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Acute Upper Extremity Vein Thrombosis in Recurrent Shoulder Dislocation.
Abdulaziz A AlRabiah1, Atikah T Kadi1, Lama I Al Musallam1
1Emergency Medicine, King Saud University, Riyadh, SAU.
Cureus
|December 19, 2022
Summary
Recurrent shoulder dislocation can rarely lead to upper extremity deep vein thrombosis (DVT). This case highlights an unusual presentation of cephalic vein thrombus and subclavian vein DVT following shoulder joint instability.
Area of Science:
- Orthopedics
- Vascular Surgery
- Radiology
Background:
- Shoulder dislocations are common, often linked to fractures and neurovascular issues.
- Upper extremity venous thrombosis (UE-VT) accounts for 10% of all venous thrombosis.
- UE-VT is frequently associated with catheters, malignancy, and infection, potentially causing pulmonary embolism.
Observation:
- This case details a patient experiencing recurrent shoulder dislocation.
- The patient developed an acute superficial thrombus in the cephalic vein.
- Simultaneously, deep vein thrombosis (DVT) was identified in the subclavian vein.
Findings:
- The study presents a rare instance of combined cephalic vein superficial thrombus and subclavian vein DVT.
- This venous complication occurred subsequent to recurrent shoulder dislocations.
- The presentation is considered an unusual manifestation of shoulder joint instability.
Implications:
- This case underscores the importance of considering venous complications in patients with recurrent shoulder dislocations.
- Early diagnosis and management of UE-VT are crucial to prevent serious outcomes like pulmonary embolism.
- Further research may elucidate the specific mechanisms linking shoulder instability to venous thrombosis.
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