Fat Embolism is a complication of
closed fracrures. It may lead to Respiratory distress, cerebral
dysfunction and rash. It is often very difficult to diagnose.
1. Fractures – closed fractures
produce more emboli than open fractures. Long bones pelvis and ribs cause more
emboli. Sternum and clavicle furnish less. Multiple fractures produce more
2. Orthopedic procedures – most commonly intramedullary nailing of the long
bones hip or knee replacements.
3. Massive soft tissue injury.
4. Severe burns.
5. Bone marrow biopsy
Non – traumatic settings
occasionally lead to fat embolism. These include Conditions associated with:
Prolonged corticosteroid therapy
Conditions causing bone infarcts,especially sickle cell
Patients often presents with the