Qureshi Nadeem Akhtar, Futela Ravi Prakash
Department of Orthopedics, Futela Hospital, Rudrapur, Uttarakhand, India.
J Orthop Case Rep. 2025 Sep;15(9):11-15. doi: 10.13107/jocr.2025.v15.i09.5996.
Neonatal Obstetric fractures are rare birth injuries that newborns sustained from trauma during delivery and birth process. Long bone fractures are common in vaginal breech deliveries. A cesarean section is considered a relatively safe and preferred mode of delivery of breech fetuses to prevent birth trauma and decrease the risk of fetal head entrapment; nevertheless, it can lead to femur fracture in newborn rarely.
A 3915 g male child born at 38 weeks and 4 days of gestation to a primigravida aged 31 years by emergency Lower Segment Cesarean Section for Premature Rupture of Membrane with breech presentation. During extraction, the newborn sustained a fracture to his right femur shaft. X-rays confirmed the diagnosis. The fracture was treated successfully with a toe-groin cast for 25 days with complete healing.
As compared to vaginal breech delivery, cesarean section reduces the risk of traumatic birth injuries; however, it does not completely eliminate the possibility of birth injuries and long bone fractures in newborns. Orthopedic opinion must be sought, if the obstetrician and neonatologist suspect any birth trauma in difficult deliveries. Immobilization of the limb leads to complete healing of the fracture without any sequel.
新生儿产科骨折是新生儿在分娩和出生过程中因创伤而遭受的罕见出生损伤。长骨骨折在臀位阴道分娩中很常见。剖宫产被认为是臀位胎儿相对安全且首选的分娩方式，以防止出生创伤并降低胎头嵌顿的风险；然而，它很少会导致新生儿股骨骨折。
一名3915克重的男婴，孕38周零4天，其母亲为31岁初产妇，因胎膜早破伴臀位行急诊下段剖宫产。在娩出过程中，新生儿右股骨干发生骨折。X线检查确诊。骨折采用足-腹股沟石膏固定25天，愈合良好。
与臀位阴道分娩相比，剖宫产降低了创伤性出生损伤的风险；然而，它并不能完全消除新生儿出生损伤和长骨骨折的可能性。如果产科医生和新生儿科医生怀疑难产中有任何出生创伤，必须寻求骨科医生的意见。肢体固定可使骨折完全愈合且无任何后遗症。
