An unusual case of symmetric quadruple limb fractures.
10.1016/j.cjtee.2022.12.003
- VernacularTitle:An unusual case of symmetric quadruple limb fractures
- Author:
Vivek VIJAYAKUMAR
1
;
Hemant BANSAL
2
;
Kamran FAROOQUE
1
;
Vijay SHARMA
1
Author Information
1. Department of Orthopaedics, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.
2. Department of Orthopaedics, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India. Electronic address: hemant.21bansal@gmail.com.
- Publication Type:Case Reports
- Keywords:
Bilateral;
Femoral fractures;
Humerus fractures;
Quadruple limbs
- MeSH:
Male;
Humans;
Young Adult;
Adult;
Femoral Fractures/complications*;
Femur;
Fracture Fixation;
Accidental Falls;
Radiography
- From:
Chinese Journal of Traumatology
2023;26(5):303-307
- CountryChina
- Language:English
-
Abstract:
A 19-year-old man had an accidental fall from the 2nd floor and sustained multiple injuries. On radiological evaluation, the patient had symmetrical quadruple limb involvement with bilateral humerus shaft, bilateral olecranon, bilateral femur shaft, and bilateral patella fractures. The patient was actively managed using damage control orthopaedics, and a sequence of skeletal fixation was planned based on the hemodynamic stability and periodical serum lactate assessment. Symmetrical quadruple limb fractures are very rare, which could be associated with higher mortality. A meticulous clinical evaluation, periodical blood parameter assessment and strict adherence to the principles of damage control orthopaedics can be conducive to prevent life-endangering complications.
