Classic metaphyseal lesion following external cephalic version and cesarean section.
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.
Lysack
John T
JT
Department of Diagnostic Radiology, Queen's University, Kingston General Hospital, 76 Stuart Street, K7L 2V7, Kingston, Ontario, Canada. 3jtl@qlink.queensu.ca
Soboleski
Don
D
D000328:Adult; D001720:Birth Injuries / Q000000981:diagnostic imaging* / Q000503:physiopathology; D001946:Breech Presentation; D002585:Cesarean Section / Q000009:adverse effects*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D015601:Injury Severity Score; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000503:physiopathology; D008592:Menisci, Tibial / Q000000981:diagnostic imaging*; D011247:Pregnancy; D011859:Radiography; D018570:Risk Assessment; D013978:Tibial Fractures / Q000000981:diagnostic imaging*; D000070600:Tibial Meniscus Injuries; D014710:Version, Fetal / Q000009:adverse effects* / Q000379:methods