Journal of Emergencies, Trauma, and Shock
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Year : 2015  |  Volume : 8  |  Issue : 3  |  Page : 169
Penetrating injury from high-speed motor vehicle collision


Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University and Rhode Island Hospital, Rhode Island, USA

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Date of Submission15-Jan-2014
Date of Acceptance16-Jan-2014
Date of Web Publication13-Jul-2015
 

   Abstract 

We present the case history of a post motor vehicle crash victim with lower extremity fractures and decreased blood flow. Emergent Angipgraphy revealed a foreign body which was later operated and removed. The case emphasizes that High-speed motor vehicle accidents commonly lead to penetrating injury from objects within and outside of the vehicle.

Keywords: Motor vehicle accident, penetrating trauma, vascular injury

How to cite this article:
Daniels AH. Penetrating injury from high-speed motor vehicle collision. J Emerg Trauma Shock 2015;8:169

How to cite this URL:
Daniels AH. Penetrating injury from high-speed motor vehicle collision. J Emerg Trauma Shock [serial online] 2015 [cited 2019 Sep 23];8:169. Available from: http://www.onlinejets.org/text.asp?2015/8/3/169/160735



   Case History Top


A 25-year-old male was airlifted to our institution following a high-speed, head-on motor vehicle collision. He had open left patella and lateral femoral condyle fractures [Figure 1]a with a normal motor and sensory exam, but his foot was cool with sluggish capillary refill (>3 s) and no palpable pulses. He was emergently taken to the operating room for left lower extremity angiography. Angiogram revealed impaired blood flow through the popliteal artery with a foreign object partially occluding the artery [Figure 1]b. The foreign object was removed from the popliteal fossa and found to be a coin [Figure 1]c. The coin had acted as a projectile, passing through the femur [Figure 1]d and bending in half in the process. After coin removal, the patient's vascular exam returned to normal. High-speed motor vehicle accidents commonly lead to penetrating injury from objects within and outside of the vehicle.
Figure 1: (a) Anteroposterior radiograph of left knee revealing fractures of the patella and lateral femoral condyle (b) Angiogram revealing foreign object on popliteal artery causing impaired blood flow (c) Coin (dime) which acted as a projectile causing fractures of the patella and femoral condyle, and was folded in half due to the forces of the contact with the bone (d) Bone void in lateral femoral condyle due to the path of the coin travelling through the bone

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Correspondence Address:
Alan H Daniels
Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University and Rhode Island Hospital, Rhode Island
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2700.160735

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