PO0066 - Deep vein thrombosis of the forearm after fracture immobilization

Background: Any immobilization, in any way and in any place, especially Gypsum immobilization, in particular, significantly increases the risk of thromboembolic complications.

Aims: A case of a 47-year-old patient with Dg.Typical loco radii fracture, and gypsum immobilization of the forearm, which she wore for a month and as thromboprophylaxis she was given acetylsalicylic acid in a dose of 100 mg once a day
In our clinic, he came with a referral from a specialist orthopedist, who did an extirpation of the Gypsum after a month and according to the patient - he did NOT like the appearance of the forearm.
From the anamnesis, we received information that this is a patient who has not had a menstrual cycle for 3 years, does not drink, does not smoke,does not take any medications, EXCEPT ANALGETICS FOR HAND PAIN.

Methods: On clinical examination, we have a swollen forearm, especially the wrist and fingers that cannot bend at all due to swelling, red, hot and swollen forearm and wrist, sore spontaneously, to the touch even more
In our laboratory, dimmers were made and they were 1200 mg / ml, after which a venous ultrasound was made immediately and a thrombus in the right radial vein was visualized.

Results: The patient was placed on oral anticoagulant therapy for 3 months, on the control Doppler, the affected vein was completely recanalized, without traces of thrombotic masses in it. After that, the patient was referred to physical therapy.

Conclusion(s): The question remains whether such immobilizations require thromboprophylaxis or not, in what dose, for how long - how in our clinics we would not face the side effects of its non-use and how the physical rehabilitation of patients would not be delayed for so long.