title: Death after closed adolescent knee injury and popliteal artery occlusion: a case report and clinical review.
abstract: A healthy adolescent male soccer player sustained a radiograph-negative, effusion-negative physeal injury of the proximal tibia from a ground-level fall with traumatic occlusion of the popliteal artery. Orthopaedic evaluation and arteriography were delayed for 72 hours after the injury. He arrived at a tertiary referral center in multisystem organ failure secondary to lower extremity ischemic necrosis, septic pulmonary thromboembolism, and systemic shock. Emergent medical evaluation, a high index of suspicion, and a careful neurovascular examination are imperative after every closed knee injury in the young athlete.
authors.affiliation: Department of Orthopaedic Surgery, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California.
authors.forename: Jeremy J
authors.initials: JJ
authors.lastname: Reid
authors.affiliation: Department of Orthopaedic Surgery, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California.
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Kremen
authors.affiliation: Department of Orthopaedic Surgery, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California.
authors.forename: William L
authors.initials: WL
authors.lastname: Oppenheim
keywords: dislocation; injury; occlusion; pediatric knee; popliteal artery; proximal tibia fracture