title: Injury to the superior gluteal artery during intramedullary fixation of an atypical subtrochanteric stress fracture - a case report.
abstract: Iatrogenic vascular injury during hip fracture surgery is a rare complication, with infrequent reports of injury during the procedure of cepahalomedullary nailing. We describe a case report of injury to the superior gluteal artery which occurred during insertion of a nail for prophylactic fixation of an incomplete femur fracture secondary to alendronate use. We describe the anatomy of the arterial branches, the postoperative course, and the management strategy and hope this will increase awareness of these rare injuries.
authors.forename: James P
authors.initials: JP
authors.lastname: Ward
authors.forename: Eric J
authors.initials: EJ
authors.lastname: Strauss
authors.forename: Nirmal C
authors.initials: NC
authors.lastname: Tejwani
mesh_terms: D019386:Alendronate / Q000627:therapeutic use; D001158:Arteries / Q000293:injuries; D001803:Blood Transfusion; D050071:Bone Density Conservation Agents / Q000627:therapeutic use; D001858:Bone Nails; D002081:Buttocks / Q000098:blood supply*; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects* / Q000295:instrumentation; D015775:Fractures, Stress / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006620:Hip Fractures / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007049:Iatrogenic Disease; D008875:Middle Aged; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy
chemical_list: D050071:Bone Density Conservation Agents; D019386:Alendronate