SOME OBSTETRICAL INJURIES TO THE LONG BONES

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Abstract
1. Injuries to the long bones are relatively common complications of breech deliveries, especially in babies born to primiparas, and can be recognized as a definite entity. 2. Roentgenographic evidence of calcification in the hemorrhage is found oti the fifth to seventh day. 3. These injuries follow a pattern of epiphyseal separation, periosteal stripping, and a combination of both. 4. According to the authors' concept, the mechanism of such injuries may be decreased by the use of less force, if possible, and by careful turning of the lower extremities to follow the rotation of the body during extraction. 5. The prognosis is relatively good for spontaneous recovery without specific treatment in most instances, but permanent epiphyseal growth changes may take place occasionally.

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