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Fracture of Lower Femoral Epiphysis in an Infant at Birth: A Rare Obstetrical Injury

Journal of Perinatology volume 21, pages 550–552 (2001)Cite this article

Abstract

We report a case of rare birth injury leading to physeal fracture after a routine cesarean delivery. Because plain radiographics are often normal, therefore these physeal fractures usually present a diagnostic challenge in the newborn. In this case, ultrasonography and magnetic resonance imaging were helpful in making an early accurate diagnosis. The infant received prompt treatment and the physeal fracture healed uneventfully. Physeal fractures should be included in the birth injuries following routine cesarean delivery.

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References

  1. Mann DC, Rajmana S Distribution of physeal and nonphyseal fractures in 2,650 long-bone fractures in children ages 0–16 years J Pediatr Orthop 1990 10 713–6

    Article  CAS  Google Scholar 

  2. McCollough FL, McCarthy RE Bilateral distal femoral epiphyseal fractures following home delivery: a case report J Arkansas Med Soc 1988 84 (9) 364–6

    CAS  PubMed  Google Scholar 

  3. Theodorou SD, Jerodiacanon MN, Mitsou A Obstetrical fracture separation of the upper femoral epiphysis Acta Orthop Scand 1982 53 239–43

    Article  CAS  Google Scholar 

  4. Ekengsen K, Bergdahl S, Ekstrom G Birth injuries to the epiphyseal cartilage Acta Radiol Diagn 1978 19 197–204

    Article  Google Scholar 

  5. White PG, Mah JY, Friedman L Magnetic resonance imaging in acute physeal injuries Skeletal Radiol 1994 23 627–31

    Article  CAS  Google Scholar 

  6. Rogers LF, Poznanski AK Imaging of epiphyseal injuries Radiology 1994 191 297–308

    Article  CAS  Google Scholar 

  7. Ziv N, Litwin A, Katz K, Merlob P, Grunebaum M Definitive diagnosis of fracture-separation of the distal humeral epiphysis in neonates by ultrasonography Pediatr Radiol 1996 26 (7) 493–6

    Article  CAS  Google Scholar 

  8. Vasa R, Kim MR Fracture of the femur at cesarean section: case report and review of literature Am J Perinatol 1990 7 46–8

    Article  CAS  Google Scholar 

  9. Alexander J, Gregg JEM, Quinn MW Femoral fractures at cesarean section. Case report Br J Obstet Gynaecol 1987 94 273

    Article  CAS  Google Scholar 

  10. Carey J, Spence L, Blickman H, Eustace S MRI of pediatric growth plate injury: correlation with plain film radiographs and clinical outcome Skeletal Radiol 1998 27 (5) 250–5

    Article  CAS  Google Scholar 

  11. Rodgers WB, Schwend RM, Jaranetto D, Kasser JR, Emans JB Chronic physeal fractures in myelodysplasia: magnetic resonance analysis, histologic description, treatment and outcome J Pediatr Orthop 1997 17 (5) 615–21

    Article  CAS  Google Scholar 

  12. Brown J, Eustace S Neonatal transphyseal supracandylar fracture detected by ultrasound Pediatr Emerg Care 1997 13 (6) 410–2

    Article  CAS  Google Scholar 

  13. Howard CB, Shinwell E, Nydca M, Meller I Ultrasound diagnosis of neonatal fracture separation of the upper humeral epiphysis J Bone Jt Surg Br 1992 74-B 471–2

    Article  Google Scholar 

Download references

Acknowledgements

We are thankful to Bonnie Kanzia for her secretarial services.

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Authors and Affiliations

  1. Departments of Pediatrics and Pediatric Orthopaedics, Loyola University Medical Center, Maywood, IL, USA

    Renu Jain MD & Robert J Bielski MD

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  1. Renu Jain MD
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  2. Robert J Bielski MD
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Jain, R., Bielski, R. Fracture of Lower Femoral Epiphysis in an Infant at Birth: A Rare Obstetrical Injury. J Perinatol 21, 550–552 (2001). https://doi.org/10.1038/sj.jp.7210540

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