Metaphyseal corner fractures (MCFs) in infants are strongly associated with inflicted injuries. These fractures occur due to shearing forces and involve the chondro-osseous junction in skeletally immature bones. We present the unique case of a MCF of the distal femur caused in utero by external cephalic version (ECV). The illustration of this case links the mechanism to the injury. It is critical for this mechanism to be understood to prevent an erroneous diagnosis of child abuse.