Top

Published in:

01-06-2003 | Case Report

Classic metaphyseal lesion following external cephalic version and cesarean section

Authors: John T. Lysack, Don Soboleski

Published in: Pediatric Radiology | Issue 6/2003

Abstract

We report a case of an otherwise healthy neonate diagnosed at birth with a classic metaphyseal lesion of the proximal tibia following external cephalic version for frank breech presentation and a subsequent urgent cesarean section. Although the classic metaphyseal lesion is considered highly specific for infant abuse, this case demonstrates the importance of obtaining a history of obstetric trauma for neonates presenting to the imaging department for suspected non-accidental injury.

Kleinman PK, Marks SC, Blackbourne B (1986) The metaphyseal lesion in abused infants: a radiologic-histopathologic study. AJR 146:895–905

Kleinman PK, Marks SC Jr, Richmond JM, et al (1995) Inflicted skeletal injury: a postmortem radiologic-histopathologic study in 31 infants. AJR 165:647–650

Alexander J, Gregg JE, Quinn MW (1987) Femoral fractures at caesarean section: case reports. Br J Obstet Gynaecol 94:273PubMed

Nadas S, Reinberg O (1991) Obstetric fractures. Eur J Pediatr Surg 2:165–168

Hutton E, Hannah ME, Amankwah K, et al (1999) External cephalic version (ECV) and the Early ECV Trial. J Soc Obstet Gynaecol Can 21:1316-1326

Caffey J (1957) Some traumatic lesions in growing bones other than fractures and dislocations: clinical and radiologic features. Br J Radiol 30:225–238

Grayev AM, Boal DKB, Wallach DM, et al (2001) Metaphyseal fractures mimicking abuse during treatment for clubfoot. Pediatr Radiol 31:559–563PubMed

Cumming WA (1979) Neonatal skeletal fractures: birth trauma or child abuse? J Can Assoc Radiol 30:30–33PubMed

Snedecor ST, Wilson HB (1949) Some obstetrical injuries to the long bones. J Bone Jt Surg Am 31:378–384

10.

Shulman BH, Terhune CB (1951) Epiphyseal injuries in breech delivery. Pediatrics 8:693–700

11.

Islam O, Soboleski D, Symons S, et al (2000) Development and duration of radiographic signs of bone healing in children. AJR 175:75–78

Title: Classic metaphyseal lesion following external cephalic version and cesarean section
Authors: John T. Lysack
Don Soboleski
Publication date: 01-06-2003
Publisher: Springer-Verlag
Published in: Pediatric Radiology / Issue 6/2003
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI: https://doi.org/10.1007/s00247-003-0914-9

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Classic metaphyseal lesion following external cephalic version and cesarean section

Abstract

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 6/2003

Unusual presentation of osteoid osteoma mimicking osteomyelitis in a 27-month-old infant

Imaging characteristics of hemophagocytic lymphohistiocytosis

Detection of bladder hemangioma in a child by blood-pool scintigraphy

Intra-abdominal desmoplastic small round-cell tumour: multiphase CT findings in two children

Traumatic retropharyngeal emphysema as a cause for severe respiratory distress in a newborn

Juvenile osteochondritis dissecans: a 5-year review of the natural history using clinical and MRI evaluation