• U Wahl and T Hirsch.
• Medizinische Klinik, Berufsgenossenschaftliche Kliniken Bergmannstrost, Merseburger Str. 165, 06112, Halle/Saale, Deutschland. uwe.wahl@bergmannstrost.com.
• Unfallchirurg. 2015 Oct 1;118(10):867-80.

AbstractPhlebothromboses represent alarming complications in accident victims since they can cause fatal pulmonary embolisms. More than half of those affected also develop post-thrombotic syndrome in the course of the illness. In addition to making clinical assessments, the traumatologist should also have fundamental knowledge about diagnostic methods and be familiar with interpreting internal findings. Colour-coded duplex sonography plays a central role in diagnosing thrombosis and in assessing functional limitations. Further information can be gathered from various phlebological procedures. The expert evaluation of the immediate, as well as the long-term consequences of an accident frequently require leg swelling to be classified. It is not uncommon for post-thrombotic syndrome to be diagnosed for the first time during this process. An additional vascular appraisal is often required. An appreciation of social-medical and insurance-related aspects means a high degree of responsibility is placed on the expert.

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