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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Autores principales: O'Neill, Dillon C., Dekeyser, Graham J., Mortensen, Alexander J., Makarewich, Christopher A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8096542/
https://www.ncbi.nlm.nih.gov/pubmed/33996163
http://dx.doi.org/10.1155/2021/5585085
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author O'Neill, Dillon C.
Dekeyser, Graham J.
Mortensen, Alexander J.
Makarewich, Christopher A.
author_facet O'Neill, Dillon C.
Dekeyser, Graham J.
Mortensen, Alexander J.
Makarewich, Christopher A.
author_sort O'Neill, Dillon C.
collection PubMed
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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spelling pubmed-80965422021-05-13 Adolescent Fat Embolism Syndrome after Closed Tibial Shaft Fracture: Treatment with Emergent External Fixation O'Neill, Dillon C. Dekeyser, Graham J. Mortensen, Alexander J. Makarewich, Christopher A. Case Rep Orthop Case Report 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. Hindawi 2021-04-24 /pmc/articles/PMC8096542/ /pubmed/33996163 http://dx.doi.org/10.1155/2021/5585085 Text en Copyright © 2021 Dillon C. O'Neill et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
O'Neill, Dillon C.
Dekeyser, Graham J.
Mortensen, Alexander J.
Makarewich, Christopher A.
Adolescent Fat Embolism Syndrome after Closed Tibial Shaft Fracture: Treatment with Emergent External Fixation
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8096542/
https://www.ncbi.nlm.nih.gov/pubmed/33996163
http://dx.doi.org/10.1155/2021/5585085
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AT mortensenalexanderj adolescentfatembolismsyndromeafterclosedtibialshaftfracturetreatmentwithemergentexternalfixation
AT makarewichchristophera adolescentfatembolismsyndromeafterclosedtibialshaftfracturetreatmentwithemergentexternalfixation

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