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Pediatric Radiology
Published in: Pediatric Radiology 13/2019

01-12-2019 | Birth Injury | Case Report

Classic metaphyseal lesion of distal tibia following footling breech delivery

Authors: Gloria S. Lee, Sosamma T. Methratta, Lori D. Frasier

Published in: Pediatric Radiology | Issue 13/2019

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Abstract

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.
Literature
1.
Kleinman PK, Marks SC Jr (1996) A regional approach to classic metaphyseal lesions in abused infants: the distal tibia. AJR Am J Roentgenol 166:1207–1212CrossRef
2.
Kleinman PK (2008) Problems in the diagnosis of metaphyseal fractures. Pediatr Radiol 38:S388–S394CrossRef
3.
O'Connell A, Donoghue VB (2007) Can classic metaphyseal lesions follow uncomplicated caesarean section? Pediatr Radiol 37:488–491CrossRef
4.
Lysack JT, Soboleski D (2003) Classic metaphyseal lesion following external cephalic version and cesarean section. Pediatr Radiol 33:422–424CrossRef
5.
Morris S, Cassidy N, Stephens M et al (2002) Birth-associated femoral fractures: incidence and outcome. J Pediatr Orthop 22:27–30PubMed
6.
Kleinman PK, Marks SC Jr (1995) Relationship of the subperiosteal bone collar to metaphyseal lesions in abused infants. J Bone Joint Surg Am 77:1471–1476CrossRef
7.
Grayev AM, Boal DK, Wallach DM, Segal LS (2001) Metaphyseal fractures mimicking abuse during treatment for clubfoot. Pediatr Radiol 31:559–563CrossRef
8.
Della Grotta LM, Marine MB, Harris TL, Karmazyn B (2019) Classic metaphyseal lesion acquired during physical therapy. Clin Imaging 54:100–102CrossRef
9.
Burrell T, Opfer E, Berglund L et al (2015) A witnessed case of a classic metaphyseal fracture caused during IV line placement in a child: insight into mechanism of injury. J Forensic Leg Med 35:51–53CrossRef
Metadata
Title
Classic metaphyseal lesion of distal tibia following footling breech delivery
Authors
Gloria S. Lee
Sosamma T. Methratta
Lori D. Frasier
Publication date
01-12-2019
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Radiology / Issue 13/2019
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-019-04490-6

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