Title DUBOKA VENSKA TROMBOZA GORNJIH EKSTREMITETA MLADOG RUKOEMTAŠA. PRIKAZ SLUČAJA Title (english) DEEP VEIN THROMBOSIS OF THE UPPER EXTREMITIES OF YOUNG HANDBALL PLAYER. CASE STUDY Author David Šunjić Mentor Tatjana Trošt Bobić (mentor)Committee member Tatjana Trošt Bobić (predsjednik povjerenstva)Committee member Marija Rakovac (član povjerenstva)Committee member Maroje Sorić (član povjerenstva)Granter University of Zagreb Defense date and country 2024-09-26, Croatia Scientific / art field, SOCIAL SCIENCES Abstract Ozljede su sastavni dio sporta te s povećanjem intenziteta treninga i natjecanja one mogu biti sve učestalije ako se na adekvatan način ne pripremi sportaša na takvo opterećenje i podražaj. U ovom radu opisat će se slučaj mladog 20-godišnjeg rukometaša koji je nakon primjećivanja simptoma diskoloracije ruke, oticanja, boli i pritiska u ruci zatražio liječničku pomoć. Pregledom i dijagnostikom ustanovljena mu je duboka venska tromboza gornjeg ekstremiteta te plućna embolija. Zadržan je na hitnoj
... More intenzivnoj njezi pet dana. Liječen je antikoagulantnom terapijom te je nakon petog dana otpušten kući zbog poboljšanja stanja i smanjenja simptoma. Propisana mu je daljnja terapija i kontrola. Pacijent je išao na kontrole u pravilu svakih 6 mjeseci. Dok mu nisu ustanovili potpunu rekanalizaciju vena bez prisutnosti rezidua tromba. Poboljšanjem stanja mijenjala mu se terapija te se postupno vraćao sportskim aktivnostima. Provodi niskointenzivne aktivnosti aerobne izdržljivosti u vidu kontinuiranog trčanja 30-45 minuta, 2-3 puta tjedno, a 17. 9. 2019. djelomično se priključuje rukometnim treninzima. Započeo je odlaziti svakodnevno na rukometne treninge i sudjelovati u dijelovima treninga koji su se bazirali na aerobnoj i anaerobnoj izdržljivosti te vježbama u kojima nije bilo potrebe za opterećivanjem desne ruke. Postupno se prilagođavao na opterećenja kako bi u trenutku kada dobije dozvolu za potpunim povratkom rukometnim treninzima bio što spremniji za povratak u puni trenažni proces. Daljnjom dijagnostikom ustanovljen je sindrom gornjeg torakalnog izlaza kao uzrok nastanka tromboze. Prilikom abdukcije ruke prvo rebro i klavikula čine mehaničku kompresiju na venu subklaviju te zbog moguće ponovne tromboze predložena je kirurška resekcija prvog rebra, no pacijent se odlučio da će nastaviti s konzervativnim liječenjem te da se neće operirati. Pacijent se aktivno vratio rukometnim treninzima i natjecanjima nakon dvije godine i tri mjeseca te je i dalje aktivan bez simptoma ponovne tromboze. Less Abstract (english) Injuries are an inherent part of sports, and with increased training intensity and competition, they can become more frequent if athletes are not adequately prepared for such strain and stimulus. This paper describes the case of a young 20-year-old handball player who sought medical help after noticing symptoms of arm discoloration, swelling, pain and pressure. Upon examination and diagnosis, he was found to have deep vein thrombosis of the upper extremity and pulmonary embolism. He was
... More admitted to the emergency intesive care unit for five days. He was treated with anticoagulant therapy and discharged home after the fifth day due to improved condition and reduced symptoms. Further more, therapy and follow-up were prescribed. The patient attended follow-up appointments approximately every six months until complete recanalization of the veins without the presence of thrombus residue was established. As his condition improved, his therapy was adjusted, and he gradually returned to sports activities. He started with low-intensity aerobic endurance activities in the form of continuous running for 30-45 minutes, 2-3 times per week, and on September 17, 2019 he partially joined handball practices. He started attending handball training sessions daily, participating in parts of the training focused on aerobic and anaerobic endurance, as well as exercises that did not require using his right arm. He gradually adapted to the workload to be as prepared as possible for a full return to handball training once he received clearance for complete participation. Further more, diagnostics revealed thoracic outlet syndrome as the cause of the thrombosis. During arm abduciton, the first rib and clavicle cause mehanical compression of subclavian vein, and due to the potential for recurrent thrombosis, surgical resection of the first rib was suggested. However, the patient chose to continue with conservative treatment and decided to not go on surgery. The patient actively returned to handball training and competition after two years and three months and remains active without symptoms of recurrent thrombosis. Less Keywords
tromboza napora
plućna embolija
sindrom gornjeg torakalnog izlaza
sport
rukomet
Keywords (english)
effort trombosis
pulmonary embolism
thoracic outlet syndrome
sports
handball
Language croatian URN:NBN urn:nbn:hr:117:546881 Study programme Title: Kinesiology; specializations in: Kinesiology in Education and Track-and-Field, Kinesiology in Education and Fitness, Kinesiology in Education and Wrestling, Kinesiology in Education and Sailing, Kinesiology in Education and Windsurfing, Kinesiology in Education and Judo, Kinesiology in Education and Kayaking, Kinesiology in Education and Kinesiological Recreation, Kinesiology in Education and Kinesitherapy, Kinesiology in Education and Physical Conditioning of Athletes, Kinesiology in Education and Basketball, Kinesiology in Education and Football, Kinesiology in Education and Volleyball, Kinesiology in Education and Basic Kinesiological Transformations, Kinesiology in Education and Dancing, Kinesiology in Education and Swimming, Kinesiology in Education and Rhythmic Gymnastics, Kinesiology in Education and Handball, Kinesiology in Education and Skiing, Kinesiology in Education and Artistic Gymnastics, Kinesiology in Education and Management of Sport, Kinesiology in Education and Tennis, Kinesiology in Education and Rowing Type of resource Text File origin Born digital Access conditions Open access Terms of use Created on 2024-10-08 12:09:14
