Cargando…

Fracture of the Femur of A Newborn after Cesarean Section for Breech Presentation and Fibroid Uterus : A Case Report and Literature Review

INTRODUCTION: The practice of cesarean section is known to decrease the occurrence of long bone fractures. We present here an unusual diaphyseal fracture of the femur of a newborn after cesarean section, the only case observed in our 14 years of practice. CASE REPORT: The patient was a 3.4-kg female...

Descripción completa

Detalles Bibliográficos
Autores principales: Farikou, Ibrahima, Bernadette, Ngo Nonga, Daniel, Handy Eone, Aurélien, Sosso Maurice
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4722560/
https://www.ncbi.nlm.nih.gov/pubmed/27298938
http://dx.doi.org/10.13107/jocr.2250-0685.141
_version_ 1782411377041735680
author Farikou, Ibrahima
Bernadette, Ngo Nonga
Daniel, Handy Eone
Aurélien, Sosso Maurice
author_facet Farikou, Ibrahima
Bernadette, Ngo Nonga
Daniel, Handy Eone
Aurélien, Sosso Maurice
author_sort Farikou, Ibrahima
collection PubMed
description INTRODUCTION: The practice of cesarean section is known to decrease the occurrence of long bone fractures. We present here an unusual diaphyseal fracture of the femur of a newborn after cesarean section, the only case observed in our 14 years of practice. CASE REPORT: The patient was a 3.4-kg female child born at 38 weeks of gestation. The mother was a primipara and aged 39 years. Ultrasound examination at 20th week revealed intrauterine fibroids with a breech presentation. Therefore, elective cesarean section was indicated. There was no apparent bone disorder that could predispose to sustain femur fracture. The fracture was treated successfully with a bilateral spica cast. The cesarean section was indicated in an aged primipara, bearer of uterine fibroids, and breech presentation. She had a good general health status, but her bone density was unknown since this examination is not routinely performed in our clinical settings in Africa. CONCLUSION: Elderly age, primipara status, presence of uterine fibroids, and breech presentation are usual indications for cesarean section. However, there are not many reports on femur fracture after cesarean section. Our present case suggests that despite the latest advances in delivery techniques, cesarean section for breech presentation predisposes the neonate to femoral fractures.
format Online
Article
Text
id pubmed-4722560
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher Indian Orthopaedic Research Group
record_format MEDLINE/PubMed
spelling pubmed-47225602016-06-13 Fracture of the Femur of A Newborn after Cesarean Section for Breech Presentation and Fibroid Uterus : A Case Report and Literature Review Farikou, Ibrahima Bernadette, Ngo Nonga Daniel, Handy Eone Aurélien, Sosso Maurice J Orthop Case Reports Case Report INTRODUCTION: The practice of cesarean section is known to decrease the occurrence of long bone fractures. We present here an unusual diaphyseal fracture of the femur of a newborn after cesarean section, the only case observed in our 14 years of practice. CASE REPORT: The patient was a 3.4-kg female child born at 38 weeks of gestation. The mother was a primipara and aged 39 years. Ultrasound examination at 20th week revealed intrauterine fibroids with a breech presentation. Therefore, elective cesarean section was indicated. There was no apparent bone disorder that could predispose to sustain femur fracture. The fracture was treated successfully with a bilateral spica cast. The cesarean section was indicated in an aged primipara, bearer of uterine fibroids, and breech presentation. She had a good general health status, but her bone density was unknown since this examination is not routinely performed in our clinical settings in Africa. CONCLUSION: Elderly age, primipara status, presence of uterine fibroids, and breech presentation are usual indications for cesarean section. However, there are not many reports on femur fracture after cesarean section. Our present case suggests that despite the latest advances in delivery techniques, cesarean section for breech presentation predisposes the neonate to femoral fractures. Indian Orthopaedic Research Group 2014 /pmc/articles/PMC4722560/ /pubmed/27298938 http://dx.doi.org/10.13107/jocr.2250-0685.141 Text en Copyright: © Indian Orthopaedic Research Group http://creativecommons.org/licenses/by-nc-sa/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc-sa/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Farikou, Ibrahima
Bernadette, Ngo Nonga
Daniel, Handy Eone
Aurélien, Sosso Maurice
Fracture of the Femur of A Newborn after Cesarean Section for Breech Presentation and Fibroid Uterus : A Case Report and Literature Review
title Fracture of the Femur of A Newborn after Cesarean Section for Breech Presentation and Fibroid Uterus : A Case Report and Literature Review
title_full Fracture of the Femur of A Newborn after Cesarean Section for Breech Presentation and Fibroid Uterus : A Case Report and Literature Review
title_fullStr Fracture of the Femur of A Newborn after Cesarean Section for Breech Presentation and Fibroid Uterus : A Case Report and Literature Review
title_full_unstemmed Fracture of the Femur of A Newborn after Cesarean Section for Breech Presentation and Fibroid Uterus : A Case Report and Literature Review
title_short Fracture of the Femur of A Newborn after Cesarean Section for Breech Presentation and Fibroid Uterus : A Case Report and Literature Review
title_sort fracture of the femur of a newborn after cesarean section for breech presentation and fibroid uterus : a case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4722560/
https://www.ncbi.nlm.nih.gov/pubmed/27298938
http://dx.doi.org/10.13107/jocr.2250-0685.141
work_keys_str_mv AT farikouibrahima fractureofthefemurofanewbornaftercesareansectionforbreechpresentationandfibroiduterusacasereportandliteraturereview
AT bernadettengononga fractureofthefemurofanewbornaftercesareansectionforbreechpresentationandfibroiduterusacasereportandliteraturereview
AT danielhandyeone fractureofthefemurofanewbornaftercesareansectionforbreechpresentationandfibroiduterusacasereportandliteraturereview
AT aureliensossomaurice fractureofthefemurofanewbornaftercesareansectionforbreechpresentationandfibroiduterusacasereportandliteraturereview