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

Luís Pedro Vieira; Francisca Pinho Costa; Pedro Negrão; Nuno Neves; Eurico Lisboa Monteiro; Manuel Ribeiro da Silva

doi:10.1016/j.tcr.2021.100456

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

Trauma Case Rep. 2021 Mar 17:33:100456. doi: 10.1016/j.tcr.2021.100456. eCollection 2021 Jun.

Authors

Luís Pedro Vieira^{1

2

3}, Francisca Pinho Costa^{1

2

3}, Pedro Negrão^{1

2

3}, Nuno Neves^{1

2

3

4

5}, Eurico Lisboa Monteiro^{1

6}, Manuel Ribeiro da Silva^{1

2

3

4

5}

Affiliations

¹ CUF Porto Hospital, Porto, Portugal.
² Orthopedics Department, Centro Hospitalar e Universitário de São João, Porto, Portugal.
³ Surgery and Physiology Department, Faculty of Medicine, University of Porto, Porto, Portugal.
⁴ i3S - Instituto de Investigação e Inovação em Saúde, University of Porto, Porto, Portugal.
⁵ INEB - Instituto Nacional de Engenharia Biomédica, University of Porto, Porto, Portugal.
⁶ Orthopaedic Department, Centro Hospitalar de Entre o Douro e Vouga, EPE, Santa Maria da Feira, Portugal.

Abstract

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.

Keywords: Femur fracture; Iliac fracture; Pelvic ring; Penetrating trauma; Projectile.

Publication types

Case Reports