Fracture of Distal Epiphysis of Femur during Childbirth: 10-Year Follow-Up Report

Young-Soo Byun; Jae-Hui Han; Dong-Ju Shin; In-Ho Han; Dae-Geun Jeong

doi:10.4055/jkoa.2016.51.3.255

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Byun, Han, Shin, Han, and Jeong: Fracture of Distal Epiphysis of Femur during Childbirth: 10-Year Follow-Up Report

Case Report

Journal of the Korean Orthopaedic Association 2016; 51(3): 255-259.

Published online: 22 June 2016

DOI: https://doi.org/10.4055/jkoa.2016.51.3.255

Fracture of Distal Epiphysis of Femur during Childbirth: 10-Year Follow-Up Report

Young-Soo Byun, M.D., Jae-Hui Han, M.D., Dong-Ju Shin, M.D., In-Ho Han, M.D., Dae-Geun Jeong, M.D.

Department of Orthopedic Surgery, Daegu Fatima Hospital, Daegu, Korea.

Correspondence to: Dong-Ju Shin, M.D. Department of Orthopedic Surgery, Daegu Fatima Hospital, 99 Ayang-ro, Dong-gu, Daegu 41199, Korea. TEL: +82-53-940-7324, FAX: +82-53-954-7417, aabga@hanmail.net

Received 13 July 2015 Revised 10 November 2015 Accepted 16 November 2015

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Epiphyseal fractures in neonates are rare and difficult to diagnose on simple radiographic images and objective guidelines for treatment have not yet been established. Authors performed conservative treatment for displaced distal femoral epiphyseal fracture detected on 5th day after cesarean section delivery. At 10 years of follow-up, satisfactory functional recovery was observed. Herein, we report on a case of displaced distal femoral epiphyseal birth fracture with literature reviews.

Keywords: femur, epiphysis, distal, fracture, birth, neonate

Figures and Tables

Figure 1

Radiographs of both femurs at 5 days after delivery show a Salter-Harris type 1 fracture of the right distal femoral epiphysis.

Figure 2

Ultrasonograms of both distal femurs at 5 days after delivery show posterior displacement of the distal femoral epiphysis and periosteal elevation (right side) compared with the normal contralateral side (left side).

Figure 3

Radiographs of the right femur at 8 days after delivery show callus formation on the posterior aspect of the fracture site.

Figure 4

Serial radiographs of the right femur show remodeling of angular deformity at 1 month (A), 5 months (B), and 1 year and 5 months (C) after delivery.

Figure 5

Radiographs of the right femur and standing long bone view at 10 years after delivery.

Table 1

Details of Authors Cases of Reference

S-H, Salter-Harris; MRI, magnetic resonance image.

Notes

^{CONFLICTS OF INTEREST} The authors have nothing to disclose.

References

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