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Professor François Carré explains in more detail the thrombosis from which Victor Wembanyama suffers.
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Victor Wembanyama suffers from a “deep venous thrombosis on the right shoulder” and will probably be forfeited until the end of the NBA season. The announcement was made Thursday, February 21, by his team of San Antonio Spurs. Rare in high -level athletes, this pathology which requires adequate monitoring and treatment, should not generate sequelae, assures the cardiologist and sports doctor, François Carré, in Franceinfo: Sport.
Franceinfo: Sport: Victor Wembanyama will be far from basketball prosecution for several months, due to a “deep venous thrombosis on the right shoulder”. What is it?
François Carré: A thrombosis is a clot in a blood vessel. We talk about arterial thrombosis when it forms in an artery, and venous thrombosis in a vein. The blood no longer circulates normally, which forms a clot with an aggregation of the elements of the blood (red blood cells, platelets, etc.), and it clogs the vessel. There are several causes. Blood diseases can lead to the formation of clots. But it can also come, for example, with a blow received on a swelling muscle and which compresses the vein.
There may also be malformations of the vein, which can have a bad trajectory and be compressed by a muscle that has become a little too big. It is not very common to see thrombosis on the upper limbs. What is also surprising in this case is that we are talking about several months of stopping. For simple thrombosis, we are talking about a few weeks stop. If we speak in months, it is because thrombosis is caused by a cause which can start again later, like a too large muscle, a prominent bone.
How do you take care of a thrombosis?
There may be surgery if a bone is involved, rehabilitation to put the vein back in a better position or correction of muscle massage that would have caused this thrombosis. In any case, you have to be very careful, because the classic complication is pulmonary embolism. To do this, take anticoagulants, which decrease the viscosity of the blood, in order to eliminate the clot by disintegrating it.
However, under anticoagulants, it is impossible to do a contact sport like basketball because each blow received will cause a very important hematoma. Once the clot is gone, you have to understand why it appeared. There, given the duration of unavailability announced by his club, one might think that there is a promoting cause in terms of muscle, bone or illness.
Are there risks of relapse and sequelae?
It all depends on the cause of the thrombosis of Victor Wembanyama, which we do not yet know. This can also come from dehydration, moreover, that's why we recommend walking on the plane for example. There will then be surveillance to watch for the risks of recurrence, but without the balance sheet, difficult to talk about the risk of relapse. In terms of consequences, normally he will not. He will not have pain. Especially since he is a young player.
The XXL morphology of Victor Wembanyama (2,21m), or his game, explain this injury?
This is a good question. This shoulder thrombosis is quite rare, but among athletes, it often concerns javelin launchers, baseball or handball players, who have this gesture of launching with the arm back, which can explain it. It is a gesture found in basketball, which could cause this injury. On the other hand, his morphology has nothing to do, a priori. Regardless of the size that we make, the human body is proportioned.
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