{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:12:36Z","timestamp":1788999156211,"version":"build-2803163510"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 26-year-old man with a minimally displaced tibial shaft fracture after an all-terrain vehicle crush injury rapidly developed fat embolism syndrome (FES), leading to diffuse alveolar hemorrhage (DAH) preoperatively. He was treated with an intramedullary rod 10 days after injury after a complicated clinical course and went on to full union with no long-term mental or systemic sequelae.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>FES is a known complication of long bone fractures, frequently presenting with hypoxemia. DAH is a rare complication of the condition. This case demonstrates the need for a high index of suspicion both for FES and DAH as complications of orthopaedic trauma.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.23.00020","type":"journal-article","created":{"date-parts":[[2023,5,5]],"date-time":"2023-05-05T14:02:37Z","timestamp":1683295357000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Fat Embolism Syndrome Complicated by Diffuse Alveolar Hemorrhage After a Minimally Displaced Tibia Fracture"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0390-813X","authenticated-orcid":false,"given":"Kevin D.","family":"Seely","sequence":"first","affiliation":[{"name":"College of Osteopathic Medicine, Rocky Vista University, Ivins, Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6825-3384","authenticated-orcid":false,"given":"Reese","family":"Cooper","sequence":"additional","affiliation":[{"name":"College of Osteopathic Medicine, Rocky Vista University, Ivins, Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3094-4494","authenticated-orcid":false,"given":"Aaron","family":"Machen","sequence":"additional","affiliation":[{"name":"College of Osteopathic Medicine, Rocky Vista University, Ivins, Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3818-519X","authenticated-orcid":false,"given":"Ryan","family":"Eggers","sequence":"additional","affiliation":[{"name":"Southwest Orthopedics and Sports Medicine, St. George, Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,4]]},"reference":[{"issue":"8","key":"bib1-20240731","doi-asserted-by":"crossref","first-page":"e346","DOI":"10.5435\/JAAOS-D-17-00571","article-title":"Fat embolism and fat embolism syndrome","volume":"27","author":"Rothberg","year":"2019","journal-title":"J Am Acad Orthop Surg."},{"issue":"4","key":"bib2-20240731","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1302\/0301-620X.52B4.732","article-title":"Fat embolism: an aid to diagnosis","volume":"52","author":"Gurd","year":"1970","journal-title":"J Bone Joint Surg Br."},{"issue":"4","key":"bib3-20240731","doi-asserted-by":"crossref","first-page":"438","DOI":"10.7326\/0003-4819-99-4-438","article-title":"Fat embolism prophylaxis with corticosteroids. A prospective study in high-risk patients","volume":"99","author":"Schonfeld","year":"1983","journal-title":"Ann Intern Med."},{"issue":"1","key":"bib4-20240731","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1302\/0301-620X.69B1.3818718","article-title":"Fat embolism and the fat embolism syndrome. 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