arm pain and swelling"],"prefix":"10.1071","volume":"12","author":[{"given":"Alan","family":"Zakaria","sequence":"first","affiliation":[{"name":"AOakland University William Beaumont School of Medicine and University of Michigan Men\u2019s and Women\u2019s Soccer, Rochester, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasper","family":"Gill","sequence":"additional","affiliation":[{"name":"BCountry Creek Family Medicine and Sports Medicine, Rochester, Michigan, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Livia Maruoka","family":"Nishi","sequence":"additional","affiliation":[{"name":"CDepartment of Family Medicine, Mayo Clinic, Jacksonville, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeff","family":"Nadwodny","sequence":"additional","affiliation":[{"name":"CDepartment of Family Medicine, Mayo Clinic, Jacksonville, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George G. A.","family":"Pujalte","sequence":"additional","affiliation":[{"name":"CDepartment of Family Medicine, Mayo Clinic, Jacksonville, Florida, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2020,6,29]]},"reference":[{"key":"2025111814132141100_R1"},{"issue":"5","key":"2025111814132141100_R2","doi-asserted-by":"publisher","first-page":"853","DOI":"10.1016\/S0741-5214(97)70100-9","article-title":"Upper extremity deep venous thrombosis and its impact on morbidity and mortality rates in a hospital-based population.","volume":"26","author":"Hingorani","year":"1997","journal-title":"J Vasc Surg"},{"issue":"3","key":"2025111814132141100_R3","doi-asserted-by":"publisher","first-page":"227","DOI":"10.3928\/01477447-20110124-28","article-title":"Clavicular fracture and upper-extremity deep venous thrombosis.","volume":"34","author":"Peivandi","year":"2011","journal-title":"Orthopedics"},{"issue":"4","key":"2025111814132141100_R4","doi-asserted-by":"publisher","first-page":"684","DOI":"10.1111\/j.1538-7836.2010.03771.x","article-title":"Accuracy of diagnostic tests for clinically suspected upper extremity deep vein thrombosis: a systematic review.","volume":"8","author":"Di Nisio","year":"2010","journal-title":"J Thromb Haemost"},{"issue":"6","key":"2025111814132141100_R5","doi-asserted-by":"publisher","first-page":"723","DOI":"10.1016\/j.avsg.2007.07.017","article-title":"Management of effort thrombosis of the subclavian vein: today\u2019s treatment.","volume":"21","author":"Doyle","year":"2007","journal-title":"Ann Vasc Surg"}],"container-title":["The Journal of Primary Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/hc\/article-pdf\/12\/2\/181\/222933\/hc19101.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/hc\/article-pdf\/12\/2\/181\/222933\/hc19101.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T19:13:26Z","timestamp":1763493206000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/hc\/article\/12\/2\/181\/34957\/Soccer-player-with-unusual-right-shoulder-and-arm"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,29]]},"references-count":5,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020,6,29]]},"published-print":{"date-parts":[[2020,6,29]]}},"URL":"https:\/\/doi.org\/10.1071\/hc19101","relation":{},"ISSN":["1172-6156"],"issn-type":[{"value":"1172-6156","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,29]]}}}