A Rare Case Report of a Consecutive Rib Fractures as an Isolated Obstetrical Complication

Ivka DjakoviÄ‡; Ana Meyra Potkonjak; Filip Murn; Vedrana ZubÄiÄ‡; Vesna KoÅ¡ec

doi:10.3889/oamjms.2020.4137

Authors

Ivka DjakoviÄ‡ Department of Gynecology and Obstetrics, Sestre Milosrdnice University Hospital Center, Zagreb, Croatia
Ana Meyra Potkonjak Department of Gynecology and Obstetrics, Sestre Milosrdnice University Hospital Center, Zagreb, Croatia
Filip Murn Department of Radiology, Children's Hospital Zagreb, Zagreb, Croatia
Vedrana ZubÄiÄ‡ Department of Gynecology and Obstetrics, Sestre Milosrdnice University Hospital Center, Zagreb, Croatia
Vesna KoÅ¡ec Department of Gynecology and Obstetrics, Sestre Milosrdnice University Hospital Center, Zagreb, Croatia

DOI:

https://doi.org/10.3889/oamjms.2020.4137

Keywords:

Rib fractures, Neonate, Birth trauma, Bone mineralization

Abstract

AIM: The aim of the following paper is to present the case of a term neonate with consecutive posterior rib fractures as an isolated finding after birth.

METHODS: In the medical literature, there have been reported some sporadic cases indicating rib fractures in neonates. We present literature review and report a rare case of consecutive posterior rib fractures in neonate born following an uneventful pregnancy and uncomplicated labor.

MAIN FINDING: The most common factors that can lead to rib fractures are birth trauma, cardiopulmonary resuscitation, and underlying disorders influencing bone development. In the presented case, there were no signs of other bone fractures or systems involved.

CONCLUSION: Isolated form of consecutive posterior rib fracture after birth is a rare obstetrical complication. It is most likely caused by birth trauma but should be interpreted as a clinical sign of the potential syndrome. A decision whether to perform an X-ray depends on a physical examination of the newborn within the 1st h of life.

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References

Wei C, Stevens J, Harrison S, Mott A, Warner J. Fractures in a tertiary neonatal intensive care unit in Wales. Acta Paediatr. 2012;101(6):587-90. https://doi.org/10.1111/j.1651-2227.2012.02640.x PMid:22364197

Ruest S, Kanaan G, Moore JL, Goldberg AP. The prevalence of rib fractures incidentally identified by chest radiograph among infants and toddlers. J Pediatr. 2019;204:208-13. https://doi.org/10.1016/j.jpeds.2018.08.067 PMid:30297294

Chaturvedi A, Chaturvedi A, Stanescu AL, Blickman JG, Meyers SP. Mechanical birth-related trauma to the neonate: An imaging perspective. Insights Imaging. 2018;9(1):103. https://doi.org/10.1007/s13244-017-0586-x PMid:29356945.

van Rijn RR, Bilo RA, Robben SG. Birth-related mid-posterior rib fractures in neonates: A report of three cases (and a possible fourth case) and a review of the literature. Pediatr Radiol. 2009;39(1):30-4. https://doi.org/10.1007/s00247-008-1035-2 PMid:18941740.

Trejo P, Rauch F. Osteogenesis imperfecta in children and adolescents new developments in diagnosis and treatment. Osteoporos Int. 2016;27(12):3427-37. https://doi.org/10.1007/s00198-016-3723-3 PMid:27492436

Ariyawatkul T, Worawuthangkul K, Chotigavanichaya C, Kaewpornsawan K, Chalayon O, Eamsobhana P. Potential risk factors for birth fractures: A case-control study. Int Orthop. 2017;41(11):2361-4. https://doi.org/10.1007/s00264-017-3600-5 PMid:28828634

Groenendaal F, Hukkelhoven C. Fractures in full-term neonates. Ned Tijdschr geneeskund. 2007;151(7):424. PMid:17343143

Bellur S, Jain M, Cuthbertson D, Krakow D, Shapiro JR, Steiner RD, et al. Cesarean delivery is not associated with decreased at-birth fracture rates in osteogenesis imperfecta. Genet Med. 2016;18(6):570. https://doi.org/10.1038/gim.2015.131 PMid:26426884.

Bishop N, Sprigg A, Dalton A. Unexplained fractures in infancy: Looking for fragile bones. Arch Dis Child. 2007;92(3):251-6. https://doi.org/10.1136/adc.2006.106120 PMid:17337685