Previous Next

ARCHIVE

№2' 2021

RADIATION DIAGNOSIS

International Medical Journal, Vol. 27., Iss. 2, 2021, P. 89−92.

DOI (https://doi.org/10.37436/2308-5274-2021-2-15)

COMPLEX ULTRASOUND DIAGNOSIS OF UPPER- EXTREMITY VENOUS THROMBOSIS IN PATIENTS WITH SHOULDER JOINT INJURIES

Ukrainian Medical Dental Academy, Poltava, Ukraine

Acute venous thrombosis is a common and dangerous disease, its frequency in the general population is about 160 per 100 thousand population. Thrombosis in the inferior vena cava is the most common and dangerous type of this pathology and the main source of pulmonary embolism. One of the risk factors for thrombosis is damage to the musculoskeletal system, including surgery in bones and joints, because forced limb immobilization or bed rest create the most favorable conditions for deep vein thrombosis and thromboembolic complications. Thus, in surgeries in the shoulder joints, the risk of thrombosis is 30−50 %. To determine the frequency, location and structure of thrombosis of the veins of the upper extremities in trauma patients in the pre−and postoperative periods, as well as to estimate the frequency of thrombosis of the veins of the lower extremities depending on the location of injuries using two−dimensional mode, color and energy Doppler mapping, pulse functional tests with compression. The results of ultrasound examinations of the veins of the upper extremities in the patients aged from 30 to 75 years, operated on for rupture of the shoulder rotator cuff, fractures of the humeral head large hump, fracture of the shoulder surgical neck. In a smaller number of cases, the shoulder joint injuries are accompanied by thrombosis of the inguinal veins in the preoperative period. In patients operated on for injuries, the incidence of inguinal vein thrombosis reaches 22 %. Mostly unilateral thrombosis of the subclavian−axillary segment of the deep veins of the upper extremities and its occlusive nature were revealed. Ultrasonography at the present stage is a non−invasive, affordable and highly effective method of research in the diagnosis of thrombosis of the veins of the upper extremities.

Key words: deep vein thrombosis, shoulder joint, ultrasound examination.

REFERENCES

1. MakNelli Yu. Ul'trazvukovye issledovaniya kostno−myshechnoi sistemy / Pratical Musculosceletal Ultrasound: prakt. ruk.; per. s angl. A. N. Khitrovoi. M.: Vidar, 2007. 395 s.

2. Zubarev A. R., Nemenova N. A. Ul'trazvukovoe issledovanie oporno−dvigatel'nogo apparata u vzroslykh i detei. M.: Vidar, 2006. S. 24−50.

3. Goncharov V. V., Marchuk V. P., Askerko E. A. Magnitno−rezonansnaya otsenka tunnel'nogo sindroma patologii rotatornoi manzhety plecha // Sovremennye podkhody i vnedrenie novykh metodik v diagnostike: materialy konferentsii; Vitebsk, 25 marta 2005 g. Vitebsk, 2005. S. 46−49.

4. Ul'trasonografiya v artrologii / R. Ya. Abdullaev i dr. Khar'kov: Novoe slovo, 2010. S. 6−36.

5. Bodnar V. Lechenie ostroi venoznoi tromboembolii i profilaktika ee retsidivov: aktsent na peroral'nye antikoagulyanty // Medicine Review. Kardiologicheskii al'manakh. 2015. S. 65−78.

6. Ul'trazvukovaya diagnostika v travmatologii; pod red. A. V. Zubareva. M., Vidar, 2003. S. 53−79.

7. Ul'trazvukovaya diagnostika patologii sukhozhilii i nervov konechnostei / S. P. Mironov i dr. // Vestn. travmatologii i ortopedii im. N. N. Priorova. 2004. № 3. S. 3−11.

8. Litvin Yu. P., Chabanenko І. P., Novіchіkhіn O. V. Vikoristannya magnіtorezonansnoї tomografії dlya dіagnostiki poshkodzhen' rotatsіinoї manzheti plecha // Med. perspektivi. 2000. T. 5, № 3. S. 71−73.

9. Chabanenko І. P. Artroskopіchna dіagnostika spetsifіchnikh poshkodzhen' m'yakotkaninnikh struktur plechovogo sugloba pri travmatichnikh vivikhakh plecha // Travma. 2006. T. 7, № 4. S. 27−29.

10. Piven' Yu. N., Chabanenko I. P., Kutsak T. L. Issledovanie funktsional'nykh osobennostei krovosnabzheniya vrashchatel'noi manzhety plecha metodom ul'trazvukovoi dopplerometrii // Ortopediya, travmatologiya i protezirovanie. 2003. № 1. S. 120−124.

11. Belen'kii A. G. Patologiya okolosustavnykh myagkikh tkanei plechevogo sustava, diagnostika i lechenie: ucheb. posob. M., 2005. 84 s.

12. Bergin D., Schweitzer M. Indirect magnetic resonance artrography // Skeletal Radiol. 2002. Vol. 33, № 4. P. 148−152.

13. Bearcroft P. W. P., Blanchard T. K., Dixon A. K. An assessment of the effectiveness of magnetic resonance imaging' of the shoulder: literature review // Skeletal Radiol. 2000. Vol. 29, № 12. P. 673−679. doi: https://doi.org/10.1007/s002560000286

14. Carroll K. W., Helms C. A. Magnetic resonance imaging of the shoulder: a review of potential sources of diagnostic errors // Skeletal Radiol. 2002. Vol. 31, № 7. P. 373−383. doi: https://doi.org/10.1007/s00256−002−0528−6

15. US of the shoulder: non−rotator cuff disorders / C. Martinoli et al. // Radiographics. 2003. Vol. 23 (2). R. 381−401. doi: https://doi.org/10.1148/rg.232025100

16. Jacob D., Cohen M., Bianchi S. Ultrasound imaging of non−traumatic lesions of wrist and hand tendons // Eur. Radiol. 2007. № 17. R. 2237−2247. doi: https://doi.org/10.1007/s00330−007−0637−7

17. Ultrasound detects rapid progression of erosive disease in early rheumatoid arthritis: a prospective longitudinal study / S. Bajaj, R. Lopez−Ben, R. Oster, G. S. Alarcón // Skeletal Radiol. 2007. № 36. R. 123−128. doi: https://doi.org/10.1007/s00256−006−0196−z

18. Finger tendon disease in untreated early rheumatoid arthritis: a comparison of ultrasound and magnetic resonance imaging / R. J. Wakefield et al. // Arthritis. Rheum. 2007. № 57. R. 1158−1164. doi: https://doi.org/10.1002/art.23016