A spontaneously healed distal femoral fracture in an infant born preterm: A case report and review of the literature

Author:

Yeung Telford123ORCID,Agrawal Roli14,Seesahai Judy13,Warkentin Tammy1

Affiliation:

1. Section of Neonatology, Department of Pediatrics Windsor Regional Hospital Windsor Ontario Canada

2. Department of Biomedical Sciences University of Windsor Windsor Ontario Canada

3. Department of Pediatrics Western University Windsor Ontario Canada

4. Department of Diagnostic Imaging Windsor Regional Hospital Windsor Ontario Canada

Abstract

AbstractDistal femoral fractures are uncommon in the newborn period, and conventional radiographs can miss the diagnosis in infants born prematurely due to delayed ossification. Hence, modalities like ultrasound may have a role in diagnosis. Herein, we report a male infant born preterm with a swollen knee due to a distal femoral fracture after a non‐traumatic Caesarean section. The fracture was not present on the conventional radiograph. Instead, it was detected on a repeat sonogram and healed spontaneously with no complications. This case describes the importance of musculoskeletal radiographic expertise for diagnosis of this uncommon newborn fracture.

Publisher

Wiley

Reference18 articles.

1. StoneK WhiteK.Distal femoral fractures in children. Uptodate 2022. (Last updated October 12 2021). Retrieved Oct 21 2022 fromhttps://www.uptodate.com/contents/distal‐femoral‐fractures‐in‐children

2. Neonatal Fractures

3. Fracture of Lower Femoral Epiphysis in an Infant at Birth: A Rare Obstetrical Injury

4. Fracture-Separation of the Distal Femoral Epiphysis in a Premature Neonate

5. Distal femoral physeal fractures after neonatal osteomyelitis

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