Thoracic and lumbar fractures associated with femoral shaft fractures in the multiple trauma patient. Occult presentations and implications for femoral fracture stabilization
Two-hundred-and-one patients with femoral shaft fractures were identified in a 5 year period at three institutions. Seven patients (3.5%) were found to have associated thoracic or lumbar fractures of various types. All resulted from high-velocity trauma. Four (57%) of these patients had thoracic or...
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| Veröffentlicht in: | Spine (Philadelphia, Pa. 1976) Pa. 1976), 1994-03, Vol.19 (5), p.556-560 |
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| container_title | Spine (Philadelphia, Pa. 1976) |
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| creator | Rupp, R E Ebraheim, N A Chrissos, M G Jackson, W T |
| description | Two-hundred-and-one patients with femoral shaft fractures were identified in a 5 year period at three institutions. Seven patients (3.5%) were found to have associated thoracic or lumbar fractures of various types. All resulted from high-velocity trauma. Four (57%) of these patients had thoracic or lumbar fractures that were undiagnosed on admission and before femoral fracture stabilization. A neurologic deficit persisted in four patients, and the possible contribution of femoral intramedullary rodding with positioning and traction must be considered. A high index of suspicion for thoracic and lumbar fractures is required when evaluating the high velocity trauma patient with a femoral shaft fracture. Presence of the thoracic or lumbar fracture may require initial spine stabilization or alter the method of femoral fracture treatment. |
| doi_str_mv | 10.1097/00007632-199403000-00011 |
| format | Article |
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Occult presentations and implications for femoral fracture stabilization</title><source>MEDLINE</source><source>Journals@Ovid Ovid Autoload</source><creator>Rupp, R E ; Ebraheim, N A ; Chrissos, M G ; Jackson, W T</creator><creatorcontrib>Rupp, R E ; Ebraheim, N A ; Chrissos, M G ; Jackson, W T</creatorcontrib><description>Two-hundred-and-one patients with femoral shaft fractures were identified in a 5 year period at three institutions. Seven patients (3.5%) were found to have associated thoracic or lumbar fractures of various types. All resulted from high-velocity trauma. Four (57%) of these patients had thoracic or lumbar fractures that were undiagnosed on admission and before femoral fracture stabilization. A neurologic deficit persisted in four patients, and the possible contribution of femoral intramedullary rodding with positioning and traction must be considered. A high index of suspicion for thoracic and lumbar fractures is required when evaluating the high velocity trauma patient with a femoral shaft fracture. 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Presence of the thoracic or lumbar fracture may require initial spine stabilization or alter the method of femoral fracture treatment.</description><subject>Adult</subject><subject>Bone Nails</subject><subject>Female</subject><subject>Femoral Fractures - complications</subject><subject>Femoral Fractures - surgery</subject><subject>Fracture Fixation, Intramedullary</subject><subject>Humans</subject><subject>Lumbar Vertebrae - injuries</subject><subject>Male</subject><subject>Multiple Trauma - complications</subject><subject>Posture</subject><subject>Spinal Fractures - complications</subject><subject>Spinal Fractures - diagnosis</subject><subject>Spinal Fractures - epidemiology</subject><subject>Thoracic Vertebrae - injuries</subject><subject>Time Factors</subject><issn>0362-2436</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkctOxCAUhlloxnH0EUxYuatCgbYszcRbMslsxnVzCjSDoReBxuhD-Yzi3CIJnJyf75x_8SOEKbmjRJb3JJ2yYHlGpeSEpS5Ll9IzNCesyLOcs-ICXYbwnuSCUTlDs4pWnAkyRz-b7eBBWYWh19hNXQMet0mJkzcBQwiDshCNxp82bnFruoQ7HLbQxn-c7XHcGtxNLtrRGRw9TB3gEaI1fbzDa6XSFx4Tm_qkDn3YOdpudFYdhHbwJ4fjbhwiNNbZ7x1zhc5bcMFcH-oCvT09bpYv2Wr9_Lp8WGUqFyJmjeGCSSUpEJlrwYtCNJqUZaqcmoqB5opzo0QJpZKtVrluRC50WUB6G8IW6Ha_d_TDx2RCrDsblHEOejNMoS4LXjFOZQKrPaj8EII3bT1624H_qimp_-Kpj_HUp3jqXTxp9ObgMTWd0afBQzbsF_Nykmk</recordid><startdate>19940301</startdate><enddate>19940301</enddate><creator>Rupp, R E</creator><creator>Ebraheim, N A</creator><creator>Chrissos, M G</creator><creator>Jackson, W T</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19940301</creationdate><title>Thoracic and lumbar fractures associated with femoral shaft fractures in the multiple trauma patient. 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Occult presentations and implications for femoral fracture stabilization</atitle><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle><addtitle>Spine (Phila Pa 1976)</addtitle><date>1994-03-01</date><risdate>1994</risdate><volume>19</volume><issue>5</issue><spage>556</spage><epage>560</epage><pages>556-560</pages><issn>0362-2436</issn><abstract>Two-hundred-and-one patients with femoral shaft fractures were identified in a 5 year period at three institutions. Seven patients (3.5%) were found to have associated thoracic or lumbar fractures of various types. All resulted from high-velocity trauma. Four (57%) of these patients had thoracic or lumbar fractures that were undiagnosed on admission and before femoral fracture stabilization. A neurologic deficit persisted in four patients, and the possible contribution of femoral intramedullary rodding with positioning and traction must be considered. 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| fulltext | fulltext |
| identifier | ISSN: 0362-2436 |
| ispartof | Spine (Philadelphia, Pa. 1976), 1994-03, Vol.19 (5), p.556-560 |
| issn | 0362-2436 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_76483419 |
| source | MEDLINE; Journals@Ovid Ovid Autoload |
| subjects | Adult Bone Nails Female Femoral Fractures - complications Femoral Fractures - surgery Fracture Fixation, Intramedullary Humans Lumbar Vertebrae - injuries Male Multiple Trauma - complications Posture Spinal Fractures - complications Spinal Fractures - diagnosis Spinal Fractures - epidemiology Thoracic Vertebrae - injuries Time Factors |
| title | Thoracic and lumbar fractures associated with femoral shaft fractures in the multiple trauma patient. Occult presentations and implications for femoral fracture stabilization |
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