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, vol.24, no.6, pp.552-555, 2015 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 24 Issue: 6
  • Publication Date: 2015
  • Doi Number: 10.1097/bpb.0000000000000216
  • Journal Name: Journal of Pediatric Orthopaedics Part B
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.552-555
  • Keywords: compartment syndrome, fasciotomy, forearm, newborn, NEONATAL THROMBOSIS
  • Lokman Hekim University Affiliated: No

Abstract

Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.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.