Majority of neonatal femoral fractures occur during vaginal breech delivery. Although femur fracture is a relatively uncommon injury, it represents the most common fracture of the lower extremity in the newborn. Typical site of femoral fracture is the diaphysis, and consequentially the bone is dislocated in flexion and shortened due to the action of the longitudinal muscle. Most common fractures during vaginal delivery usually involve the clavicle, humerus and femur. New-borns for whom are diagnosed with a fracture in the first week of life, in the absence of known post-natal trauma, are considered to have suffered a birth fracture, as it is known that difficult birth requires considerable traction can result in neonatal fractures. Cesarean section has been reported to reduce almost completely the incidence of birth-associated injuries 7 in new-borns with a variety of health complications. Other risk factors include low birth weight and large foetuses. Three quarters of all birth-associated fractures of long bones are ascribed to vaginal breech deliveries. Keywordsįemur fracture, Breech presentation, Cesarean deliveryīirth injuries presenting during the childbirth process are very rare, occurring in less than 1% of all live births and they are commonly associated with breech presentations and difficult deliveries. Clinicians must be aware that abdominal delivery does not preclude the occurrence of femur fractures. Predisposing factors are many, especially breech presentation and foetuses with malpresentation. Caesarean delivery reduces increasingly traumatic complications, especially in breech delivery compared with vaginal delivery, but does not eliminate possible accidental injuries of the newborn. One year after birth, both lower limbs showed a proper mobility with no dysmetria. Three months after birth, radiogram revealed regular bone consolidation and fracture fully welded.
Fracture of left diaphysis was successfully treated by immobilization with Pavlik harness, healing in a good position for 23 days. There was no apparent bone disorder predisposing to femur fracture. A 3900 g female child born at 39 weeks of gestation by caesarean section, presented swelling and tenderness of the left lower extremity in the second day of life. Although femur fracture is a relatively rare complication, it represents one of the most common fractures of the lower extremity presenting in newborns. Typical site of fracture is femoral diaphysis. And he had been productive this fall, just two weeks ago eclipsing 150 yards on the ground in Seattle's win over the Lions.Breech foetuses are commonly delivered via caesarean section to prevent trauma and decrease the risk of head entrapment, though extraction by abdominal route can very rarely lead to traumatic femur fracture.
He exploded down the stretch in 2021, however, finishing with 749 yards and six touchdowns while averaging more than six yards per carry.
Drafted 27th overall in 2018, Penny topped out at just over 400 rushing yards during his first three NFL seasons. He was also just over four games into his first full-time gig as Seattle's lead ball-carrier, taking over for former 1,000-yard rusher Chris Carson, whose own injury history forced him into retirement this offseason.
Penny missed a combined 26 games from 2019-2021 due to various injuries, including an ACL tear at the end of 2019. The news unfortunately marks just the latest in a long line of serious injuries for the former San Diego State standout. "It's really just a heartbreaking loss for him," Carroll said. On Monday, Carroll confirmed to Seattle Sports 710AM that Penny broke his fibula and also injured his tibia yesterday and will require surgery. Carted off in the third quarter of Sunday's loss to the Saints, Penny suffered a "serious" ankle injury, coach Pete Carroll told reporters afterward. Rashaad Penny finished 2021 strong and started strong in 2022, but the oft-injured Seahawks running back won't be playing again for a long time.
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