"Bone-shot fracture" - An unusual iliac wing fracture caused by a projectile of autologous bone fragment. A case report.

Autor: Vieira LP; CUF Porto Hospital, Porto, Portugal.; Orthopedics Department, Centro Hospitalar e Universitário de São João, Porto, Portugal.; Surgery and Physiology Department, Faculty of Medicine, University of Porto, Porto, Portugal., Costa FP; CUF Porto Hospital, Porto, Portugal.; Orthopedics Department, Centro Hospitalar e Universitário de São João, Porto, Portugal.; Surgery and Physiology Department, Faculty of Medicine, University of Porto, Porto, Portugal., Negrão P; CUF Porto Hospital, Porto, Portugal.; Orthopedics Department, Centro Hospitalar e Universitário de São João, Porto, Portugal.; Surgery and Physiology Department, Faculty of Medicine, University of Porto, Porto, Portugal., Neves N; CUF Porto Hospital, Porto, Portugal.; Orthopedics Department, Centro Hospitalar e Universitário de São João, Porto, Portugal.; Surgery and Physiology Department, Faculty of Medicine, University of Porto, Porto, Portugal.; i3S - Instituto de Investigação e Inovação em Saúde, University of Porto, Porto, Portugal.; INEB - Instituto Nacional de Engenharia Biomédica, University of Porto, Porto, Portugal., Monteiro EL; CUF Porto Hospital, Porto, Portugal.; Orthopaedic Department, Centro Hospitalar de Entre o Douro e Vouga, EPE, Santa Maria da Feira, Portugal., da Silva MR; CUF Porto Hospital, Porto, Portugal.; Orthopedics Department, Centro Hospitalar e Universitário de São João, Porto, Portugal.; Surgery and Physiology Department, Faculty of Medicine, University of Porto, Porto, Portugal.; i3S - Instituto de Investigação e Inovação em Saúde, University of Porto, Porto, Portugal.; INEB - Instituto Nacional de Engenharia Biomédica, University of Porto, Porto, Portugal.
Jazyk: angličtina
Zdroj: Trauma case reports [Trauma Case Rep] 2021 Mar 17; Vol. 33, pp. 100456. Date of Electronic Publication: 2021 Mar 17 (Print Publication: 2021).
DOI: 10.1016/j.tcr.2021.100456
Abstrakt: Case: A young adult male sustained a high-energy crash suffering multiple injuries including a comminuted right femoral shaft fracture and an ipsilateral iliac wing fracture. The iliac fracture was caused by a femoral fragment which was projected and pierced the iliac wing. The patient underwent surgery with retrieval of the femoral fragment and fixation of the iliac and femoral fractures. The lesions healed uneventfully.
Conclusion: This is the first reported case of an iliac fracture caused by a projectile of autologous bone. High-energy trauma may present unusual or never seen injury patterns to the trauma surgeon.
Competing Interests: The authors certify that they have no affiliations with or involvement in any organization or entity with any financial or non-financial interest in the subject matter or materials discussed in this manuscript.
(© 2021 The Authors.)
Databáze: MEDLINE