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外倒转术及剖宫产术后的典型干骺端病变

Classic metaphyseal lesion following external cephalic version and cesarean section.

作者信息

Lysack John T, Soboleski Don

机构信息

Department of Diagnostic Radiology, Queen's University, Kingston General Hospital, 76 Stuart Street, K7L 2V7, Kingston, Ontario, Canada.

出版信息

Pediatr Radiol. 2003 Jun;33(6):422-4. doi: 10.1007/s00247-003-0914-9. Epub 2003 Apr 23.

DOI:10.1007/s00247-003-0914-9
PMID:12709748
Abstract

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.

摘要

我们报告了一例原本健康的新生儿病例,该新生儿因臀位外倒转术及随后的紧急剖宫产,出生时被诊断为胫骨近端典型干骺端病变。尽管典型干骺端病变被认为对虐待婴儿具有高度特异性,但该病例表明,对于因疑似非意外伤害而到影像科就诊的新生儿,了解产科创伤史的重要性。

相似文献

1
Classic metaphyseal lesion following external cephalic version and cesarean section.外倒转术及剖宫产术后的典型干骺端病变
Pediatr Radiol. 2003 Jun;33(6):422-4. doi: 10.1007/s00247-003-0914-9. Epub 2003 Apr 23.
2
Classic metaphyseal lesion of distal tibia following footling breech delivery.足位分娩后胫骨远端经典干骺端病变。
Pediatr Radiol. 2019 Dec;49(13):1840-1842. doi: 10.1007/s00247-019-04490-6. Epub 2019 Aug 5.
3
Fetal femur fracture and external cephalic version.胎儿股骨骨折与外倒转术
Obstet Gynecol. 2004 Nov;104(5 Pt 2):1154-6. doi: 10.1097/01.AOG.0000128112.33398.31.
4
[External cephalic version of breech presentation].[臀先露的外倒转术]
Tidsskr Nor Laegeforen. 1993 Oct 20;113(25):3153-4.
5
External cephalic version. Does it have a role in modern obstetric practice?外倒转术。它在现代产科实践中有作用吗?
Can Fam Physician. 1996 Apr;42:693-8.
6
External cephalic version with salbutamol - success rate and predictors of success.使用沙丁胺醇进行外倒转术——成功率及成功的预测因素
J Coll Physicians Surg Pak. 2009 Feb;19(2):91-4.
7
[External cephalic version for breech presentation at term: an effective procedure to reduce the caesarean section rate].[足月臀位外倒转术:降低剖宫产率的有效方法]
Minerva Ginecol. 2003 Dec;55(6):519-24.
8
Massive fetomaternal hemorrhage following failed external cephalic version: case report.
J Perinat Med. 2006;34(3):250-1. doi: 10.1515/JPM.2006.046.
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Can classic metaphyseal lesions follow uncomplicated caesarean section?经典的干骺端病变会出现在无并发症的剖宫产术后吗?
Pediatr Radiol. 2007 May;37(5):488-91. doi: 10.1007/s00247-007-0445-x. Epub 2007 Mar 22.
10
Breech presentation: evolution of management.臀先露:管理的演变
J Reprod Med. 2005 Feb;50(2):108-16.

引用本文的文献

1
Post-mortem skeletal survey (PMSS) versus post-mortem computed tomography (PMCT) for the detection of corner metaphyseal lesions (CML) in children.死后骨骼检查(PMSS)与死后计算机断层扫描(PMCT)在儿童 corner metaphyseal lesions(CML)检测中的比较。
Eur Radiol. 2024 Sep;34(9):5561-5569. doi: 10.1007/s00330-024-10679-7. Epub 2024 Mar 9.
2
Skeletal injuries after cesarean section - a rare differential diagnosis of child abuse.剖宫产术后的骨骼损伤——儿童虐待的罕见鉴别诊断。
Int J Legal Med. 2023 May;137(3):671-677. doi: 10.1007/s00414-023-02965-8. Epub 2023 Feb 13.
3
Classic metaphyseal lesion of distal tibia following footling breech delivery.

本文引用的文献

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Epiphyseal injuries in breech delivery.臀位分娩中的骨骺损伤。
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足位分娩后胫骨远端经典干骺端病变。
Pediatr Radiol. 2019 Dec;49(13):1840-1842. doi: 10.1007/s00247-019-04490-6. Epub 2019 Aug 5.
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Are There Hallmarks of Child Abuse? I. Osseous Injuries.虐待儿童有哪些特征?I. 骨骼损伤。
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The classic metaphyseal lesion and traumatic injury.典型的干骺端病变与创伤性损伤。
Pediatr Radiol. 2016 Jul;46(8):1128-33. doi: 10.1007/s00247-016-3568-0. Epub 2016 Feb 22.
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The yield of high-detail radiographic skeletal surveys in suspected infant abuse.疑似虐待婴儿时高细节放射学骨骼检查的检出率
Pediatr Radiol. 2015 Jan;45(1):69-80. doi: 10.1007/s00247-014-3064-3. Epub 2014 Jul 6.
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Birth-related mid-posterior rib fractures in neonates: a report of three cases (and a possible fourth case) and a review of the literature.
Pediatr Radiol. 2009 Jan;39(1):30-4. doi: 10.1007/s00247-008-1035-2. Epub 2008 Oct 22.
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Can classic metaphyseal lesions follow uncomplicated caesarean section?经典的干骺端病变会出现在无并发症的剖宫产术后吗?
Pediatr Radiol. 2007 May;37(5):488-91. doi: 10.1007/s00247-007-0445-x. Epub 2007 Mar 22.
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Development and duration of radiographic signs of bone healing in children.儿童骨愈合影像学征象的发展与持续时间
AJR Am J Roentgenol. 2000 Jul;175(1):75-8. doi: 10.2214/ajr.175.1.1750075.
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Inflicted skeletal injury: a postmortem radiologic-histopathologic study in 31 infants.外伤性骨骼损伤:31例婴儿的尸检放射学-组织病理学研究
AJR Am J Roentgenol. 1995 Sep;165(3):647-50. doi: 10.2214/ajr.165.3.7645487.
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Femoral fractures at caesarean section. Case reports.剖宫产术中股骨骨折。病例报告。
Br J Obstet Gynaecol. 1987 Mar;94(3):273. doi: 10.1111/j.1471-0528.1987.tb02368.x.
7
The metaphyseal lesion in abused infants: a radiologic-histopathologic study.受虐婴儿的干骺端病变:一项放射学-组织病理学研究。
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Obstetric fractures.产科骨折
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9
Neonatal skeletal fractures. Birth trauma or child abuse?新生儿骨骼骨折。是出生创伤还是虐待儿童?
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