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

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

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
Case Reports

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

Luís Pedro Vieira et al. Trauma Case Rep. .

Erratum in

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.

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Conflict of interest statement

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.

Figures

Fig. 1
Fig. 1
A, B and C – Pelvis and right femur radiographs at admission. The femoral fracture had been fixed with a long nail, but it is obvious the critical cortical defect of the proximal femur. It is noticeable a bone fragment overlaying the right iliac wing.
Fig. 2
Fig. 2
A, B and C – Coronal, axial and sagittal CT images of the pelvis. The images show a fracture of the right iliac wing, which was pierced by a cortical bone fragment.
Fig. 3
Fig. 3
– Intra-operative images. A – Through a Gibson approach it was evident the fragment of femoral cortical bone (white square) piercing the right iliac wing (white asterisk); B - After removal of the bone fragment it was obvious the fracture of the right iliac wing (white arrow).
Fig. 4
Fig. 4
A, B and C – 12-month post-operative pelvis and right hip radiographs, which show uneventful union of the fractures.
See this image and copyright information in PMC

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