Neonatal Volkmann Ischemic Contracture: Case Report and Review of Literature

Abstract Background  Neonatal Volkmann ischemic contracture in newborns is a devastating condition with lifelong consequences. Case Report  We report a neonate born with necrotic skin lesions and bullae on right dorsal thenar aspect of hand, who subsequently developed compartment syndrome requiring...

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Bibliographic Details
Published inAmerican journal of perinatology reports Vol. 4; no. 2; pp. e77 - e80
Main Authors Agrawal, Hitesh, Dokania, Gunjan, Wu, Shou-Yien
Format Journal Article
LanguageEnglish
Published 333 Seventh Avenue, New York, NY 10001, USA Thieme Medical Publishers 01.11.2014
Thieme Medical Publishers, Inc
Subjects
Case Report
contracture
neonatal extremity gangrene
neonatal volkmann ischemic contracture
skin necrosis
skin necrosis
contracture
neonatal Volkmann ischemic contracture
neonatal extremity gangrene
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Summary:Abstract Background  Neonatal Volkmann ischemic contracture in newborns is a devastating condition with lifelong consequences. Case Report  We report a neonate born with necrotic skin lesions and bullae on right dorsal thenar aspect of hand, who subsequently developed compartment syndrome requiring fasciotomy. Review and Conclusion  Necrotic skin lesions with/without swelling, bullae are invariably present at birth in these patients and should be recognized as a sentinel finding of underlying tissue ischemia/compartment syndrome. Early recognition and prompt surgical intervention can be limb saving. A range of radiologic abnormalities and contractures were noted in upto 84% of such patients followed long term. Hence, we recommend close follow-up until occurrence of epiphyseal fusion in these patients.
ISSN:2157-6998
2157-7005
DOI:10.1055/s-0034-1382257