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Interdisciplinary management of deep vein thrombosis during rehabilitation of acute rupture of the anterior cruciate ligament: A case report

journal contribution
posted on 18.03.2020, 00:00 by Kenneth Reckelhoff, A Miller
Objective: The purpose of this case report is to describe a patient who experienced deep venous thrombosis (DVT) during pre-operative rehabilitation of an acute rupture of an anterior cruciate ligament (ACL) reconstruction graft, to increase awareness of DVT occurring in a healthy individual after periodic immobilization, and to describe the interdisciplinary management for this patient. Clinical features: A 30-year-old male was referred to a chiropractic clinic for presurgical treatment of a left ACL rupture and medial meniscus tear confirmed at magnetic resonance imaging. During the course of preoperative rehabilitation, the patient became limited in ambulation and presented for a routine rehabilitation visit. During this visit, he experienced increased leg swelling, pain and tenderness. The patient was assessed for DVT and was referred to the local emergency department for further evaluation where multiple DVTs were found in the left popliteal, posterior tibial, and peroneal veins. Intervention/outcome: The patient was treated with a 17-week course of warfarin during which time the clinical signs and symptoms of DVT resolved. Meanwhile, the patient completed the rehabilitation treatment plan in preparation for ACL reconstruction without further complications. Conclusions: This case raises awareness that DVT may occur in a healthy individual after periodic immobilization. While there may be controversy regarding the appropriate application of pharmaceutical anticoagulants in patients with DVT of the leg, the most risk averse strategy is for a short duration prescription medication with compression stockings. Through interdisciplinary management, the patient experienced a successful outcome. © 2014 National University of Health Sciences.

History

Volume

13

Issue

2

Start Page

121

End Page

127

Number of Pages

7

eISSN

1556-3715

ISSN

1556-3707

Publisher

Elsevier, USA

Peer Reviewed

Yes

Open Access

No

Acceptance Date

08/04/2014

External Author Affiliations

Logan College of Chiropractic/University Programs, Logan College of Chiropractic, USA

Era Eligible

Yes

Journal

Journal of Chiropractic Medicine

Exports