Posted October 31, 200717 yr comment_821 Dear Colleague, Have you face a spontaneous femur fracture after CS delivery? ie without predisposing bone disease!
November 2, 200717 yr Are you sure it was spontaneous? Sometimes during a difficult extraction of baby through CS femur fractures have been reported. Especially seen when the presentation is breech and the obstetrician has a difficult time extracting the baby and has to manipulate the baby a lot holding the lower limbs.
November 2, 200717 yr Femoral fractures after CS are ususally iatrogenic due to difficuty in extracting the baby. Otherwise multiple fracture can be seen in diseases like oseogenesis imperfecta
November 5, 200717 yr comment_828 HI In my experience most of the time it is iatrogenic. Usually in difficult breech extraction specially if the obstetrician has taken a small incision. Dr Arif
November 5, 200717 yr I am also aware of another cause of iatrogenic femur fracture. Caused by a NIBP cuff left on the limb of a very active growing preterm. The cuff kept inflating and deflating at intervals of 15 mins and with the neonate actively moving the limb, femur fracture resulted.
November 29, 200717 yr comment_886 We had a case of trisomy 18 with a fracture humerus delivered by CS.
Create an account or sign in to comment