Treatments including physical manipulation maneuvers have been widely used for the management of various pain complaints. These maneuvers, although generally considered safe, can be associated with serious complications. We report the case of a 37-years-old previously healthy male patient, who presented to our emergency department (ED) for severe right thigh pain and inability to bear weight that developed during a chiropractic session. Imaging done at the ED showed a displaced distal femoral shaft fracture. The majority of the complications of manipulation maneuvers can be as simple as sprains, however, can be drastic or life-threatening in certain cases causing cerebrovascular accidents or major orthopedic fractures. Such complications are rare and definitely underreported. A femoral shaft fracture occurring as a result of physical manipulation has not been previously reported in the literature. We report a distal femoral shaft fracture that was induced by forceful chiropractic manipulation. It is the first to be reported in the literature. This complication should be noted, reported, and the necessary precautions are taken to avoid such major adverse events.
Case Rep Orthop Res 2021;4:84–88

中文翻译：

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肢体操作导致股骨干骨折一例

包括物理操纵在内的治疗已被广泛用于各种疼痛的治疗。尽管通常被认为是安全的，但这些操作可能会导致严重的并发症。我们报告了一名37岁以前健康的男性患者的病例，该患者因严重的右大腿疼痛和脊椎按摩治疗期间无法承受的体重而出现在我们的急诊科（ED）。急诊室的影像学检查显示股骨远端移位。操纵操作的大多数并发症都可以像扭伤一样简单，但是在某些情况下可能会剧烈或危及生命，从而导致脑血管意外或严重的骨科骨折。这样的并发症很少见，而且绝对没有被报道。以前没有文献报道过由于物理操作导致的股骨干骨折。我们报告了由强制整脊操纵引起的股骨远端骨折。这是文献中首次报道的。应注意并报告这种并发症，并采取必要的预防措施以避免此类重大不良事件。
Case Rep Orthop Res 2021; 4：84–88