title: 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 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.
authors.affiliation: Department of Pediatrics, John H Stroger Jr. Hospital of Cook County, Chicago, Illinois.
authors.forename: Hitesh
authors.initials: H
authors.lastname: Agrawal
authors.affiliation: Department of Pediatrics, John H Stroger Jr. Hospital of Cook County, Chicago, Illinois.
authors.forename: Gunjan
authors.initials: G
authors.lastname: Dokania
authors.affiliation: 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.
authors.forename: Shou-Yien
authors.initials: SY
authors.lastname: Wu
keywords: contracture; neonatal Volkmann ischemic contracture; neonatal extremity gangrene; skin necrosis