Deep vein thromboembolism after arthroscopy of the shoulder

Two case reports and a review of the literature

Raffaele Garofalo, Angela Notarnicola, Lorenzo Moretti, Biagio Moretti, Stefania Marini, Alessandro Castagna

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Background. Deep vein thrombosis (DVT) has an incidence of 1 case per 1000 inhabitants in the general population and it is very rare after arthroscopy of the shoulder. Therefore, the current guidelines do not advise the administration of DVT prophylaxis in shoulder arthroscopy procedures. Cases presentation. We describe two cases of thrombosis of the arm after shoulder arthroscopy on a total of 10.452 shoulder arthroscopies performed during a period of ten years. One of two patients was further complicated by a bilateral pulmonary microembolism. In these two clinical cases the complication developed despite the absence of risk factors such as a concomitant neoplasm, thrombophilia, smoking habit, or a long duration of the procedure. Conclusions. The DVT after shoulder arthroscopy procedure remain a very rare complication. However, in view of the growing number of patients undergoing this procedure, this figure is expected to rise. The clinician surgeon should take in mind this possible complication that normally appears in the first 3 weeks after surgery, so to perform anti-coagulant treatment. Further clinical studies are therefore warranted to assess the true risk of VTE. In fact, the presence of "minor" predisposing factors that are not routinely studied, as well as the postoperative immobilization period, are potential risk factors that, associated with the invasiveness of the arthroscopy procedure, could trigger a thromboembolism.

Original languageEnglish
Article number65
JournalBMC Musculoskeletal Disorders
Volume11
DOIs
Publication statusPublished - 2010

Fingerprint

Thromboembolism
Arthroscopy
Veins
Venous Thrombosis
Coagulants
Thrombophilia
Postoperative Period
Immobilization
Causality
Habits
Thrombosis
Arm
Smoking
Guidelines
Lung
Incidence
Population
Neoplasms

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Deep vein thromboembolism after arthroscopy of the shoulder : Two case reports and a review of the literature. / Garofalo, Raffaele; Notarnicola, Angela; Moretti, Lorenzo; Moretti, Biagio; Marini, Stefania; Castagna, Alessandro.

In: BMC Musculoskeletal Disorders, Vol. 11, 65, 2010.

Research output: Contribution to journalArticle

Garofalo, Raffaele ; Notarnicola, Angela ; Moretti, Lorenzo ; Moretti, Biagio ; Marini, Stefania ; Castagna, Alessandro. / Deep vein thromboembolism after arthroscopy of the shoulder : Two case reports and a review of the literature. In: BMC Musculoskeletal Disorders. 2010 ; Vol. 11.
@article{eb2cc08967274f488d00650e5af1c004,
title = "Deep vein thromboembolism after arthroscopy of the shoulder: Two case reports and a review of the literature",
abstract = "Background. Deep vein thrombosis (DVT) has an incidence of 1 case per 1000 inhabitants in the general population and it is very rare after arthroscopy of the shoulder. Therefore, the current guidelines do not advise the administration of DVT prophylaxis in shoulder arthroscopy procedures. Cases presentation. We describe two cases of thrombosis of the arm after shoulder arthroscopy on a total of 10.452 shoulder arthroscopies performed during a period of ten years. One of two patients was further complicated by a bilateral pulmonary microembolism. In these two clinical cases the complication developed despite the absence of risk factors such as a concomitant neoplasm, thrombophilia, smoking habit, or a long duration of the procedure. Conclusions. The DVT after shoulder arthroscopy procedure remain a very rare complication. However, in view of the growing number of patients undergoing this procedure, this figure is expected to rise. The clinician surgeon should take in mind this possible complication that normally appears in the first 3 weeks after surgery, so to perform anti-coagulant treatment. Further clinical studies are therefore warranted to assess the true risk of VTE. In fact, the presence of {"}minor{"} predisposing factors that are not routinely studied, as well as the postoperative immobilization period, are potential risk factors that, associated with the invasiveness of the arthroscopy procedure, could trigger a thromboembolism.",
author = "Raffaele Garofalo and Angela Notarnicola and Lorenzo Moretti and Biagio Moretti and Stefania Marini and Alessandro Castagna",
year = "2010",
doi = "10.1186/1471-2474-11-65",
language = "English",
volume = "11",
journal = "BMC Musculoskeletal Disorders",
issn = "1471-2474",
publisher = "BioMed Central",

}

TY - JOUR

T1 - Deep vein thromboembolism after arthroscopy of the shoulder

T2 - Two case reports and a review of the literature

AU - Garofalo, Raffaele

AU - Notarnicola, Angela

AU - Moretti, Lorenzo

AU - Moretti, Biagio

AU - Marini, Stefania

AU - Castagna, Alessandro

PY - 2010

Y1 - 2010

N2 - Background. Deep vein thrombosis (DVT) has an incidence of 1 case per 1000 inhabitants in the general population and it is very rare after arthroscopy of the shoulder. Therefore, the current guidelines do not advise the administration of DVT prophylaxis in shoulder arthroscopy procedures. Cases presentation. We describe two cases of thrombosis of the arm after shoulder arthroscopy on a total of 10.452 shoulder arthroscopies performed during a period of ten years. One of two patients was further complicated by a bilateral pulmonary microembolism. In these two clinical cases the complication developed despite the absence of risk factors such as a concomitant neoplasm, thrombophilia, smoking habit, or a long duration of the procedure. Conclusions. The DVT after shoulder arthroscopy procedure remain a very rare complication. However, in view of the growing number of patients undergoing this procedure, this figure is expected to rise. The clinician surgeon should take in mind this possible complication that normally appears in the first 3 weeks after surgery, so to perform anti-coagulant treatment. Further clinical studies are therefore warranted to assess the true risk of VTE. In fact, the presence of "minor" predisposing factors that are not routinely studied, as well as the postoperative immobilization period, are potential risk factors that, associated with the invasiveness of the arthroscopy procedure, could trigger a thromboembolism.

AB - Background. Deep vein thrombosis (DVT) has an incidence of 1 case per 1000 inhabitants in the general population and it is very rare after arthroscopy of the shoulder. Therefore, the current guidelines do not advise the administration of DVT prophylaxis in shoulder arthroscopy procedures. Cases presentation. We describe two cases of thrombosis of the arm after shoulder arthroscopy on a total of 10.452 shoulder arthroscopies performed during a period of ten years. One of two patients was further complicated by a bilateral pulmonary microembolism. In these two clinical cases the complication developed despite the absence of risk factors such as a concomitant neoplasm, thrombophilia, smoking habit, or a long duration of the procedure. Conclusions. The DVT after shoulder arthroscopy procedure remain a very rare complication. However, in view of the growing number of patients undergoing this procedure, this figure is expected to rise. The clinician surgeon should take in mind this possible complication that normally appears in the first 3 weeks after surgery, so to perform anti-coagulant treatment. Further clinical studies are therefore warranted to assess the true risk of VTE. In fact, the presence of "minor" predisposing factors that are not routinely studied, as well as the postoperative immobilization period, are potential risk factors that, associated with the invasiveness of the arthroscopy procedure, could trigger a thromboembolism.

UR - http://www.scopus.com/inward/record.url?scp=77950688803&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77950688803&partnerID=8YFLogxK

U2 - 10.1186/1471-2474-11-65

DO - 10.1186/1471-2474-11-65

M3 - Article

VL - 11

JO - BMC Musculoskeletal Disorders

JF - BMC Musculoskeletal Disorders

SN - 1471-2474

M1 - 65

ER -