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VOLUME 2 , ISSUE 2 ( July-December, 2020 ) > List of Articles

CASE REPORT

Subtrochanteric Femur Fracture in Neonates: A Rare Complication after Breech Presentation

Sahil Singla, Rohit Sharma, Rajan Sharma, Ranbir S Bawa, Arshpreet Singh, Navpreet S Sidhu, Satinderpal K Satti, Arshpreet S Dhillon

Keywords : Breech presentation, Cesarean section, Subtrochanteric femur fractures

Citation Information : Singla S, Sharma R, Sharma R, Bawa RS, Singh A, Sidhu NS, Satti SK, Dhillon AS. Subtrochanteric Femur Fracture in Neonates: A Rare Complication after Breech Presentation. 2020; 2 (2):79-81.

DOI: 10.5005/jp-journals-10079-1028

License: CC BY-NC 4.0

Published Online: 19-01-2021

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Fetus born in breech presentation are commonly delivered via cesarean section which is necessary to prevent trauma, and this extraction by operative maneuver can rarely lead to trauma and may result in femur fracture. But delivery of breech via vaginal route leads to various complications such as fractures. Femur fracture although being relatively a rare complication one of the most common fractures of the lower extremity presenting in newly born babies. In our case, 39-week mature fetus with weight 3,300 g breech presentation delivered by cesarean section presented with subtrochanteric femur fracture left side. A complete healing of the fracture, without any sequelae, was noted when the patient was simply immobilized with hip in flexion, abduction, and external rotation. The possibility of accidental injuries and traumatic complications are significantly reduced in cesarean section, especially in breech delivery when compared with vaginal delivery, but it does not completely eliminate the possible birth injuries and thus fractures of the newborn. So, clinicians must check for fractures even after cesarean section in breech presentation.


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  1. Birth-associated femoral fractures: incidence and outcome. J Pediatr Orthop 2002;22(1):27–30. DOI: 10.1097/01241398-200201000-00007.
  2. Birth associated injury. 5. Clin Perinatol 1981;8(1):111–129. DOI: 10.1016/S0095-5108(18)31099-6.
  3. Birth Injuries of the Child. New York, USA: Appleton-Century Crofts; 1922.
  4. Bilateral humerus fracture in a neonate after cesarean delivery. Arch Gynecol Obstet 2010;281(5):967–969. DOI: 10.1007/s00404-009-1256-0.
  5. Pediatric fractures of the humerus. Clin Orthop Relat Res 2005(432):49–56. DOI: 10.1097/01.blo.0000156452.91271.fb.
  6. Femur fracture during cesarean breech delivery. Int J Gynaecol Obstet 1993;43(3):324–326. DOI: 10.1016/0020-7292(93)90524-Z.
  7. Neonatal fracture and cesarean section. Am J Dis Child 1992;136:865.
  8. Femur fracture during abdominal breech delivery. Arch Gynecol Obstet 2008;278(2):195–197. DOI: 10.1007/s00404-008-0655-y.
  9. Fracture of lower femoral epiphysis in an infant at birth: a rare obstetrical injury. J Perinatol 2001;21(8):550–552. DOI: 10.1038/sj.jp.7210540.
  10. Fracture of the femur at cesarean section: case report and review of literature. Am J Perinatol 1990;7(01):46–48. DOI: 10.1055/s-2007-999445.
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