Deep-vein thrombosis after fracture of the pelvis: Assessment with serial duplex-ultrasound screening

Richard H White, J. A. Goulet, T. J. Bray, M. M. Daschbach, John P McGahan, R. P. Hartling

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

Sixty patients who had had a major fracture of the pelvis and were in stable condition on the orthopaedic ward three to five days after the injury were tested serially with duplex ultrasound, beginning approximately seven days after the injury, in order to determine the incidence of deep-vein thrombosis. Contrast venography was performed to confirm all positive non-invasive studies. Deep-vein thrombosis developed in eight patients (approximately 15 per cent). The thrombosis was in the popliteal or a more proximal vein in six of the eight patients, whereas in two it was distal to the popliteal vein. In four patients, evidence of thrombosis developed after one or more normal duplex-ultrasound studies. In one patient, symptoms that were suggestive of deep-vein thrombosis developed fifty-two days after the injury (four days after the fourth normal duplex-ultrasound examination), and ascending venography was entirely normal. Another patient had a pulmonary embolus fifteen days after the injury, and on the same day a duplex-ultrasound study was positive for thrombosis. During six weeks of follow-up after discharge from the hospital, symptoms of deep-vein thrombosis or pulmonary embolism did not develop in any patient in whom serial duplex-ultrasound studies had been negative.

Original languageEnglish (US)
Pages (from-to)495-500
Number of pages6
JournalJournal of Bone and Joint Surgery - Series A
Volume72
Issue number4
StatePublished - 1990

Fingerprint

Pelvis
Venous Thrombosis
Thrombosis
Phlebography
Wounds and Injuries
Popliteal Vein
Embolism
Pulmonary Embolism
Orthopedics
Veins
Lung
Incidence

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Deep-vein thrombosis after fracture of the pelvis : Assessment with serial duplex-ultrasound screening. / White, Richard H; Goulet, J. A.; Bray, T. J.; Daschbach, M. M.; McGahan, John P; Hartling, R. P.

In: Journal of Bone and Joint Surgery - Series A, Vol. 72, No. 4, 1990, p. 495-500.

Research output: Contribution to journalArticle

@article{d32bd39f341b401db29bf0c84e56f3be,
title = "Deep-vein thrombosis after fracture of the pelvis: Assessment with serial duplex-ultrasound screening",
abstract = "Sixty patients who had had a major fracture of the pelvis and were in stable condition on the orthopaedic ward three to five days after the injury were tested serially with duplex ultrasound, beginning approximately seven days after the injury, in order to determine the incidence of deep-vein thrombosis. Contrast venography was performed to confirm all positive non-invasive studies. Deep-vein thrombosis developed in eight patients (approximately 15 per cent). The thrombosis was in the popliteal or a more proximal vein in six of the eight patients, whereas in two it was distal to the popliteal vein. In four patients, evidence of thrombosis developed after one or more normal duplex-ultrasound studies. In one patient, symptoms that were suggestive of deep-vein thrombosis developed fifty-two days after the injury (four days after the fourth normal duplex-ultrasound examination), and ascending venography was entirely normal. Another patient had a pulmonary embolus fifteen days after the injury, and on the same day a duplex-ultrasound study was positive for thrombosis. During six weeks of follow-up after discharge from the hospital, symptoms of deep-vein thrombosis or pulmonary embolism did not develop in any patient in whom serial duplex-ultrasound studies had been negative.",
author = "White, {Richard H} and Goulet, {J. A.} and Bray, {T. J.} and Daschbach, {M. M.} and McGahan, {John P} and Hartling, {R. P.}",
year = "1990",
language = "English (US)",
volume = "72",
pages = "495--500",
journal = "Journal of Bone and Joint Surgery - American Volume",
issn = "0021-9355",
publisher = "Journal of Bone and Joint Surgery Inc.",
number = "4",

}

TY - JOUR

T1 - Deep-vein thrombosis after fracture of the pelvis

T2 - Assessment with serial duplex-ultrasound screening

AU - White, Richard H

AU - Goulet, J. A.

AU - Bray, T. J.

AU - Daschbach, M. M.

AU - McGahan, John P

AU - Hartling, R. P.

PY - 1990

Y1 - 1990

N2 - Sixty patients who had had a major fracture of the pelvis and were in stable condition on the orthopaedic ward three to five days after the injury were tested serially with duplex ultrasound, beginning approximately seven days after the injury, in order to determine the incidence of deep-vein thrombosis. Contrast venography was performed to confirm all positive non-invasive studies. Deep-vein thrombosis developed in eight patients (approximately 15 per cent). The thrombosis was in the popliteal or a more proximal vein in six of the eight patients, whereas in two it was distal to the popliteal vein. In four patients, evidence of thrombosis developed after one or more normal duplex-ultrasound studies. In one patient, symptoms that were suggestive of deep-vein thrombosis developed fifty-two days after the injury (four days after the fourth normal duplex-ultrasound examination), and ascending venography was entirely normal. Another patient had a pulmonary embolus fifteen days after the injury, and on the same day a duplex-ultrasound study was positive for thrombosis. During six weeks of follow-up after discharge from the hospital, symptoms of deep-vein thrombosis or pulmonary embolism did not develop in any patient in whom serial duplex-ultrasound studies had been negative.

AB - Sixty patients who had had a major fracture of the pelvis and were in stable condition on the orthopaedic ward three to five days after the injury were tested serially with duplex ultrasound, beginning approximately seven days after the injury, in order to determine the incidence of deep-vein thrombosis. Contrast venography was performed to confirm all positive non-invasive studies. Deep-vein thrombosis developed in eight patients (approximately 15 per cent). The thrombosis was in the popliteal or a more proximal vein in six of the eight patients, whereas in two it was distal to the popliteal vein. In four patients, evidence of thrombosis developed after one or more normal duplex-ultrasound studies. In one patient, symptoms that were suggestive of deep-vein thrombosis developed fifty-two days after the injury (four days after the fourth normal duplex-ultrasound examination), and ascending venography was entirely normal. Another patient had a pulmonary embolus fifteen days after the injury, and on the same day a duplex-ultrasound study was positive for thrombosis. During six weeks of follow-up after discharge from the hospital, symptoms of deep-vein thrombosis or pulmonary embolism did not develop in any patient in whom serial duplex-ultrasound studies had been negative.

UR - http://www.scopus.com/inward/record.url?scp=0025275912&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0025275912&partnerID=8YFLogxK

M3 - Article

C2 - 2182638

AN - SCOPUS:0025275912

VL - 72

SP - 495

EP - 500

JO - Journal of Bone and Joint Surgery - American Volume

JF - Journal of Bone and Joint Surgery - American Volume

SN - 0021-9355

IS - 4

ER -