Gupta Natasha, Parashar Nirbhay, Trester Richard, Blankstein Josef
J Reprod Med. 2017 May-Jun;62(5-6):333-6.
Birth-related injuries are a well-known complication of vaginal breech deliveries but are not anticipated during cesarean breech deliveries. However, long bone fractures in the neonate can result from delivery of the breech presentation by cesarean section. CASES: We report 2 cases of long bone fractures that occurred during cesarean section for breech presentation. No underlying bone pathology or systemic illness could be identified in either case. There were no other predisposing risk factors for fractures except breech presentation. Both infants were managed with cast application and outpatient physical therapy and recovered without any residual deformity. CONCLUSION: Obstetricians should be aware of the possibility of long bone fractures with abdominal breech deliveries. Their prompt recognition and conservative management, including physical therapy, can prevent bone deformities.
分娩相关损伤是阴道臀位分娩的一种常见并发症，但剖宫产臀位分娩时不会出现这种情况。然而，剖宫产臀位分娩新生儿可能会发生长骨骨折。
我们报告2例剖宫产臀位分娩时发生的长骨骨折。两例均未发现潜在的骨骼病变或全身性疾病。除臀位分娩外，没有其他导致骨折的诱发危险因素。两名婴儿均采用石膏固定及门诊物理治疗，恢复后无任何残留畸形。
产科医生应意识到剖宫产臀位分娩时发生长骨骨折的可能性。及时识别并采取包括物理治疗在内的保守治疗，可预防骨骼畸形。
