Greenstick fractures of the proximal metaphyseal tibia: a retrospective multicenter study on the outcome after non-surgical or surgical treatment and the occurrence of posttraumatic tibia valga.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: The authors have no conflicts of interest or financial ties to disclosure. 20. 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