Acute forearm compartment syndrome in a newborn caused by reperfusion after spontaneous axillary artery thrombosis

Bekmez S., BEKEN S., MERMERKAYA M. U., Ozkan M., Okumus N.

JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B, cilt.24, sa.6, ss.552-555, 2015 (SCI-Expanded) identifier identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 24 Sayı: 6
  • Basım Tarihi: 2015
  • Doi Numarası: 10.1097/bpb.0000000000000216
  • Dergi Adı: JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.552-555
  • Anahtar Kelimeler: compartment syndrome, fasciotomy, forearm, newborn, NEONATAL THROMBOSIS
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Hayır

Özet

Acute compartment syndrome of the forearm in newborns is often misdiagnosed and can be disastrous if left untreated. Here, we report a full-term infant of a diabetic mother with underlying heterozygosity for MTHFR C677T and A1298C alleles. A spontaneous thrombosis occurred in the left axillary artery immediately after birth. The patient responded well to anticoagulant (heparin) and thrombolytic (tissue plasminogen activator) agents. After reperfusion of the extremity, acute compartment syndrome developed. Emergent fasciotomy was performed. In this case, effective collaboration between pediatricians and orthopedic surgeons resulted in salvage of the extremity, with good clinical and functional results.