Pulmonary embolism after acromioplasty and rotator cuff repair

Amarasekera, Sumedha S.; Dalen, John van; Thompson, Thomas J.; Osman, Medhat

doi:10.1016/j.jse.2008.02.001

Cited by 12 publications

(7 citation statements)

References 10 publications

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“…The majority of the published data on VTE after rotator cuff repair consist of individual patients in a larger series or case reports [4,38]. Similar evidence exists in regard to VTE after shoulder arthroscopy in general [39][40][41][42].…”

Section: Venous Thromboembolismmentioning

confidence: 97%

Management of complications after rotator cuff surgery

Parada

Dilisio

Kennedy

2014

Curr Rev Musculoskelet Med

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Rotator cuff repair (RCR) is a common procedure performed by orthopedic surgeons via arthroscopic, open, or mini-open techniques. While this surgery is considered to be of low morbidity, several potential complications can arise either intraoperatively or during the postoperative time period. Some of these complications are related to the surgical approach (arthroscopic or open), while others are patient dependent. Many of these complications can be managed through nonoperative means; however, early recognition and timely treatment is essential in limiting the long-term sequela and improving patient outcome. There are several different ways to classify complications after RCR repair: timing, severity, preventability, whether or not the pathology is intra-or extraarticular, and the type of treatment necessary. It is essential that the surgeon is cognizant of the etiology contributing to the failed RCR surgery in order to provide timely and proper management.

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Section: Venous Thromboembolismmentioning

confidence: 97%

Management of complications after rotator cuff surgery

Parada

Dilisio

Kennedy

2014

Curr Rev Musculoskelet Med

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“…This is problematic for physicians, as an estimated 12% to 36% of patients with an upper extremity DVT will develop a pulmonary embolism (PE) or postthrombotic syndrome. 1,2,[5][6][7] Patients with an upper extremity DVT may have more than twice the risk of developing a PE compared with patients with a lower extremity DVT. 2 Thus, it is vital that physicians remain vigilant in assessing for upper extremity DVTs, especially in patients with risk factors.…”

Section: Clinical Manifestationsmentioning

confidence: 99%

“…Patients who develop a lower extremity DVT have a higher rate of complications and a higher short-term mortality rate than patients who do not develop DVTs. [1][2][3][4][5][6][7] Several factors, including age, anatomy, central venous catheters, trauma, and diagnosis of cancer, may predispose patients to developing an upper extremity DVT. 1,[8][9][10] During the past decade, some studies have reported an increased risk of upper extremity DVT in patients undergoing elective orthopedic procedures of the upper extremity.…”

mentioning

confidence: 99%

Upper Extremity Deep Venous Thrombosis Prophylaxis After Elective Upper Extremity Surgery

Sindhu¹,

Cohen²,

Blood³

et al. 2018

Orthopedics

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Historically, upper extremity deep venous thromboses (DVTs) have been rare; however, their incidence has increased as awareness has increased. Patients who develop upper extremity DVTs often have multiple comorbidities. However, in the past decade, studies have found a small risk of upper extremity DVTs associated with orthopedic procedures involving the upper extremity. The risk of complications following a DVT, including postthrombotic syndrome and pulmonary embolism, is substantially higher with a DVT of the upper extremity compared with a DVT of the lower extremity. Furthermore, there is no consensus regarding the role and efficacy of prophylactic measures in preventing upper extremity DVT after upper extremity surgery. This article discusses the use of prophylactic agents after elective upper extremity surgery, with an emphasis on the efficacy of commonly used interventions. [Orthopedics. 2018; 41(1):21-27.].

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“…Shoulder arthroscopy was first described as a possible cause by Burkhart as early as 1990 [ 6 ]. At the time it was suggested there must be another underlying process other than the procedure, however, several subsequent case reports have refuted that claim [ 7 – 11 ].…”

Section: Introductionmentioning

confidence: 99%

Upper Extremity Thrombosis Presenting as Medial Elbow Pain after Shoulder Arthroscopy

Manaqibwala

Ghobrial

Curtis

2014

Case Reports in Orthopedics

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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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Pulmonary embolism after acromioplasty and rotator cuff repair

Cited by 12 publications

References 10 publications

Management of complications after rotator cuff surgery

Management of complications after rotator cuff surgery

Upper Extremity Deep Venous Thrombosis Prophylaxis After Elective Upper Extremity Surgery

Upper Extremity Thrombosis Presenting as Medial Elbow Pain after Shoulder Arthroscopy

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