Keene David J
Kadoorie Centre for Critical Care Research & Education, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, United Kingdom.
Man Ther. 2015 Apr;20(2):358-60. doi: 10.1016/j.math.2014.08.004. Epub 2014 Aug 29.
This case report summarises the presentation of a 28-year-old female with signs and symptoms characteristic of thoracic outlet syndrome, but who was later found to have an effort-induced Upper Extremity Deep Vein Thrombosis (UEDVT), otherwise known as Paget-Schroetter syndrome. Effort-induced UEDVT is rare, but the similarity between the signs and symptoms of thoracic outlet syndrome and this type of thrombosis can result in patients with this condition presenting to musculoskeletal therapists. The key features of the case are described, followed by an overview of UEDVT and the importance of recognising this condition in musculoskeletal therapy practice. The role of therapists in referring for early medical diagnostics is key to ensuring management of the thrombosis is instigated early, therefore reducing the risk of life threatening consequences such as pulmonary embolism.
本病例报告总结了一名28岁女性的临床表现,其具有胸廓出口综合征的体征和症状,但后来发现患有劳力诱发的上肢深静脉血栓形成(UEDVT),即佩吉特 - 施罗特综合征。劳力诱发的UEDVT较为罕见,但胸廓出口综合征的体征和症状与这种血栓形成之间的相似性可能导致患有这种疾病的患者前往肌肉骨骼治疗师处就诊。文中描述了该病例的关键特征,随后概述了UEDVT以及在肌肉骨骼治疗实践中识别这种疾病的重要性。治疗师在转诊进行早期医学诊断方面的作用对于确保早期启动血栓形成的管理至关重要,从而降低诸如肺栓塞等危及生命后果的风险。