Adolescent Fat Embolism Syndrome after Closed Tibial Shaft Fracture: Treatment with Emergent External Fixation
Case. An adolescent male developed fat embolism syndrome 24 hours after sustaining a closed right tibial shaft fracture in a football game. The patient was treated with emergent external fixator application due to declining respiratory and mental status and experienced swift recovery after stabiliza...
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Format: | Article |
Language: | English |
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Wiley
2021-01-01
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Series: | Case Reports in Orthopedics |
Online Access: | http://dx.doi.org/10.1155/2021/5585085 |
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author | Dillon C. O’Neill Graham J. Dekeyser Alexander J. Mortensen Christopher A. Makarewich |
author_facet | Dillon C. O’Neill Graham J. Dekeyser Alexander J. Mortensen Christopher A. Makarewich |
author_sort | Dillon C. O’Neill |
collection | DOAJ |
description | Case. An adolescent male developed fat embolism syndrome 24 hours after sustaining a closed right tibial shaft fracture in a football game. The patient was treated with emergent external fixator application due to declining respiratory and mental status and experienced swift recovery after stabilization. He was treated with an intramedullary nail within 1 week of injury. Conclusion. Pediatric fat embolism syndrome is uncommon, and a high index of suspicion is required to facilitate appropriate orthopaedic involvement. External fixation can be performed emergently with minimal fracture manipulation. Rapid provisional fixation appears to have facilitated recovery in this example. |
format | Article |
id | doaj-art-450e5dbb55cf420eb5d343fa128d13c7 |
institution | Kabale University |
issn | 2090-6749 2090-6757 |
language | English |
publishDate | 2021-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Orthopedics |
spelling | doaj-art-450e5dbb55cf420eb5d343fa128d13c72025-02-03T06:43:58ZengWileyCase Reports in Orthopedics2090-67492090-67572021-01-01202110.1155/2021/55850855585085Adolescent Fat Embolism Syndrome after Closed Tibial Shaft Fracture: Treatment with Emergent External FixationDillon C. O’Neill0Graham J. Dekeyser1Alexander J. Mortensen2Christopher A. Makarewich3Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT, USADepartment of Orthopaedic Surgery, University of Utah, Salt Lake City, UT, USASchool of Medicine, University of Utah, Salt Lake City, UT, USADepartment of Orthopaedic Surgery, University of Utah, Salt Lake City, UT, USACase. An adolescent male developed fat embolism syndrome 24 hours after sustaining a closed right tibial shaft fracture in a football game. The patient was treated with emergent external fixator application due to declining respiratory and mental status and experienced swift recovery after stabilization. He was treated with an intramedullary nail within 1 week of injury. Conclusion. Pediatric fat embolism syndrome is uncommon, and a high index of suspicion is required to facilitate appropriate orthopaedic involvement. External fixation can be performed emergently with minimal fracture manipulation. Rapid provisional fixation appears to have facilitated recovery in this example.http://dx.doi.org/10.1155/2021/5585085 |
spellingShingle | Dillon C. O’Neill Graham J. Dekeyser Alexander J. Mortensen Christopher A. Makarewich Adolescent Fat Embolism Syndrome after Closed Tibial Shaft Fracture: Treatment with Emergent External Fixation Case Reports in Orthopedics |
title | Adolescent Fat Embolism Syndrome after Closed Tibial Shaft Fracture: Treatment with Emergent External Fixation |
title_full | Adolescent Fat Embolism Syndrome after Closed Tibial Shaft Fracture: Treatment with Emergent External Fixation |
title_fullStr | Adolescent Fat Embolism Syndrome after Closed Tibial Shaft Fracture: Treatment with Emergent External Fixation |
title_full_unstemmed | Adolescent Fat Embolism Syndrome after Closed Tibial Shaft Fracture: Treatment with Emergent External Fixation |
title_short | Adolescent Fat Embolism Syndrome after Closed Tibial Shaft Fracture: Treatment with Emergent External Fixation |
title_sort | adolescent fat embolism syndrome after closed tibial shaft fracture treatment with emergent external fixation |
url | http://dx.doi.org/10.1155/2021/5585085 |
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