Affiliations: Section of Neonatology, Department of Pediatrics, University of Calgary, Alberta, Canada
Address for correspondence: Kamran Yusuf, MD, FAAP. Associate Professor, University of Calgary, Chair, Neonatology Research Group, Cumming School of Medicine, Department of Pediatrics, Division of Neonatology, Room 273, Heritage Medical Research Building, 3330 Hospital Drive NW, Calgary, Alberta, T2N 4N1, Canada. Tel.: +1 403 2103930; E-mail: [email protected].
Abstract: 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.