Pediatric Radiology

, Volume 49, Issue 13, pp 1840–1842 | Cite as

Classic metaphyseal lesion of distal tibia following footling breech delivery

  • Gloria S. LeeEmail author
  • Sosamma T. Methratta
  • Lori D. Frasier
Case Report


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.


Birth injury Breech delivery Child abuse Classic metaphyseal lesion Footling presentation Neonate Tibial fracture 


Compliance with ethical standards

Conflicts of interest



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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Pediatrics, Center for the Protection of Children, Penn State Health Children’s HospitalPenn State College of MedicineHersheyUSA
  2. 2.Division of Pediatric Radiology, Penn State Health Children’s HospitalPenn State College of MedicineHersheyUSA
  3. 3.Center for the Protection of Children, Penn State Health Children’s HospitalPenn State College of MedicineHersheyUSA

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