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Case Reports in Vascular Medicine
Volume 2015, Article ID 723182, 3 pages
http://dx.doi.org/10.1155/2015/723182
Case Report

Medial Clavicular Osteophyte: A Novel Cause of Paget-Schroetter Syndrome

Department of Vascular Surgery, Royal Prince Alfred Hospital, Sydney, NSW 2006, Australia

Received 19 December 2014; Accepted 30 March 2015

Academic Editor: Atila Iyisoy

Copyright © 2015 Keagan Werner-Gibbings and Steven Dubenec. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Paget-Schroetter syndrome is a form of upper limb deep venous thrombosis usually seen in younger patients in association with repetitive activities of the affected limb. When occurring in more elderly patients or in those where it is difficult to appreciate a causative mechanism, other aetiologies should be considered. We present a case in which degenerative osteoarthritis of the sternoclavicular joint with osteophyte development impinged on the subclavian vein, leading to extensive upper limb thrombosis. The difficulties in identifying and managing this unusual cause of Paget-Schroetter are presented and discussed.