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复发性肩关节脱位中的急性上肢静脉血栓形成

Acute Upper Extremity Vein Thrombosis in Recurrent Shoulder Dislocation.

作者信息

AlRabiah Abdulaziz A, Kadi Atikah T, Al Musallam Lama I, Aldawood Albraa A, Alshowihi Sulaiman S

机构信息

Emergency Medicine, King Saud University, Riyadh, SAU.

出版信息

Cureus. 2022 Nov 14;14(11):e31488. doi: 10.7759/cureus.31488. eCollection 2022 Nov.

Abstract

The shoulder joint is a commonly dislocated joint in the human body. Shoulder dislocations are commonly associated with fractures of greater tuberosity and neurovascular injuries and are rarely associated with venous complications like deep vein thrombosis (DVT). Ten percent of all venous thrombosis is related to upper extremity venous thrombosis (UE-VT). Severe UE-VT cases are associated with endovenous catheters. Moreover, UE-VT often occurs in specific medical conditions, including hematological malignancy, solid neoplasia, and progressive infection. UE-VT can lead to serious complications such as pulmonary embolism and postthrombotic syndrome. This article presents a case of acute superficial thrombus in the cephalic vein and DVT in the subclavian vein following recurrent shoulder dislocation, which we believe is a rare presentation.

摘要

肩关节是人体中常见的脱位关节。肩关节脱位常伴有大结节骨折和神经血管损伤,很少伴有深静脉血栓形成(DVT)等静脉并发症。所有静脉血栓形成中有10%与上肢静脉血栓形成(UE-VT)有关。严重的UE-VT病例与静脉内导管有关。此外,UE-VT常发生于特定的医疗状况,包括血液系统恶性肿瘤、实体瘤和进行性感染。UE-VT可导致严重并发症,如肺栓塞和血栓形成后综合征。本文介绍了一例复发性肩关节脱位后头静脉急性浅表血栓形成和锁骨下静脉DVT的病例,我们认为这是一种罕见的表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f61f/9749872/8528e4b05b31/cureus-0014-00000031488-i01.jpg

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