ArticlePediatric radiology2007
Can classic metaphyseal lesions follow uncomplicated caesarean section?
Article in Pediatric radiology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
15 citing papers in PubMed.
- Post-mortem skeletal survey (PMSS) versus post-mortem computed tomography (PMCT) for the detection of corner metaphyseal lesions (CML) in children.European radiology · 2024Article
- Skeletal injuries after cesarean section - a rare differential diagnosis of child abuse.International journal of legal medicine · 2023Review
- Classic metaphyseal lesion of distal tibia following footling breech delivery.Pediatric radiology · 2019Article
- Abuse as a Cause of Childhood Fractures.Deutsches Arzteblatt international · 2018Review
- Are There Hallmarks of Child Abuse? I. Osseous Injuries.Academic forensic pathology · 2016Review
- The classic metaphyseal lesion and traumatic injury.Pediatric radiology · 2016Observational
- The yield of high-detail radiographic skeletal surveys in suspected infant abuse.Pediatric radiology · 2015Article
- High-resolution CT with histopathological correlates of the classic metaphyseal lesion of infant abuse.Pediatric radiology · 2014Article
- Cesarean section and right femur fracture: a rare but possible complication for breech presentation.Case reports in obstetrics and gynecology · 2013Article
- Educational paper: imaging child abuse: the bare bones.European journal of pediatrics · 2012Review
- Skeletal imaging of child abuse (non-accidental injury).Pediatric radiology · 2009Review
- Evaluating the data concerning vitamin D insufficiency/deficiency and child abuse.Pediatric radiology · 2008Article
- Rickets vs. abuse: a national and international epidemic.Pediatric radiology · 2008Article
- Problems in the diagnosis of metaphyseal fractures.Pediatric radiology · 2008Review
- Another perspective on the cause of metaphyseal fractures.Pediatric radiology · 2008Article
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundClassic metaphyseal lesion (CML) is the term given to a fracture that most often occurs in the posteromedial aspect of the distal femur, proximal tibia, distal tibia, and proximal humerus in infants; this finding is strongly associated with non-accidental injury.
objectiveTo demonstrate that the CML may occur following simple lower segment caesarean section (LSCS). MATERIALS AND
methodsA review of 22 years of an obstetric practice that delivers 8,500 babies per year.
resultsWe identified three neonates born by elective LSCS, each with distal femoral metaphyseal fractures on postpartum radiographs. All caesarean sections were elective and uncomplicated. External cephalic version was not employed preoperatively. Postpartum radiographs demonstrated a fracture of the distal femoral metaphysis in each neonate, typical of a CML.
conclusionWe propose that a CML can occur in the setting of a simple, elective and uncomplicated LSCS where no external cephalic version is employed.
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Registered trials
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