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Published on: July 5, 2011
Venous thromboembolism in shoulder surgery: a systematic review
Nwakile I Ojike1, Arup K Bhadra, Peter V Giannoudis
1Department of Orthopaedic Surgery, University of Louisville, Louisville, KY, USA.
Acta Orthopaedica Belgica
|August 18, 2011
Summary
Deep venous thrombosis (DVT) and pulmonary embolism (PE), collectively known as venous thromboembolism (VTE), are increasingly reported after shoulder surgery. This review examines the current evidence on VTE incidence, risks, diagnosis, and management following these procedures.
Area of Science:
- Orthopedic Surgery
- Vascular Surgery
- Evidence-Based Medicine
Background:
- Venous thromboembolism (VTE) is often considered rare after shoulder surgery.
- However, recent reports indicate a rise in deep venous thrombosis (DVT) and pulmonary embolism (PE) cases.
- Limited comprehensive reviews exist on this topic.
Purpose of the Study:
- To systematically review the existing literature on DVT/PE following shoulder surgery.
- To analyze the incidence, risk factors, diagnostic methods, and management strategies for VTE after shoulder procedures.
Main Methods:
- Literature search of published studies.
- Review of evidence pertaining to DVT/PE in the context of shoulder surgery.
- Analysis based on Level IV evidence.
Main Results:
- Increasing reports of DVT and PE post-shoulder surgery.
- Identification of potential risk factors and diagnostic challenges.
- Summary of current management approaches.
Conclusions:
- VTE after shoulder surgery, while perhaps underestimated, warrants attention.
- Further research is needed to clarify incidence and optimal prevention/management.
- Clinicians should be vigilant for VTE symptoms in patients undergoing shoulder surgery.
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