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Spontaneous femur fracture

Guest aymaniham

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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.

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Guest Arif Faquih


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

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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.

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  • 4 weeks later...

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