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Upper Extremity Thrombosis Presenting as Medial Elbow Pain after Shoulder Arthroscopy

Deep vein thrombosis of the upper extremity is believed to be an uncommon complication of arthroscopic shoulder surgery. It most commonly presents with significant swelling and pain throughout the upper extremity. However the diagnosis can be easily missed when findings are more subtle and unrelated...

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Autores principales: Manaqibwala, Moiz I., Ghobrial, Irene E., Curtis, Alan S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3977502/
https://www.ncbi.nlm.nih.gov/pubmed/24772360
http://dx.doi.org/10.1155/2014/653146
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author Manaqibwala, Moiz I.
Ghobrial, Irene E.
Curtis, Alan S.
author_facet Manaqibwala, Moiz I.
Ghobrial, Irene E.
Curtis, Alan S.
author_sort Manaqibwala, Moiz I.
collection PubMed
description Deep vein thrombosis of the upper extremity is believed to be an uncommon complication of arthroscopic shoulder surgery. It most commonly presents with significant swelling and pain throughout the upper extremity. However the diagnosis can be easily missed when findings are more subtle and unrelated or the patient asymptomatic. In this study we report on 5 cases of postoperative upper extremity deep vein thrombosis (UEDVT). Each case was performed in the lateral decubitus position with an interscalene block and postoperative sling immobilization. All patients presented with a primary complaint of medial elbow pain and went on to require anticoagulation. Only one patient was found to have a heritable coagulopathy. The true incidence of thromboembolic phenomena after shoulder arthroscopy may be higher than that reported in the current literature. Therefore a high index of suspicion must be maintained when evaluating patients postoperatively to avoid misdiagnosis. Symptoms of medial elbow pain after immobilization in a sling should be considered an indication for duplex ultrasound evaluation. Ultimately, further prospective study is needed to better understand the prevalence, prevention, and management of this entity.
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spelling pubmed-39775022014-04-27 Upper Extremity Thrombosis Presenting as Medial Elbow Pain after Shoulder Arthroscopy Manaqibwala, Moiz I. Ghobrial, Irene E. Curtis, Alan S. Case Rep Orthop Case Report Deep vein thrombosis of the upper extremity is believed to be an uncommon complication of arthroscopic shoulder surgery. It most commonly presents with significant swelling and pain throughout the upper extremity. However the diagnosis can be easily missed when findings are more subtle and unrelated or the patient asymptomatic. In this study we report on 5 cases of postoperative upper extremity deep vein thrombosis (UEDVT). Each case was performed in the lateral decubitus position with an interscalene block and postoperative sling immobilization. All patients presented with a primary complaint of medial elbow pain and went on to require anticoagulation. Only one patient was found to have a heritable coagulopathy. The true incidence of thromboembolic phenomena after shoulder arthroscopy may be higher than that reported in the current literature. Therefore a high index of suspicion must be maintained when evaluating patients postoperatively to avoid misdiagnosis. Symptoms of medial elbow pain after immobilization in a sling should be considered an indication for duplex ultrasound evaluation. Ultimately, further prospective study is needed to better understand the prevalence, prevention, and management of this entity. Hindawi Publishing Corporation 2014 2014-03-19 /pmc/articles/PMC3977502/ /pubmed/24772360 http://dx.doi.org/10.1155/2014/653146 Text en Copyright © 2014 Moiz I. Manaqibwala et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Manaqibwala, Moiz I.
Ghobrial, Irene E.
Curtis, Alan S.
Upper Extremity Thrombosis Presenting as Medial Elbow Pain after Shoulder Arthroscopy
title Upper Extremity Thrombosis Presenting as Medial Elbow Pain after Shoulder Arthroscopy
title_full Upper Extremity Thrombosis Presenting as Medial Elbow Pain after Shoulder Arthroscopy
title_fullStr Upper Extremity Thrombosis Presenting as Medial Elbow Pain after Shoulder Arthroscopy
title_full_unstemmed Upper Extremity Thrombosis Presenting as Medial Elbow Pain after Shoulder Arthroscopy
title_short Upper Extremity Thrombosis Presenting as Medial Elbow Pain after Shoulder Arthroscopy
title_sort upper extremity thrombosis presenting as medial elbow pain after shoulder arthroscopy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3977502/
https://www.ncbi.nlm.nih.gov/pubmed/24772360
http://dx.doi.org/10.1155/2014/653146
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