Can metaphyseal variations in the distal femurs and proximal tibias be distinguished from classic metaphyseal lesions?

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Declarations. Ethics approval: This study is approved by the Institutional Review Board. Competing interests: The authors declare no competing interests. 8. J Neonatal Perinatal Med. 2022;15(4):867-870. doi: 10.3233/NPM-220999. Classic metaphyseal lesion: A rare presentation in an extreme preterm neonate. Gurram Venkata SKR(1), Bansal N(1), Al Awad E(1), Yusuf K(1). Author information: (1)Section of Neonatology, Department of Pediatrics, University of Calgary, Alberta, Canada. Classic metaphyseal lesions (CML) or bucket handle fractures are usually associated with child abuse or non-accidental injury. The most common sites affected are the distal femur, proximal and distal tibia, and proximal humerus. Few case reports documented its association with difficult extraction at delivery in term large for gestational age (LGA) neonates. We present a case of CML in an extremely preterm neonate following abnormal presentation and difficult cesarean delivery. Management of CML is usually conservative, and fractures heal without any deformities. Thorough history taking is essential in the diagnosis of CML. DOI: 10.3233/NPM-220999