Adolescent Fat Embolism Syndrome after Closed Tibial Shaft Fracture: Treatment with Emergent External Fixation

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: Hindawi Limited 2021-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2021/5585085
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spelling doaj-450e5dbb55cf420eb5d343fa128d13c72021-05-10T00:27:38ZengHindawi LimitedCase Reports in Orthopedics2090-67572021-01-01202110.1155/2021/5585085Adolescent Fat Embolism Syndrome after Closed Tibial Shaft Fracture: Treatment with Emergent External FixationDillon C. O’Neill0Graham J. Dekeyser1Alexander J. Mortensen2Christopher A. Makarewich3Department of Orthopaedic SurgeryDepartment of Orthopaedic SurgerySchool of MedicineDepartment of Orthopaedic SurgeryCase. 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
collection DOAJ
language English
format Article
sources DOAJ
author Dillon C. O’Neill
Graham J. Dekeyser
Alexander J. Mortensen
Christopher A. Makarewich
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
author_facet Dillon C. O’Neill
Graham J. Dekeyser
Alexander J. Mortensen
Christopher A. Makarewich
author_sort Dillon C. O’Neill
title 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_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_sort adolescent fat embolism syndrome after closed tibial shaft fracture: treatment with emergent external fixation
publisher Hindawi Limited
series Case Reports in Orthopedics
issn 2090-6757
publishDate 2021-01-01
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.
url http://dx.doi.org/10.1155/2021/5585085
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AT alexanderjmortensen adolescentfatembolismsyndromeafterclosedtibialshaftfracturetreatmentwithemergentexternalfixation
AT christopheramakarewich adolescentfatembolismsyndromeafterclosedtibialshaftfracturetreatmentwithemergentexternalfixation
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