An unusual case of symmetric quadruple limb fractures

作     者：Vivek Vijayakumar Hemant Bansal Kamran Farooque Vijay Sharma Vivek Vijayakumar;Hemant Bansal;Kamran Farooque;Vijay Sharma

作者机构：Department of OrthopaedicsJai Prakash Narayan Apex Trauma CentreAll India Institute of Medical SciencesNew DelhiIndia 

出 版 物：《中华创伤杂志:英文版》 (Chinese Journal of Traumatology)

年 卷 期：2023年第26卷第5期

页      面：303-307页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Femoral fractures Bilateral Humerus fractures Quadruple limbs 

摘      要：A 19-year-old man had an accidental fall from the 2nd floor and sustained multiple *** radiological evaluation,the patient had symmetrical quadruple limb involvement with bilateral humerus shaft,bilateral olecranon,bilateral femur shaft,and bilateral patella *** 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 *** 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.