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Delayed Birth-Related Femur Fracture after Cesarean Section: A Case Report
Yuji Kanai1,2, Yoshinobu Honda1, Tsuyoshi Honda3
1Department of Premature and Newborn, Iwaki Kyouritsu Hospital, Iwaki, Japan.
AJP Reports
|August 10, 2018
Summary
Birth-related femur fractures can be delayed, presenting days after birth. Careful monitoring of neonates, especially after cesarean delivery, is crucial for timely diagnosis and management of these rare injuries.
Area of Science:
- Orthopedics
- Neonatology
- Pediatric Surgery
Background:
- Birth-related femur fractures are uncommon obstetric complications.
- Typically diagnosed shortly after birth, delayed presentations are less understood.
- Difficult delivery and cesarean sections are associated risk factors.
Observation:
- A neonate presented with a spiral left femur fracture on postpartum day 9.
- Initial radiography at birth revealed an undiagnosed, non-displaced fracture.
- Symptoms of edema and hypoesthesia manifested days later.
Findings:
- Plain radiography can identify birth-related femur fractures, even without immediate symptoms.
- Delayed symptom development suggests a gradual or overlooked traumatic process.
- This case highlights the potential for delayed diagnosis in neonatal femur fractures.
Implications:
- Neonatal femur fractures require consideration even in asymptomatic newborns.
- Enhanced postnatal surveillance is recommended for breech deliveries via cesarean section.
- Understanding delayed fracture mechanisms improves diagnostic accuracy and patient outcomes.
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