Neonatal Compartment Syndrome and Compound Presentation at Birth.
J Hand Surg Glob Online
; 2(3): 166-170, 2020 May.
Article
in En
| MEDLINE
| ID: mdl-35415493
ABSTRACT
Neonatal compartment syndrome is a rare condition. Early diagnosis and timely surgical intervention are paramount to optimize outcome. Time to fasciotomy is the most important prognostic factor. The purposes of this study were to describe a case presentation of neonatal compartment syndrome associated with a compound birth presentation and to perform a literature review. In this case, the neonate's fingers were noted to be present on maternal cervical examination 24 hours before delivery. The patient then was noted to have a sentinel skin lesion. A diagnosis of neonatal compartment syndrome was suspected, and she underwent urgent fasciotomy. Literature review identified a total of 60 patients from 26 studies. Most patients were managed operatively. All patients presented with a sentinel skin lesion, emphasizing the importance of this clinical sign in diagnosis. Manometry is not routinely performed and no standards are available for acceptable pressure gradients.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Type of study:
Guideline
/
Prognostic_studies
/
Screening_studies
/
Systematic_reviews
Language:
En
Journal:
J Hand Surg Glob Online
Year:
2020
Document type:
Article
Affiliation country:
Canada