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Classic metaphyseal lesion of distal tibia following footling breech delivery

Gloria S Lee1, Sosamma T Methratta2, Lori D Frasier3

  • 1Department of Pediatrics, Center for the Protection of Children, Penn State Health Children's Hospital, Penn State College of Medicine, 500 University Drive, Suite C7840, Hershey, PA, 17033, USA. glee6@pennstatehealth.psu.edu.

Pediatric Radiology
|August 6, 2019
PubMed

Classic metaphyseal lesions associated with childbirth are rare. We report a distal tibial metaphyseal fracture following a difficult breech delivery. Classic metaphyseal fractures are considered highly specific injuries associated with non-accidental trauma. This case depicts a classic metaphyseal lesion sustained during footling breech extraction in an urgent delivery. The traction and torque placed on the distal extremities during this difficult delivery suggest a potential mechanism for this injury.

Keywords:
Birth injuryBreech deliveryChild abuseClassic metaphyseal lesionFootling presentationNeonateTibial fracture

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