Spontaneous femur fracture

[aymaniham]

Dear Colleague,
Have you face a spontaneous femur fracture after CS delivery? ie without predisposing bone disease!

[JACK]

Are you sure it was spontaneous?
Sometimes during a difficult extraction of baby through CS femur fractures have been reported. Especially seen when the presentation is breech and the obstetrician has a difficult time extracting the baby and has to manipulate the baby a lot holding the lower limbs.

[hehady]

Femoral fractures after CS are ususally iatrogenic due to difficuty in extracting the baby. Otherwise multiple fracture can be seen in diseases like oseogenesis imperfecta

[Stefan Johansson]

I have experience from a similar case too. The fracture was iatrogenic.

[amfaquih]

HI
In my experience most of the time it is iatrogenic. Usually in difficult breech extraction specially if the obstetrician has taken a small incision.
Dr Arif

[JACK]

I am also aware of another cause of iatrogenic femur fracture.

Caused by a NIBP cuff left on the limb of a very active growing preterm. The cuff kept inflating and deflating at intervals of 15 mins and with the neonate actively moving the limb, femur fracture resulted.

[hkhawahur]

I beleive that it is iatrogenic too.

[adaniel]

We had a case of trisomy 18 with a fracture humerus delivered by CS.