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Classic metaphyseal lesion of distal tibia following footling breech delivery

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Abstract

Classic metaphyseal lesions associated with childbirth are rare. We report a distal tibial metaphyseal fracture following a difficult breech delivery. Classic metaphyseal fractures are considered highly specific injuries associated with non-accidental trauma. This case depicts a classic metaphyseal lesion sustained during footling breech extraction in an urgent delivery. The traction and torque placed on the distal extremities during this difficult delivery suggest a potential mechanism for this injury.

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Authors and Affiliations

  1. Department of Pediatrics, Center for the Protection of Children, Penn State Health Children’s Hospital, Penn State College of Medicine, 500 University Drive, Suite C7840, Hershey, PA, 17033, USA

    Gloria S. Lee

  2. Division of Pediatric Radiology, Penn State Health Children’s Hospital, Penn State College of Medicine, Hershey, PA, USA

    Sosamma T. Methratta

  3. Center for the Protection of Children, Penn State Health Children’s Hospital, Penn State College of Medicine, Hershey, PA, USA

    Lori D. Frasier

Authors
  1. Gloria S. Lee
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  2. Sosamma T. Methratta
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  3. Lori D. Frasier
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Correspondence to Gloria S. Lee.

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Lee, G.S., Methratta, S.T. & Frasier, L.D. Classic metaphyseal lesion of distal tibia following footling breech delivery. Pediatr Radiol 49, 1840–1842 (2019). https://doi.org/10.1007/s00247-019-04490-6

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  • DOI: https://doi.org/10.1007/s00247-019-04490-6

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