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 fa...

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Bibliographic Details
Main Authors: Hitesh Agrawal (Author), Gunjan Dokania (Author), Shou-Yien Wu (Author)
Format: Book
Published: Thieme Medical Publishers, Inc., 2014-06-01T00:00:00Z.
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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.
Item Description:2157-6998
2157-7005
10.1055/s-0034-1382257