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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Main Authors: Dillon C. O’Neill, Graham J. Dekeyser, Alexander J. Mortensen, Christopher A. Makarewich
Format: Article
Language:English
Published: Wiley 2021-01-01
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.
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publishDate 2021-01-01
publisher Wiley
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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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