Spiral fracture of the radius: An unusual case of shoulder dystocia-associated morbidity

Kay Ann Thompson, Andrew J. Satin, Robert B. Gherman

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND: The most common neonatal complications associated with shoulder dystocia include transient brachial plexus palsy, clavicular fracture, and humeral fracture. Fracture of the fetal radius has not been previously reported. CASE: We encountered a shoulder dystocia with the fetal head in the right occiput anterior position that necessitated the McRoberts maneuver, suprapubic pressure, the Wood and Rubin maneuvers, and extraction of the posterior fetal arm to effect delivery. The 4610-g infant experienced a spiral fracture of the right (anterior) radius and a fracture of the left (posterior) midhumeral shaft. CONCLUSION: Neonatal radial fracture can result from shoulder dystocia or the maneuvers employed for the alleviation of the shoulder dystocia.

Original languageEnglish (US)
Pages (from-to)36-38
Number of pages3
JournalObstetrics and gynecology
Volume102
Issue number1
DOIs
StatePublished - Jul 1 2003
Externally publishedYes

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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