J Korean Orthop Assoc.  2016 Jun;51(3):255-259. 10.4055/jkoa.2016.51.3.255.

Fracture of Distal Epiphysis of Femur during Childbirth: 10-Year Follow-Up Report

Affiliations
  • 1Department of Orthopedic Surgery, Daegu Fatima Hospital, Daegu, Korea. aabga@hanmail.net

Abstract

Epiphyseal fractures in neonates are rare and difficult to diagnose on simple radiographic images and objective guidelines for treatment have not yet been established. Authors performed conservative treatment for displaced distal femoral epiphyseal fracture detected on 5th day after cesarean section delivery. At 10 years of follow-up, satisfactory functional recovery was observed. Herein, we report on a case of displaced distal femoral epiphyseal birth fracture with literature reviews.

Keyword

femur; epiphysis; distal; fracture; birth; neonate

MeSH Terms

Cesarean Section
Epiphyses*
Female
Femur*
Follow-Up Studies*
Humans
Infant, Newborn
Parturition*
Pregnancy

Figure

  • Figure 1 Radiographs of both femurs at 5 days after delivery show a Salter-Harris type 1 fracture of the right distal femoral epiphysis.

  • Figure 2 Ultrasonograms of both distal femurs at 5 days after delivery show posterior displacement of the distal femoral epiphysis and periosteal elevation (right side) compared with the normal contralateral side (left side).

  • Figure 3 Radiographs of the right femur at 8 days after delivery show callus formation on the posterior aspect of the fracture site.

  • Figure 4 Serial radiographs of the right femur show remodeling of angular deformity at 1 month (A), 5 months (B), and 1 year and 5 months (C) after delivery.

  • Figure 5 Radiographs of the right femur and standing long bone view at 10 years after delivery.


Reference

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