Cesarean Section and Right Femur Fracture: A Rare but Possible Complication for Breech Presentation

Giampiero Capobianco; Giuseppe Virdis; Pietro Lisai; Claudio Cherchi; Ornella Biasetti; Francesco Dessole; Giovanni Battista Meloni

doi:10.1155/2013/613709

Case Reports in Obstetrics and Gynecology (Jan 2013)

Cesarean Section and Right Femur Fracture: A Rare but Possible Complication for Breech Presentation

Giampiero Capobianco,
Giuseppe Virdis,
Pietro Lisai,
Claudio Cherchi,
Ornella Biasetti,
Francesco Dessole,
Giovanni Battista Meloni

Affiliations

Giampiero Capobianco: Department of Surgical, Microsurgical and Medical Sciences, Gynecologic and Obstetric Clinic, University of Sassari, 07100 Sassari, Italy
Giuseppe Virdis: Department of Surgical, Microsurgical and Medical Sciences, Gynecologic and Obstetric Clinic, University of Sassari, 07100 Sassari, Italy
Pietro Lisai: Department of Surgical, Microsurgical and Medical Sciences, Institute of Orthopedics, University of Sassari, 07100 Sassari, Italy
Claudio Cherchi: Neonatology Intensive Care Unit, University of Sassari, 07100 Sassari, Italy
Ornella Biasetti: Neonatology Intensive Care Unit, University of Sassari, 07100 Sassari, Italy
Francesco Dessole: Department of Surgical, Microsurgical and Medical Sciences, Gynecologic and Obstetric Clinic, University of Sassari, 07100 Sassari, Italy
Giovanni Battista Meloni: Department of Surgical, Microsurgical and Medical Sciences, Institute of Radiology, University of Sassari, 07100 Sassari, Italy

DOI: https://doi.org/10.1155/2013/613709
Journal volume & issue: Vol. 2013

Abstract

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Background. The breech extraction of the fetus through the vagina has a greater risk of hip fracture compared with the extraction by abdominal route. Case. A 2390 g female infant was delivered at 39 weeks by elective cesarean section for breech presentation. The newborn sustained a fracture of the right femur. A simple immobilization of the limb in extension led to a complete healing of the fracture without sequelae. Conclusion. Caesarean delivery reduces the risk of causing a traumatic injury of the newborn compared to vaginal delivery, especially with breech presentation but does not eliminate this possible accidental complication.

Published in Case Reports in Obstetrics and Gynecology

ISSN: 2090-6684 (Print); 2090-6692 (Online)
Publisher: Wiley
Country of publisher: United Kingdom
LCC subjects: Medicine: Gynecology and obstetrics
Website: https://onlinelibrary.wiley.com/journal/7471

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