ArticleInternational journal of legal medicine2011
Correlation of fat embolism severity and subcutaneous fatty tissue crushing and bone fractures.
Article in International journal of legal medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Fat embolism: a systematic review to facilitate the development of standardised procedures in pathology.Histopathology · 2025Pooled it
- Correlation of pulmonary fat embolism with trauma and resuscitation in children.International journal of legal medicine · 2025Article
- Risk Stratification Algorithm for Orthopedic Trauma Patients at Risk for Fat Embolism Syndrome.Indian journal of orthopaedics · 2021Article
- Postmortem CT and MRI findings of massive fat embolism.International journal of legal medicine · 2020Article
- Approaching pulmonary fat embolism on postmortem computed tomography.International journal of legal medicine · 2019Article
- The Protective Roles of Urinary Trypsin Inhibitor in Brain Injury Following Fat Embolism Syndrome in a Rat Model.Cell transplantation · 2019Article
- Histopathological evaluation of autopsy cases with isolated pulmonary fat embolism (IPFE): is cardiopulmonary resuscitation a main cause of death in IPFE?Open access emergency medicine : OAEM · 2019Article
- Pulmonary fat embolism and related effects during femoral intramedullary surgery: An experimental study in dogs.Experimental and therapeutic medicine · 2013Article
- Pulmonary embolisation of bone fragments from penetrating cranial gunshot wounds.International journal of legal medicine · 2012Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Pulmonary fat embolism (PFE) is frequently encountered in blunt trauma. The clinical manifestation ranges from no impairment in light cases to death due to right-sided heart failure or hypoxaemia in severe cases. Occasionally, pulmonary fat embolism can give rise to a fat embolism syndrome (FES), which is marked by multiorgan failure, respiratory disorders, petechiae and often death. It is well known that fractures of long bones can lead to PFE. Several authors have argued that PFE can arise due to mere soft tissue injury in the absence of fractures, a claim other authors disagree upon. In this study, we retrospectively examined 50 victims of blunt trauma with regard to grade and extent of fractures and crushing of subcutaneous fatty tissue and presence and severity of PFE. Our results indicate that PFE can arise due to mere crushing of subcutaneous fat and that the fracture grade correlated well with PFE severity (p = 0.011). The correlation between PFE and the fracture severity (body regions affected by fractures and fracture grade) showed a lesser significant correlation (p = 0.170). The survival time (p = 0.567), the amount of body regions affected by fat crushing (p = 0.336) and the fat crush grade (p = 0.485) did not correlate with the PFE grade, nor did the amount of body regions affected by fractures. These results may have clinical implications for the assessment of a possible FES development, as, if the risk of a PFE is known, preventive steps can be taken.
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