Fetal femur fracture and external cephalic version.
BACKGROUND
Femoral fractures due to birth trauma are extremely rare. External cephalic version is considered a relatively safe alternative when dealing with breech presentation, but it can be associated with complications.


METHODS
This patient underwent elective cephalic version for breech presentation at 36 weeks of gestation. Due to concerns of fetal distress after the version, a cesarean delivery was performed. The newborn had a bruised leg at delivery, and X-ray studies confirmed a distal femoral corner fracture.


CONCLUSIONS
This case demonstrates another risk of external cephalic version. Physicians and patients should be aware of this potential complication.
Papp
Steven
S
Department of Orthopedics, Queen's University, Kingston, Ontario, Canada.
Dhaliwal
Gupreet
G
Davies
Greg
G
Borschneck
Dan
D
D000328:Adult; D001720:Birth Injuries / Q000000981:diagnostic imaging* / Q000503:physiopathology; D001946:Breech Presentation; D002370:Casts, Surgical; D002585:Cesarean Section; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging* / Q000628:therapy; D005500:Follow-Up Studies; D017102:Fracture Healing; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011859:Radiography; D018570:Risk Assessment; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal; D014710:Version, Fetal / Q000009:adverse effects* / Q000379:methods