Korean J Perinatol.  2007 Sep;18(3):308-311.

Intrauterine Femur Fracture in Premature Neonate-A Case Report

• Lee CH
• Kim HM
• Shin SH
• Sung TJ
• Kim SG
• Lee KH

Abstract

Intrauterine fracture in a neonate is rare but can occur without trauma to the mother and can be caused by genetic factor or external pressure, or skeletal disorder. Authors experienced a case of intrauterine femur fracture in a female premature patient which was discovered at birth. The patient was born at 28+3 weeks by a cesarean section. Her birth weight was 900 g. Amniotic fluid was clear and there was no amniotic membrane adhesion. The mother was 31 years old and had preeclampsia but had no other previous medical history. She had no experience of trauma in daily activities and abnormal findings during antenatal care. On x-ray finding taken after birth, there was callus formation at the epiphysis of the right distal femur. We found no shortening of the limbs during physical examination of the neonate but there were edematous change at the distal portion of the right thigh. She had no neurologic abnormality. We report a case of intrauterine femur fracture with no special history in the mother.

Keyword

Intrauterine fracture; Femur; Neonate

MeSH Terms

Adult
Amnion
Amniotic Fluid
Birth Weight
Bony Callus
Cesarean Section
Epiphyses
Extremities
Female
Femur*
Humans
Infant, Newborn
Mothers
Parturition
Physical Examination
Pre-Eclampsia
Pregnancy
Thigh