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A Rare Case of Femoral Shaft Fracture Linked to Childbirth
Aritra Kapat1, Dharmendra Kumar2, Nidhi Ranjan3
1Paediatrics, Ghatal Sub-Divisional Hospital, Ghatal, IND.
Birth injuries occur rarely during Cesarean section thanks to antenatal care, skilled obstetricians, and decreased instrumental maneuvers. Most traumatic fractures during childbirth involve the clavicle and humerus, which are related to malposition and malpresentation. We report a rare case of femoral shaft fracture at childbirth. A 19-year-old primigravida with a normal antenatal history delivered a term newborn with a 2.14 kg birth weight by Cesarean section. A day after birth, the mother noticed a swelling on the baby's right thigh with mild deviation of the right limb compared to the left one, and excessive crying upon touching the area. Urgent X-ray revealed a closed fracture of the right femur mid-shaft. Conservative management, including splinting and casting, was performed. Follow-up X-ray after three weeks revealed new soft tissue bone formation, and the child was discharged in a hemodynamically stable condition with follow-up advice.
Birth injuries occur rarely during Cesarean section thanks to antenatal care, skilled obstetricians, and decreased instrumental maneuvers. Most traumatic fractures during childbirth involve the clavicle and humerus, which are related to malposition and malpresentation. We report a rare case of femoral shaft fracture at childbirth. A 19-year-old primigravida with a normal antenatal history delivered a term newborn with a 2.14 kg birth weight by Cesarean section. A day after birth, the mother noticed a swelling on the baby's right thigh with mild deviation of the right limb compared to the left one, and excessive crying upon touching the area. Urgent X-ray revealed a closed fracture of the right femur mid-shaft. Conservative management, including splinting and casting, was performed. Follow-up X-ray after three weeks revealed new soft tissue bone formation, and the child was discharged in a hemodynamically stable condition with follow-up advice.
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