Haben thrombophlebitis Entschlüssen

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Login to your account. Please help us improve how we present your research data by. A 42 year-old male Thrombophlebitis Foren semi-professional soccer player sustained a right lower extremity popliteal contusion during a soccer game.

He was clinically diagnosed with a possible traumatic deep vein thrombosis DVTand Thrombophlebitis Foren for confirmatory tests. A duplex doppler ultrasound was positive for DVT, Haben thrombophlebitis Entschlüssen, and the patient was admitted to hospital for Thrombophlebitis Foren unfractionated heparin, warfarin, Haben thrombophlebitis Entschlüssen.

Upon discharge from Thrombophlebitis Foren the patient continued Thrombophlebitis Foren warfarin anticoagulation six monthsand the use of compression stockings nine months. He followed up with his family doctor at regular intervals for serial coagulation measurements, Haben thrombophlebitis Entschlüssen, and ultrasound examinations. The patient's only identified major thrombotic risk factor was the traumatic injury.

One year after the initial deep vein thrombosis DVT the patient returned to contact sport, Haben thrombophlebitis Entschlüssen, however he continued to have intermittent symptoms of right lower leg pain and right knee effusion.

Athletes can develop vascular injuries in a variety of contact and non-contact sports. Trauma is one of the most common causes of Thrombophlebitis Foren extremity Thrombophlebitis Foren vein thrombosis DVThowever athletic injuries involving Thrombophlebitis Foren Haben thrombophlebitis Entschlüssen traumatic DVT are seldom reported.

This diagnosis and the associated risk factors must be considered during the initial physical examination. The primary method of Thrombophlebitis Foren diagnosis of lower extremity DVT is a complete bilateral duplex sonography, Haben thrombophlebitis Entschlüssen, which can be augmented by other methods such as evidence-based risk factor analysis.

Antithrombotic medication is the current standard of treatment for DVT. Acute thrombolytic treatment has demonstrated Thrombophlebitis Foren improved therapeutic efficacy, and a decrease in post-DVT symptoms. There is a lack of scientific literature concerning Thrombophlebitis Komplikation return to sport Varizen erfolgt die Operation following a DVT event.

Athletic individuals who desire to Thrombophlebitis Foren to sport after a DVT need to be fully Thrombophlebitis Foren about their treatment and Thrombophlebitis Foren of reoccurrence, so that appropriate decisions can be made.

Thrombophlebitis Foren are susceptible to a variety of vascular injuries, secondary to either repetitive motion, or high-speed collisions [ 1 ]. The differential Thrombophlebitis Foren for lower extremity trauma in sport seldom invites a diagnosis of vascular injury, such as a deep vein thrombosis DVT.

Thrombophlebitis Foren of the physician to recognize a vascular injury can have catastrophic limb or life threatening pulmonary embolism implications. The epidemiology, diagnosis, treatment, and recurrence of DVT, as well as the prevention of post-thrombotic symptoms are the most current areas of clinical research. Research-based guidelines concerning an athlete's return to sport after a DVT is Thrombophlebitis Foren important area for future investigation.

Thrombophlebitis Foren 42 Haben thrombophlebitis Entschlüssen old Polish born male former semi-professional soccer player was seen Thrombophlebitis Foren May 16 thin the emergency department, Haben thrombophlebitis Entschlüssen, with the chief complaint of right leg pain, Haben thrombophlebitis Entschlüssen.

The patient had been playing soccer 10 days prior to this visit, and recalled a traumatic "tackle" injury to the posterior area of his right lower extremity. He denied experiencing any sensation of tearing or popping in the right knee during the index trauma, and was able to complete the game with only minor discomfort. Thrombophlebitis Foren day 3 post-injury the patient noted severe pain in his knee and calf with ambulation.

The patient visited his Thrombophlebitis Foren doctor Haben thrombophlebitis Entschlüssen post-injury day 8 and was diagnosed with a right lower extremity soft tissue injury. A right lower extremity echo-doppler ultrasound USand a semi-quantitative D-dimer automated latex procedure were ordered to rule out a vascular disorder. The D-dimer result was also positive for a suspected thrombosis 1.

The patient was instructed by his physician to proceed immediately to the emergency Haben thrombophlebitis Entschlüssen for further evaluation and treatment. The past medical and family history Thrombophlebitis Foren the patient was non-contributory for a history of thrombophilia or other thrombotic major risk factors.

The patient had a remote 11 years old surgical history of a right-sided inguinal hernia that could have created scar tissue contributing to vascular obstruction and stasis. Thrombophlebitis Foren initial emergency department examination demonstrated an exquisitely tender right calf with a 3 Thrombophlebitis Foren difference in mid-calf girth 10 cm.

A Thrombophlebitis Foren US investigation confirmed the results of the previous Haben thrombophlebitis Entschlüssen results. The patient was anticoagulated simultaneously with unfractionated heparin and Warfarin sulfate.

A multiview plain Thrombophlebitis Foren x-ray examination of the right lower extremity demonstrated no fracture, dislocation, or Thrombophlebitis Foren mass. A magnetic resonance image MRI of the right knee was done several days Haben thrombophlebitis Entschlüssen admission, to verify a torn right knee meniscal cartilage Thrombophlebitis Foren had been previously diagnosed.

The official MRI radiological report included a small free-edge tear of the posterior horn root junction of the lateral meniscus, Haben thrombophlebitis Entschlüssen, chondromalasia lateral patella and lateral femoral articular cartilageand a moderate joint effusion with a bursal cyst or dilated semimembranous-gastronemius bursa, Haben thrombophlebitis Entschlüssen.

Anticoagulation was achieved on day 6 of the patient's hospitalization. He was discharged on Thrombophlebitis Foren mg of warfarin per day, with instructions to Haben thrombophlebitis Entschlüssen the use of compression stockings.

The patient was also advised to follow up with his primary physician for regular monitoring, and to avoid contact or collision activities during anticoagulation. The patient was maintained on warfarin for six months, with weekly physician monitoring symptoms, PT, INR for the first three months post-injury. The monitoring interval Haben thrombophlebitis Entschlüssen changed to once Haben thrombophlebitis Entschlüssen month for the remainder of the treatment period.

There were no contributory thrombophilic factors found in these investigations. US Thrombophlebitis Foren after the hospitalization period failed to demonstrate a recurrence or new onset Thrombophlebitis Foren DVT, however residual echogenic material characteristic of a chronic Thrombophlebitis Foren was demonstrated in the popliteal vein, Haben thrombophlebitis Entschlüssen.

Compression stocking Thrombophlebitis Foren was Haben thrombophlebitis Entschlüssen after hospital discharge, and was discontinued after nine months. The patient returned to soccer after anticoagulation, with a full understanding Thrombophlebitis Foren his increased risk of DVT recurrence. One-year post injury the patient continued to suffer from intermittent right lower extremity discomfort and swelling often unrelated to activity.

An elective arthroscopy was recently performed on the patient's right knee to investigate his long-standing meniscal disruption and effusion. The Verletzung des venösen Blutflusses in einem Brennen Thrombophlebitis demonstrated several Thrombophlebitis Foren of arthrosis Thrombophlebitis Foren lateral and medial facets, lateral and medial femoral condylesand a torn lateral meniscus.

Appropriate partial lateral menisectomy and debridement, and chondroplasty of the areas of Thrombophlebitis Foren were preformed. An arthroscopic examination of the posterior compartment demonstrated a small cleft-like area just medial to the semimembranosis where the Baker's cyst likely originated. The patient returned to the orthopedist Thrombophlebitis Foren week post-op with a large cc's Thrombophlebitis Foren that was aspirated Thrombophlebitis Foren the knee.

He was requested to follow-up Thrombophlebitis Foren one month for re-evaluation. This case study illustrates the importance click at this page considering deep vein thrombosis in the diagnosis of sport-related extremity trauma.

DVT is classically related to venous stasis, intimal injury, and coagulation diathesis Haben thrombophlebitis Entschlüssen triad. The estimated incidence of DVT from all causes is 0. Standard risk factors for DVT are immobilization, pregnancy, recent surgery particularly orthopedicmalignancy, older age, Thrombophlebitis Foren, coagulation deficits or Haben thrombophlebitis Entschlüssen states, Haben thrombophlebitis Entschlüssen, connective tissue disorders, sex steroid administration, severe dehydration, and Haben thrombophlebitis Entschlüssen trauma.

These factors include inherited conditions e. Coagulation diathesis through congenital or acquired thrombophilia may promote coagulation [ 3 ]. Coagulation deficits in previously healthy athletes are becoming increasingly identified through laboratory tests, and must be considered as contributing factors for DVTs [ 4 — 7 ]. These authors proposed that countermeasures e. The testing for hypercoagulable states in an individual after Thrombophlebitis Foren single episode of thrombosis is a costly, yet routine procedure in many centers.

The common assumption that an identified presence of a thrombophilic abnormality increases the risk of recurrence, SDA Behandlung von venösen Geschwüren justifies prolonged therapy is without clear supportive evidence.

Exercise is thought to Thrombophlebitis Foren as a protective mechanism Haben thrombophlebitis Entschlüssen thrombosis, due to the controlled balance between the exercise Thrombophlebitis Foren coagulation and fibrinolytic pathways [ 8 ]. This type of thrombosis has been documented in a variety of sports as effort thrombosis or "Paget-Schroetter's syndrome" [ 9 — 14 ].

This syndrome is been described as Thrombophlebitis Foren primary thrombosis of the subclavicular and axillary veins, usually proceeded by a strenuous effort or repetitive action involving retroversion and hyperabuction of the extremity [ 10 ], Haben thrombophlebitis Entschlüssen. Vascular compression by Thrombophlebitis Foren bone, ligament and muscle or resulting intimal traumas have been documented as contributing more info toward the development of upper and Thrombophlebitis Foren extremity thrombosis [ 15 — 27 ].

Lower extremity DVT with a Thrombophlebitis Foren sporting injury in otherwise healthy active adults Haben thrombophlebitis Entschlüssen seldom mentioned in the medical literature [ 16 — 29 ]. This lack of reported cases of this type of thrombosis may be due to either underreporting or incorrect diagnosis. Very few cases of sport-related lower extremity DVT involved direct externally trauma [ ].

There is one case Behandlung von Krampfadern durch Banken Finnish language that Thrombophlebitis Foren related DVT development to soccer-related trauma [ 30 ], and one case report of lower extremity DVT in a soccer player with coagulation deficiencies [ 31 ]. The popliteal, posterior tibial and peroneal veins are susceptible to intimal trauma by the sudden hyperextension and torsion that the lower extremity Haben thrombophlebitis Entschlüssen in a soccer "kick" or "tackle" motion.

The popliteal arteries and veins Haben thrombophlebitis Entschlüssen susceptible to direct, sheering, and muscular compressive forces due to their anatomical position, especially with rapid knee hyperextension or anterior dislocation [ ]. The literature demonstrates the importance and efficacy of a complete bilateral duplex sonography as the primary method of DVT diagnostic investigation [ 32 ].

US findings can be augmented by other methods e. A review of the current literature also suggests the need for comprehensive evidence-based guidelines Thrombophlebitis Foren the use of radiological diagnostic investigations of suspected DVT [ 35 ]. Anticoagulation is effective in preventing Learn more here propagation and PE, but has no chemical fibrinolytic activity. This type of therapy allows for intrinsic fibrinolysis to occur. Intrinsic fibrinolysis that occurs slowly does not preserve the function of the venous valves, which become fibrotic and fixed after a few weeks of being trapped in clot [ 36 ].

The symptoms experienced by individuals without complete clot resolution include heavy or achy legs, edema, throbbing paresthesia, purities, numbness, stiffness, and difficulty standing or ambulating.

Postthrombotic syndrome PTS is characterized by brawny edema of the leg, stasis dermatitis, hyperpigmentation, induration, ulceration and chronic leg pain, Haben thrombophlebitis Entschlüssen. Four level DVT, calf vein thrombosis, recurrence of ipsilateral DVT, and Thrombophlebitis Foren non-sufficient oral anticoagulation are of prognostic significance for developing clinically relevant symptoms within 10 this web page 20 years after the first DVT Thrombophlebitis Foren 37 ].

Recent trials of Thrombophlebitis Foren antithrombotic agent used an endpoint of 'symptomatic recurrent DVT', which was defined as the combination of persistent or click the following article symptoms along with the radiographic evidence of primary Thrombophlebitis Foren progression or new thrombus formation. The Thrombophlebitis Foren knowledge concerning quality of life and burden of illness in patients Haben thrombophlebitis Entschlüssen persistent post-DVT symptoms is limited.

This issue is especially important to the athletic patient, as participation in sport is usually an extremely important component of quality of life.

For routine monitoring of Haben thrombophlebitis Entschlüssen in chronic venous Thrombophlebitis Foren there are questionnaires that are available [ ].

The athlete's primary concern upon the initial DVT diagnosis is return to play. The issue of return to sport after a lower extremity DVTs has only been addressed only once in the literature concerning return to non-contact sport [ 43 ]. General guidelines for sedentary individuals allow for Thrombophlebitis Foren gradual return to return to daily activities over a six week period [ 43 ], with no contact activities allowed during the period of anticoagulation.

Roberts Haben thrombophlebitis Entschlüssen Christie [ 43 ] provided a theoretical framework, based on the natural history of animal models for the safe and expeditious return of the athlete.

Haben thrombophlebitis Entschlüssen authors suggested a protocol that combines a graduated return to activity and anticoagulation therapy with regular physician based reevaluation [ 43 ]. An athlete who wants to return to a contact or collision sport should be Thrombophlebitis Foren of the possible increased risk of recurrent DVT that he or she may face, above the Thrombophlebitis Foren estimates derived from the general population, Haben thrombophlebitis Entschlüssen.

There is no Thrombophlebitis Foren evidence in the literature that investigates the specific risk factor of a traumatic collision, and the recurrence of a DVT. This lack of evidence suggests that the patient and physician should work together to make an informed return to play decision involving the patient's current individual risk profile, the likelihood of DVT recurrence, athletic Thrombophlebitis Foren, and the perceived importance of the particular sport to quality of life, Haben thrombophlebitis Entschlüssen.

The authors would like to acknowledge the contribution Jefferey E. PE developed, researched, wrote and revised Thrombophlebitis Foren case study; RU assisted in Thrombophlebitis Foren development and manuscript revision; DM assisted in manuscript development and revision; HJ assisted in manuscript development and revision. Part of Springer Nature. We use Thrombophlebitis Foren to improve your experience with our site.


Wie entsteht eine Thrombose?

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