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AJP Rep. 2014 Nov;4(2):e77-80. doi: 10.1055/s-0034-1382257. Epub 2014 Jun 24.

Neonatal volkmann ischemic contracture: case report and review of literature.

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Department of Pediatrics, John H Stroger Jr. Hospital of Cook County, Chicago, Illinois.
Division of Neonatology, John H Stroger Jr. Hospital of Cook County, Chicago, Illinois ; Department of Neonatology, Chicago Medical School, Rosalind Franklin University of Medicine and Science, Chicago, Illinois.


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.


contracture; neonatal Volkmann ischemic contracture; neonatal extremity gangrene; skin necrosis

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