Fetal femur fracture and external cephalic version

Abstract

Background: Femoral fractures due to birth trauma are extremely rare. External cephalic version is considered a relatively safe alternative when dealing with breech presentation, but it can be associated with complications.

Case: This patient underwent elective cephalic version for breech presentation at 36 weeks of gestation. Due to concerns of fetal distress after the version, a cesarean delivery was performed. The newborn had a bruised leg at delivery, and X-ray studies confirmed a distal femoral corner fracture.

Conclusion: This case demonstrates another risk of external cephalic version. Physicians and patients should be aware of this potential complication.