Atakan AYDIN, AHMET BİÇER, Karaca BAŞARAN, Barış KEKLİK

Neonatal forearm compartment syndrome: Case report

Neonatal kompartman sendromu çoğu zaman üst ekstremitede ülserasyon, nekroz ve doku kaybıyla seyreden nadir bir durumdur. Nekrotizan fasiit, neonatal gangren, konjenital varisella ve buna benzer klinik tablolarla karışması nedeniyle detaylı bir araştırma gerektirmekte ve iyi sonuç açısından da erken tanı ve tedavi önemli olmaktadır. Bunu vurgulamak amacıyla erken tanı koyup, cerrahi olarak tedavi ettiğimiz bir neonatal kompartman sendromu olgusunu sunduk.

Neonatal kompartman sendromu

Neonatal compartment syndrome is a rare condition mainly involving the upper extremity with ulcerated and necrotic lesions. It should be evaluated in detail due to the similarity with other conditions like necrotizing fasciitis, neonatal gangrene, and congenital varicella, etc. Early diagnosis and treatment have a paramount importance for the best outcome. To emphasize this, we would like to present a newborn with the forearm compartment syndrome diagnosed promptly and treated surgically.

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1) Trice M, Colwell CW. A historical review of compartment syndrome and Volkmann's ischemic contracture. Hand Clin 1998;14:335-41.
2) Cham PM, Drolet BA, Segura AD, Esterly NB. Congenital Volkmann ischaemic contracture: a case report and review. Br J Dermatol 2004;150:357-63.
3) Raimer L, McCarthy RA, Raimer D, Colome-Grimmer M. Congenital Volkmann ischemic contracture: a case report. Pediatr Dermatol 2008;25:352-4.
4) Ragland R 3rd, Moukoko D, Ezaki M, Carter PR, Mills J. Forearm compartment syndrome in the newborn: report of 24 cases. J Hand Surg [Am] 2005;30:997-1003.
5) Silfen R, Amir A, Sirota L, Hauben DJ. Congenital Volkmann-Lesser ischemic contracture of the upper limb. Ann Plast Surg 2000;45:313-7.
6) Hernández-Martín A, de Unamuno P, Fernández-López E. Congenital ulcerated subcutaneous fat necrosis of the newborn. Dermatology 1998;197:261-3.
7) Fenniche S, Daoud L, Benmously R, Ben Ammar F, Khelifa I, Chaabane S, et al. Subcutaneous fat necrosis: report of two cases. Dermatol Online J 2004;10:12.
8) Gulgonen A. Compartment syndrome. In: Green DP, Hotchkiss RN, Pederson WC, editors. Green's operative hand surgery. Vol. 2, 5th ed. Philadelphia: Elsevier/ Churchill Livingstone; 2005. p. 1985-2005.