Abstract
Femur fractures are common in pediatric population. However, traumatic vascular injuries secondary to femoral shaft fractures were rarely reported in the literature. Major signs of the vascular injury are including pulselessness, enlarging pulsatile haematoma, bruit, thrill, haemorrhage and acute ischemia. Vascular injury may present even if in the presence of the distal pulses of the limb. We report a case of 5 year old child who presented with superficial femoral artery thrombosis due to proximal femoral shaft fracture. We emphasize the significance of suspicion of vascular injuries associated with femoral shaft fractures in pediatric population and the influence of the current research on the future studies.
Highlights
We report a case of 5 year old child who presented with superficial femoral artery (SFA) thrombosis due to proximal femoral shaft fracture and we emphasize the significance of suspicion of vascular injuries associated femoral shaft fractures
A 5-year-old man was presented with a right proximal femoral Traumatic superficial femoral artery injuries secondary to femoral fracture in a traffic accident and he was admitted to Ondokuz shaft fractures were rarely reported in the literature
These arteries are more prone to vascular injury associated with femoral shaft fracture [3]
Summary
Femur fractures are common in paediatric population and femoral shaft fractures have an incidense of 1.4-1.7% of all paediatric fractures. The mechanism of the femoral shaft fracture for older children is associated with high-energy transmission such as traffic accidents. Combined femoral shaft fracture and arterial injuries of the limbs are infrequent, vascular injuries associated with femoral shaft fractures and dislocations have a high morbidity. Common femoral or superficial femoral artery injuries lead to acute limb ischaemic due to restriction of the blood flow by intramural hematoma, spasm, stretch injury, intimal disruption, arteriosclerotic plaque disruption and haemorrhage.
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