Volkmann ischemic contracture in a newborn

Ríos, María del Carmen García; Ribeiro, Cristiana; Soares, Paula Roberta Otaviano; Amorim, Rosa Beatriz; Osório, Angélica; Leitão, Banquart; Almeida, Alexandra

doi:10.1136/bcr.05.2011.4201

Cited by 11 publications

(11 citation statements)

References 19 publications

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“… 1 Potential etiologies are typically classified as extrinsic or intrinsic: extrinsic causes include mechanical compression, which may result from oligohydramnios, amniotic band constriction, birth trauma, umbilical cord abnormalities, or malpresentation, whereas intrinsic causes include hypercoagulable states that may lead to intra-arterial or intravenous thromboses. 2 Many cases are misdiagnosed, leading to fasciotomy delay and resultant poor prognosis.…”

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confidence: 99%

Neonatal Compartment Syndrome and Compound Presentation at Birth

Shen

Tevlin

Kwan

et al. 2020

Journal of Hand Surgery Global Online

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Neonatal compartment syndrome is a rare condition. Early diagnosis and timely surgical intervention are paramount to optimize outcome. Time to fasciotomy is the most important prognostic factor. The purposes of this study were to describe a case presentation of neonatal compartment syndrome associated with a compound birth presentation and to perform a literature review. In this case, the neonate's fingers were noted to be present on maternal cervical examination 24 hours before delivery. The patient then was noted to have a sentinel skin lesion. A diagnosis of neonatal compartment syndrome was suspected, and she underwent urgent fasciotomy. Literature review identified a total of 60 patients from 26 studies. Most patients were managed operatively. All patients presented with a sentinel skin lesion, emphasizing the importance of this clinical sign in diagnosis. Manometry is not routinely performed and no standards are available for acceptable pressure gradients.

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confidence: 99%

Neonatal Compartment Syndrome and Compound Presentation at Birth

Shen

Tevlin

Kwan

et al. 2020

Journal of Hand Surgery Global Online

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“…The specific cause is unknown and it is speculated that both extrinsic and intrinsic factors may play a role. Extrinsic factors include oligohydramnios, multiple gestation, fetal macrosomia, abonormal in utero posture/positioning, difficult extractions, maternal diabetes, and excessive maternal weight gain 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 ( Table 1 ). In this case, maternal diabetes, fetal macrosomia and the insult leading to decreased fetal movements were the likely contributory factors.…”

Section: Discussionmentioning

confidence: 99%

Neonatal Volkmann Ischemic Contracture: Case Report and Review of Literature

Agrawal

Dokania

2014

AJP Rep

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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.

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“…The cause of CVIC is still unknown; prenatal and perinatal, extrinsic and intrinsic predisposing conditions have been hypothesized. 3 These may include a traumatic delivery, oligohydramnios, twin gestation, maternal diabetes, and excessive weight gain. The involvement of superficial extensor muscles and the return of function after early intervention make external compressive factors seem more likely.…”

Section: What Is Your Diagnosis?mentioning

confidence: 99%

“…The involvement of superficial extensor muscles and the return of function after early intervention make external compressive factors seem more likely. 3 The prognosis is highly variable due to the absence of a unified treatment protocol. The key measures should involve an emergent decompression of the involved limb if signs of vascular compromise were present.…”

Section: What Is Your Diagnosis?mentioning

confidence: 99%