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Volkmann ischemic contracture in a newborn

2011; BMJ; Volume: 2011; Issue: sep20 1 Linguagem: Inglês

10.1136/bcr.05.2011.4201

1757-790X

Maria José Magalhães, Catarina Ribeiro, Paulo Soares, Robson Luís Oliveira de Amorim, Angélica Osório, Banquart Leitão, A. Almeida,

Chemotherapy-related skin toxicity

Congenital Volkmann ischemic contracture is a very rare condition in which a neonate presents skin, muscular and nerve lesions due to increased intracompartment pressure and subsequent ischemia, probably due to extrinsic intrauterine compression. In this age group, there are only about 50 reported cases and a specific cause is unknown. The authors describe the case of a newborn who presented with bullous and ulcerated skin lesions and nerve palsy of his forearm at birth, evolving to subcutaneous and muscular necrosis and contracture. Two surgeries were performed and the baby began a daily physiotherapy program that resulted in aesthetical improvement and recovery of his hand and forearm mobility. Early recognition of this rare entity and subsequent emergency fasciotomy are the best ways to improve prognosis.