Available online Oct 8, 2017.
[ Report ] Volume 26, Issue 1, 2017, Pages 89-93
BACKGROUND: Traumatic separation of the upper femoral epiphyses at birth is a rare event. Other
terminologies that have been used to describe the injury include traumatic proximal femoral epiphysiolysis and
apparent dislocation of the hip.This injury is associated with difficult deliveries.
AIM: To report a case of traumatic separation of the upper femoral epiphysis in a neonate following a caesarean section.
CASE REPORT: A full term infant female was delivered by breech extraction through a caesarean section in 2007. She weighed 4.2kg at birth and her mother was not a known diabetic.Her mother noticed she had reduced movement in her right lower extremity five days after delivery and this necessitated an orthopaedic consultation. After a clinical review a diagnosis of congenital dislocation of the right hip was made.An initial pelvic radiograph was taken and a repeat radiograph taken 3 weeks after delivery showed callus around the neck of the right femur. This indicated a healing traumatic separation of the right upper femoral epiphysis.
CONCLUSION: Traumaticseparation of the upper femoral epiphysis in the newborn is an uncommon injury.A high index of suspicion is required as the condition is easily misdiagnosed.
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Volume 26 | Issue 1
Page Nos. 89-93
Online since Oct 3, 2017