title: Bullet fragment-induced lead arthropathy with subsequent fracture and elevated blood lead levels.
abstract: Lead foreign bodies in joint spaces, often due to projectiles such as bullets, may cause localized arthropathy. There are no reports of joint fracture related to lead arthropathy. Additionally, lead foreign bodes embedded in the joint space may be a source of systemic lead absorption, causing elevated blood lead levels and toxicity to other organs. We present a young adult patient with retained left hip joint bullet fragments who developed suspected lead arthropathy and subsequent acute left hip fracture, as well as systemic lead absorption demonstrated by elevated blood lead levels.
authors.affiliation: Departments of Emergency Medicine (McAninch, Benham) and Radiology (Adkison, Meyers), Scott and White Medical Center - Temple and Texas A&M Health Science Center College of Medicine, Temple, Texas.
authors.forename: Scott A
authors.initials: SA
authors.lastname: McAninch
authors.affiliation: Departments of Emergency Medicine (McAninch, Benham) and Radiology (Adkison, Meyers), Scott and White Medical Center - Temple and Texas A&M Health Science Center College of Medicine, Temple, Texas.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Adkison
authors.affiliation: Departments of Emergency Medicine (McAninch, Benham) and Radiology (Adkison, Meyers), Scott and White Medical Center - Temple and Texas A&M Health Science Center College of Medicine, Temple, Texas.
authors.forename: Ridgely
authors.initials: R
authors.lastname: Meyers
authors.affiliation: Departments of Emergency Medicine (McAninch, Benham) and Radiology (Adkison, Meyers), Scott and White Medical Center - Temple and Texas A&M Health Science Center College of Medicine, Temple, Texas.
authors.forename: Michael
authors.initials: M
authors.lastname: Benham