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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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
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Abstract 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.
AbstractList 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.
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.
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.
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.
Author Wu, Shou-Yien
Agrawal, Hitesh
Dokania, Gunjan
AuthorAffiliation 3 Department of Neonatology, Chicago Medical School, Rosalind Franklin University of Medicine and Science, Chicago, Illinois
2 Division of Neonatology, John H Stroger Jr. Hospital of Cook County, Chicago, Illinois
1 Department of Pediatrics, John H Stroger Jr. Hospital of Cook County, Chicago, Illinois
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Keywords skin necrosis
contracture
neonatal Volkmann ischemic contracture
neonatal extremity gangrene
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Snippet Abstract Background  Neonatal Volkmann ischemic contracture in newborns is a devastating condition with lifelong consequences. Case Report  We report a neonate...
Background Neonatal Volkmann ischemic contracture in newborns is a devastating condition with lifelong consequences. Case Report We report a neonate born with...
Background  Neonatal Volkmann ischemic contracture in newborns is a devastating condition with lifelong consequences. Case Report  We report a neonate born...
Abstract Background Neonatal Volkmann ischemic contracture in newborns is a devastating condition with lifelong consequences. Case Report We report a neonate...
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contracture
neonatal extremity gangrene
neonatal volkmann ischemic contracture
skin necrosis
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Title Neonatal Volkmann Ischemic Contracture: Case Report and Review of Literature
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