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肱骨近端骨折后上肢深静脉血栓形成:一例骨科病例报告

Upper-Extremity Deep Venous Thrombosis following a Fracture of the Proximal Humerus: An Orthopaedic Case Report.

作者信息

Strony John, Chang Gerard, Krieg James C

机构信息

The Rothman Orthopaedic Institute Department of Research, Sheridan Building 10th Floor, 125 S 9th Street, Philadelphia, PA 19107, USA.

Department of Orthopaedic Surgery, Thomas Jefferson University Hospital, 132 S 10th Street, Philadelphia, PA 19107, USA.

出版信息

Case Rep Orthop. 2019 Nov 4;2019:6863978. doi: 10.1155/2019/6863978. eCollection 2019.

Abstract

Deep venous thrombosis of the lower extremities following orthopaedic surgery is well-documented. Though less common than its lower extremity counterpart, upper extremity deep venous thrombosis (UEDVT) has been documented in the literature as well, largely in the context of arthroscopic shoulder surgery. However, there is a paucity of literature documenting UEDVT following surgical fixation of upper extremity fractures, specifically fractures involving the proximal humerus. We present a case of UEDVT following a fracture to the proximal humerus and subsequent surgery. Though UEDVT is considered a rare complication following this type of surgery based on a lack of documentation within the literature, we believe a high-index of suspicion is required to prevent potentially life-threatening sequelae, such as pulmonary embolism (PE) and post-thrombotic syndrome.

摘要

骨科手术后下肢深静脉血栓形成已有充分记录。上肢深静脉血栓形成(UEDVT)虽不如下肢深静脉血栓形成常见,但文献中也有记载,主要见于关节镜下肩部手术。然而,关于上肢骨折手术固定后,特别是涉及近端肱骨骨折后的UEDVT的文献较少。我们报告一例近端肱骨骨折及后续手术后发生UEDVT的病例。尽管基于文献中缺乏记录,UEDVT被认为是这类手术后的罕见并发症,但我们认为需要高度怀疑以预防潜在的危及生命的后遗症,如肺栓塞(PE)和血栓后综合征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3b8/6875200/c7cccdb03be2/CRIOR2019-6863978.001.jpg

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