{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T11:58:26Z","timestamp":1791374306870,"version":"4.3.1"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction:\nSuperior gluteal artery (SGA) injury following cephalomedullary nailing (CMN) is exceedingly rare. To our knowledge, this is the first reported case of acute SGA hemorrhage in a patient on therapeutic direct oral anticoagulant therapy, representing a clinically distinct presentation from previously described delayed pseudoaneurysm formation.\n\nCase Report:\nA 75-year-old anticoagulated female (apixaban, Factor V Leiden) sustained an intertrochanteric femur fracture treated with CMN. Three hours postoperatively, she developed hypotension, tachycardia, and a hemoglobin drop to 6.9 g\/dL despite a dry wound. Gluteal swelling prompted computed tomography (CT) angiography, which identified active extravasation from an SGA branch. Selective coil embolization achieved hemostasis, and the patient was discharged on post-operative day 11.\n\nConclusion:\nSGA injury is a rare but life-threatening complication of CMN. Unexplained hemodynamic instability with gluteal swelling should prompt urgent CT angiography and interventional radiology consultation. Anticoagulation should not delay timely hip fracture fixation.\n\nKeywords:\nSuperior gluteal artery , cephalomedullary nailing , intertrochanteric fracture , anticoagulation , embolization<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i10.8248","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T11:46:31Z","timestamp":1791373591000},"page":"233-237","source":"Crossref","is-referenced-by-count":0,"title":["Superior Gluteal Artery Injury After Cephalomedullary Nailing of a Hip Fracture in a Patient on Anticoagulation: A Case Report and Literature Review"],"prefix":"10.13107","volume":"16","author":[{"given":"Aaron","family":"Pang","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Henry Ford Health System, Detroit, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mazen","family":"Zamzam","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Henry Ford Health System, Detroit, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Pellerito","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Henry Ford Health System, Detroit, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik","family":"Eller","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Henry Ford Health System, Detroit, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T11:46:32Z","timestamp":1791373592000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/10\/superior-gluteal-artery-injury-after-cephalomedullary-nailing-of-a-hip-fracture-in-a-patient-on-anticoagulation-a-case-report-and-literature-review\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i10.8248","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}