Classic metaphyseal lesion following external cephalic version and cesarean section

We report a case of an otherwise healthy neonate diagnosed at birth with a classic metaphyseal lesion of the proximal tibia following external cephalic version for frank breech presentation and a subsequent urgent cesarean section. Although the classic metaphyseal lesion is considered highly specifi...

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Bibliographic Details
Published in:Pediatric radiology 2003-06, Vol.33 (6), p.422-424
Main Authors: LYSACK, John T, SOBOLESKI, Don
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Birth Injuries - diagnostic imaging
Birth Injuries - physiopathology
Breech Presentation
Cesarean Section - adverse effects
Delivery. Postpartum. Lactation
Disorders
Female
Follow-Up Studies
Gynecology. Andrology. Obstetrics
Humans
Infant, Newborn
Injury Severity Score
Knee Joint - diagnostic imaging
Knee Joint - physiopathology
Medical sciences
Menisci, Tibial - diagnostic imaging
Pregnancy
Radiography
Risk Assessment
Tibial Fractures - diagnostic imaging
Tibial Meniscus Injuries
Version, Fetal - adverse effects
Version, Fetal - methods
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Summary:We report a case of an otherwise healthy neonate diagnosed at birth with a classic metaphyseal lesion of the proximal tibia following external cephalic version for frank breech presentation and a subsequent urgent cesarean section. Although the classic metaphyseal lesion is considered highly specific for infant abuse, this case demonstrates the importance of obtaining a history of obstetric trauma for neonates presenting to the imaging department for suspected non-accidental injury.
ISSN:0301-0449
1432-1998
DOI:10.1007/s00247-003-0914-9