J Korean Orthop Assoc. 2016 Jun;51(3):255-259. Korean.
Published online Jun 22, 2016.
Copyright © 2016 by The Korean Orthopaedic Association
Case Report

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. and Dae-Geun Jeong, M.D.
    • Department of Orthopedic Surgery, Daegu Fatima Hospital, Daegu, Korea.
Received July 13, 2015; Revised November 10, 2015; Accepted November 16, 2015.

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

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.

Tables

Table 1
Details of Authors Cases of Reference

Notes

CONFLICTS OF INTEREST:The authors have nothing to disclose.

References

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    1. Hägglund G, Hansson LI, Wiberg G. Correction of deformity after femoral birth fracture 16-year follow-up. Acta Orthop Scand 1988;59:333–335.
    1. Banagale RC, Kuhns LR. Traumatic separation of the distal femoral epiphysis in the newborn. J Pediatr Orthop 1983;3:396–398.
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    1. Riseborough EJ, Barrett IR, Shapiro F. Growth disturbances following distal femoral physeal fracture-separations. J Bone Joint Surg Am 1983;65:885–893.

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