Related Experiment Video
Updated: Jul 16, 2026
06:45
Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
Operative Duration as an Independent Risk Factor for Lower-Extremity Deep Vein Thrombosis Following Shoulder
Yue Wang1, Baocai Zhang2, Haoran Guo1
1Department of Sports Medicine, Orthopaedics Clinic, The First Hospital of Jilin University, Changchun, China.
Orthopaedic Journal of Sports Medicine
|July 15, 2026
Summary
Venous thromboembolism (VTE) occurs more often after shoulder arthroscopy than previously thought. Longer surgery times significantly increase the risk of deep vein thrombosis (DVT).
Area of Science:
- Orthopaedic Surgery
- Vascular Surgery
- Diagnostic Imaging
Background:
- Venous thromboembolism (VTE) is a serious complication after orthopaedic surgery.
- The incidence and risk factors for VTE after shoulder arthroscopy are not well understood.
- Current evidence may underestimate VTE incidence due to reliance on symptom-based diagnosis.
Purpose of the Study:
- To determine the real-world incidence of VTE after shoulder arthroscopy using systematic ultrasonographic screening.
- To identify independent risk factors for VTE in this patient population.
Main Methods:
- Prospective cohort study of 282 patients undergoing elective shoulder arthroscopy.
- Bilateral lower extremity venous color Doppler ultrasonography performed preoperatively and postoperatively.
- Logistic regression analysis to identify independent predictors of deep vein thrombosis (DVT).
Main Results:
- The incidence of postoperative DVT diagnosed by ultrasound was 7.8%.
- Longer operative duration was identified as an independent risk factor for DVT (OR 2.86 per hour).
- No other clinical or laboratory variables were significantly associated with DVT in multivariate analysis.
Conclusions:
- Shoulder arthroscopy is associated with a higher VTE rate than previously recognized.
- Operative duration is a significant, identifiable risk factor for VTE.
- Findings suggest reconsidering VTE risk assessment and exploring risk-stratified prevention strategies.
Related Concept Videos
01:20Venous 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...
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
01:29Venous 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...
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the patient.
01:30Venous 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...