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Related Concept Videos

Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
Venous Thrombosis IV: Nursing Management01:30

Venous Thrombosis IV: Nursing Management

Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
Varicose Veins I: Introduction01:26

Varicose Veins I: Introduction

Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...
Pulmonary Embolism I: Introduction01:19

Pulmonary Embolism I: Introduction

A blood clot, or thrombus, is a semi-solid mass composed of fibrin, platelets, and red blood cells. When it forms within a vessel, it can obstruct blood flow, known as thrombosis. If part of the clot detaches, it becomes an embolus that can travel and block distant vessels. When this occurs in the pulmonary arteries, it causes a condition known as pulmonary embolism (PE).Origin and ImpactMost often, the embolus originates from a thrombus in the deep veins of the lower limbs, a condition called...

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Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
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Venous thrombosis in athletes.

Gregory Grabowski1, William K Whiteside, Michael Kanwisher

  • 1Department of Orthopaedic Surgery and Sports Medicine, University of South Carolina School of Medicine, Columbia, SC, USA.

The Journal of the American Academy of Orthopaedic Surgeons
|February 5, 2013
PubMed
Summary

Athletes undergoing orthopaedic procedures face deep vein thrombosis (DVT) risks due to acquired factors. Screening and preventive measures are crucial for high-risk athletes to mitigate DVT development.

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Published on: December 22, 2017

Area of Science:

  • Orthopaedic Surgery
  • Vascular Medicine
  • Sports Medicine

Background:

  • Deep vein thrombosis (DVT) is a potential complication following orthopaedic procedures.
  • Understanding hereditary and acquired risk factors for DVT is critical.
  • Athletes, despite generally low venous thrombosis risk, encounter specific thrombogenic factors.

Purpose of the Study:

  • To highlight the importance of identifying DVT risk factors in athletes.
  • To recommend screening protocols for athletes undergoing orthopaedic procedures.
  • To outline management strategies for DVT in athletes.

Main Methods:

  • Review of hereditary thrombophilia (Factor V Leiden, prothrombin G20210A, antithrombin III, protein C, protein S deficiencies).
  • Identification of acquired risk factors (trauma, immobilization, surgery, hemoconcentration, travel, oral contraceptives).
  • Discussion of screening during preparticipation physicals and preoperative evaluations.

Main Results:

  • Athletes are exposed to acquired thrombogenic risks like trauma, immobilization, and hemoconcentration.
  • Screening may identify athletes with a history of venous thrombosis or hypercoagulable disorders.
  • High-risk athletes may benefit from preventive measures like physical antithrombotic strategies or low-molecular-weight heparin.

Conclusions:

  • Orthopaedic surgeons should consider screening athletes for DVT risk factors.
  • Proactive DVT prevention is recommended for high-risk athletes.
  • Management of DVT in athletes should follow established guidelines, including risk assessment and anticoagulation.