Neonatal Femoral Fracture: A Case Report

新生兒股骨骨折之病例報告

賴輝謙(Hui-Chien Lai)

《童綜合醫學雜誌》 11卷2期 (2017/12) Pp. 123-126

摘要

Birth-related fractures are relatively uncommon. They generally occur during a difficult delivery, particularly with breech presentation. In neonates, femoral fractures are rare. We encountered a female neonate with a femoral fracture who had been delivered by cesarean section due to breech presentation. The gestational age was 38 weeks, and the birth weight was 2.885 kg. A left footling presentation was noted during delivery, and limited range of motion of the right leg was found soon after delivery. An X-ray revealed a fracture of the right femoral shaft with slight displacement. A cast was applied to the right thigh immediately after orthopedic consultation. However, it was replaced with Bryant traction of both legs, because the fracture became more displaced and there was persistent painful swelling of the thigh. An X-ray showed good alignment with callus formation and no shortening or deformity of the right femur at four weeks of age.

關鍵字

femoral fracture ； Bryant traction ； cesarean section

並列摘要

生產時發生骨折較罕見，難產過程中可能會出這情形，尤其是臀位。新生兒股骨骨折更是罕見，本篇報告一個剖腹產的女嬰股骨骨折之病例報告。胎齡38週，出生時體重為2885克，在分娩過程中注意到右腿關節活動範圍有問題，經X光檢驗，右股骨幹有輕度骨折。於是與骨科會診，將她右大腿以石膏固定，因右股骨幹骨折，所以右大腿持久疼痛腫脹。運用科比牽引法後，在滿一個月時之X光片，檢查顯示女嬰右股骨畸形幾乎沒有發生。

並列關鍵字

股骨骨折 ； 科比牽引 ； 剖腹產