Pulmonary embolism as a complication of fracture of the proximal end of the humerus - literature review

WokurkaWojciech, Węgrzyniak Agata, Dudek Iga, Piech Piotr. Pulmonary embolism as a complication of fracture of the proximal end of the humerus - literature review. Journal of Education, Health and Sport. 2021;11(9):388-395. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2021.11.09.049 https://apcz.umk.pl/JEHS/article/view/JEHS.2021.11.09.049 https://zenodo.org/record/5519987 The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019. © The Authors 2021; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 15.09.2021. Revised: 21.09.2021. Accepted: 21.09.2021. Pulmonary embolism as a complication of fracture of the proximal end of the humerus - literature review Wojciech Wokurka [1],Agata Węgrzyniak [1], Iga Dudek [2], Piotr Piech [3][4] [1] Human Anatomy Research Group, Department of Human Anatomy, Medical University of Lublin [2] Student Research Group at the Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin [3] Department of Human Anatomy, Medical University of Lublin [4] Department of Orthopedics and Traumatology, Medical University of Lublin Authors: Wojciech Wokurka: orcid.org/0000-0001-9936-5656; wojciechwokurka@gmail.com[main author] Agata Węgrzyniak: orcid.org/0000-0001-8638-0013; agataw97@gmail.com Iga Dudek: orcid.org/0000-0002-8101-074X; iga.dudek6@gmail.com Piotr Piech: orcid.org/ 0000-0001-8717-7957; ppiotr.md@gmail.com[corresponding author] Abstract Introduction and purpose: Pulmonary embolism (PE) is one of the leading causes of death worldwide. There are many factors that increase the risk of its occurence.High costs of treatment, non-specific symptoms and high mortality of the disease determine the further search for new methods of treatment and diagnostics. The aim of the study is to determine the incidence of PE in patients after fracture of the proximal end of the humerus. Materials and methods:A literature search was conducted in the PubMed MEDLINE database of medical publications using the following keywords: pulmonary embolism, deep vein thrombosis, proximal humerus fracture. Results: Among the found articles, 4 original papers describing the problems of pulmonary embolism after fractures of the proximal end of the humerus were qualified for further analysis. The incidence of PE after this type of fracture is rare and ranges from 1.3% to 5.1%. Moreover, PE was not the cause of death of any patient in the analyzed literature. Conclusion: The need for further randomized controlled trials on a large group of patients operated with the same technique was demonstrated, including subgroups with and without antithrombotic chemoprophylaxis. Key words:pulmonary embolism, deep vein thrombosis, proximal humerus fracture.