From the Department of Orthopaedic Surgery, William Beaumont Hospital, Royal Oak, MI.
J Am Acad Orthop Surg. 2019 Apr 15;27(8):265-274. doi: 10.5435/JAAOS-D-17-00763.
Venous thromboembolism (VTE) in the orthopaedic literature largely focuses on lower extremity trauma and arthroplasty, with relatively few investigations of VTE after shoulder surgery. Because the rate of shoulder surgery, especially arthroplasty, continues to expand, it is important for practicing surgeons to understand the magnitude of risk, potential consequences, and prevention methods with regard to VTE. VTE after shoulder surgery has been a topic of increasing interest over the past decade, and the purpose of this review is to examine the recent literature on pathophysiology, risk factors, incidence, diagnosis, sequelae, prevention, treatment, and current recommendations regarding VTE after shoulder surgery.
骨科文献中静脉血栓栓塞症（VTE）主要集中在下肢创伤和关节置换术，而对肩部手术后 VTE 的研究相对较少。由于肩部手术，尤其是关节置换术的比例不断增加，因此对于执业外科医生来说，了解 VTE 的风险程度、潜在后果和预防方法非常重要。肩部手术后的 VTE 是过去十年中越来越受到关注的话题，本综述的目的是检查关于肩部手术后 VTE 的发病机制、危险因素、发生率、诊断、后果、预防、治疗以及当前建议的最新文献。
