Cesarean section and right femur fracture: a rare but possible complication for breech presentation

Background.The breech extraction of the fetus through the vagina has a greater risk of hip fracture compared with the extraction by abdominal route.Case.A 2390 g female infant was delivered at 39 weeks by elective cesarean section for breech presentation. The newborn sustained a fracture of the right femur. A simple immobilization of the limb in extension led to a complete healing of the fracture without sequelae.Conclusion.Caesarean delivery reduces the risk of causing a traumatic injury of the newborn compared to vaginal delivery, especially with breech presentation but does not eliminate this possible accidental complication.