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comment_821

Dear Colleague,

Have you face a spontaneous femur fracture after CS delivery? ie without predisposing bone disease!

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.

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

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

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.

  • 4 weeks later...

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