| Affiliation: | (1) Providence Athletic Medicine, Providence Hospital and Medical Centers, 47601 Grand River Avenue, Suite 101, Novi Michigan, United States of America, 48374;(2) Primary Care Research Unit, Department of Family and Community Medicine, Sunnybrook and Women's College Health Sciences Centre, 2075 Bayview Avenue, #E-349, Toronto, Ontario, Canada, M4N 3M5;(3) Department of Family and Community Medicine, University of Toronto, 263 McCaul Street, Toronto, Ontario, Canada, M5T 1W7;(4) Department of Public Health Sciences, University of Toronto, 12 Queen's Park Crescent W, Toronto, Ontario, Canada, M5S 1A8;(5) Department of Family Medicine, Indiana University, Long Hospital, Second Floor. 1110 West Michigan Street, Indianapolis Indiana, United States of America, 46202-5102;(6) Department of Family Medicine, Wayne State University, 15400 West McNichols, 2nd Floor, Detroit, Michigan, United States of America, 48235 |
| Abstract: | A 42 year-old male former 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 (DVT), and sent for confirmatory tests. A duplex doppler ultrasound was positive for DVT, and the patient was admitted to hospital for anticoagulation (unfractionated heparin, warfarin). Upon discharge from hospital the patient continued oral warfarin anticoagulation (six months), and the use of compression stockings (nine months). He followed up with his family doctor at regular intervals for serial coagulation measurements, 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, however he continued to have intermittent symptoms of right lower leg pain and right knee effusion. |
