{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T21:48:52Z","timestamp":1791668932303,"version":"4.3.4"},"reference-count":4,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:00:00Z","timestamp":1791590400000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>A 28\u00a0year old woman presented with local wound infection two weeks after sustaining an anterior thigh laceration in a high energy motorbike crash that killed the co-riding motorcyclist. X-ray revealed a non-identifiable radio-opaque fragment and computed tomography identified a bony foreign body deep in the thigh adjacent to the femoral vessels, with the host femur intact. A 6\u00a0x\u00a03\u00a0cm fragment of cortical bone was removed at surgery. Histopathology and genetic studies to confirm its origin were not feasible in this resource-limited setting, but an intact host femur suggested it originated from the deceased rider. The wound healed by secondary intention, HIV and hepatitis serology were negative at 6\u00a0weeks. This case highlights the unusual occurrence of a bone missile and the importance of early advanced imaging and prompt post-exposure prophylaxis following high-energy, multi-victim trauma.<\/jats:p>","DOI":"10.1093\/jscr\/rjag903","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T12:01:38Z","timestamp":1790164898000},"source":"Crossref","is-referenced-by-count":0,"title":["Bone missile injury with an intact host femur after high energy road traffic trauma: a case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Ezekiel","family":"Baguma","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Makerere University College of Health Sciences , Kampala ,","place":["Uganda"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Jjuuko","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Masaka Regional Referral Hospital , Masaka ,","place":["Uganda"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Kabazzi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Masaka Regional Referral Hospital , Masaka ,","place":["Uganda"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Ezati","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Makerere University College of Health Sciences , Kampala ,","place":["Uganda"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phillip","family":"Mulepo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Makerere University College of Health Sciences , Kampala ,","place":["Uganda"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Muwanguzi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Makerere University College of Health Sciences , Kampala ,","place":["Uganda"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,10,10]]},"reference":[{"key":"2026101017140775000_ref1","doi-asserted-by":"publisher","first-page":"e20.00666","DOI":"10.2106\/JBJS.CC.20.00666","article-title":"Bone missile: unusual foreign body presentation: a case report","volume":"11","author":"Alsafty","year":"2021","journal-title":"JBJS Case Connect"},{"key":"2026101017140775000_ref2","first-page":"367","article-title":"A bony foreign body found in a patient with no bony injury: a case report","volume":"17","author":"Kaushik","year":"2014","journal-title":"Chin J Traumatol"},{"key":"2026101017140775000_ref3","first-page":"683","article-title":"Management of foreign bodies in the skin","volume":"76","author":"Halaas","year":"2007","journal-title":"Am Fam Physician"},{"key":"2026101017140775000_ref4","volume-title":"Updated Recommendations on First-Line and Second-Line Antiretroviral Regimens and Post-Exposure Prophylaxis and Recommendations on Early Infant Diagnosis of HIV","author":"World Health Organization","year":"2018"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/10\/rjag903\/71838871\/rjag903.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/10\/rjag903\/71838871\/rjag903.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T21:14:13Z","timestamp":1791666853000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag903\/8907396"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":4,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10,3]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag903","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,10]]},"published":{"date-parts":[[2026,10]]},"article-number":"rjag903"}}