Key result
An analysis of 72 cases of effort thrombosis of the axillary, subclavian, and brachial veins indicates it may be the consequence of severe or unaccustomed exertion.
This historical report compiles 72 cases of effort thrombosis of the upper extremity veins, contributing to the early characterization of the condition.
May link exertion to upper-extremity thrombosis; extends historical case series but leaves open prospective validation.
EFFORT thrombosis of the axillary, subclavian and, occasionally, brachial veins, although occurring infrequently, may be the consequence of either severe or unaccustomed exertion. This report is an analysis of 72 cases, 16 of which I have collected and 56 of which are assembled from a partial review of the literature 1 for the past ten years. Effort thrombosis was first reported in 1884 by von Schrotter. 2 By 1920, Cadenat 3 was able to collect 27 cases. Paggi, 4 in a review of the literature, found only 74 cases reported up to July 1933, and Matas 1r in 1934 was able to cite 100 such cases. Veal, in 1940, 5 reviewing the literature for the last fifty years, was able to collect less than 150 cases and reported 17 of his own. His statistics are, however, subject to qualification, since he includes types of thrombosis other than effort thrombosis in
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L.R.J. Kleinsasser (1949) conducted a review in Effort thrombosis of the axillary, subclavian, and brachial veins (n=72). Severe or unaccustomed exertion was evaluated. An analysis of 72 cases of effort thrombosis of the axillary, subclavian, and brachial veins indicates it may be the consequence of severe or unaccustomed exertion.
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