December 13, 1924


JAMA. 1924;83(24):1924-1925. doi:10.1001/jama.1924.02660240038014

Acute circulatory disturbances attributable to fat embolism have long been known to clinicians, but recent years have witnessed a recrudescence of interest in the subject. In reviewing our knowledge, Gauss1 of Denver emphasizes the fact that the cause of fat embolism is always trauma. It may have been such a trauma as to have caused a fracture of bones, a type that is most likely to produce fat embolism; or it may be the trauma that has caused a blunt injury to adipose tissue, or a rupture of certain viscera rich in fat, such as the liver, although this type of case is comparatively rare; it may occur in certain surgical procedures in which considerable trauma is employed in the forcible correction of bones and joints, such as sometimes happens in the operation of osteoclasis. Osteomyelitis has been mentioned as a cause of fat embolism, but the cases in

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