Management of neonatal upper limb trauma complicated by arterial injury: A case report
This case report presents the clinical course and management of a 29-day-old female infant who presented with upper limb trauma secondary to entrapment beneath a sewing machine. Following admission, the patient exhibited clinical signs consistent with arterial injury and compartment syndrome, necess...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-08-01
|
| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644024000943 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849692978713460736 |
|---|---|
| author | Man Duc Minh Phan Ly Thi Thanh Nguyen Tien Minh Nguyen Phi Duong Nguyen |
| author_facet | Man Duc Minh Phan Ly Thi Thanh Nguyen Tien Minh Nguyen Phi Duong Nguyen |
| author_sort | Man Duc Minh Phan |
| collection | DOAJ |
| description | This case report presents the clinical course and management of a 29-day-old female infant who presented with upper limb trauma secondary to entrapment beneath a sewing machine. Following admission, the patient exhibited clinical signs consistent with arterial injury and compartment syndrome, necessitating prompt diagnostic evaluation and surgical intervention. Despite challenges in arterial visualization via Doppler ultrasound, radiographic imaging confirmed displaced distal humerus fracture of the left upper limb, prompting further evaluation and surgical planning. Surgical decompression and stabilization were performed, followed by successful endovascular intervention utilizing digital subtraction angiography (DSA) to restore arterial perfusion. Subsequent development of compartment syndrome necessitated emergent fasciotomy, followed by wound care and skin grafting. Multidisciplinary rehabilitation facilitated optimal recovery, with the patient demonstrating improved motor function and sensory perception at six-month follow-up. This case underscores the importance of timely recognition, multidisciplinary collaboration, and prompt intervention in managing pediatric upper limb trauma complicated by arterial injury and compartment syndrome. |
| format | Article |
| id | doaj-art-2ca7bef5cf84414cbbcf92e8d3431f91 |
| institution | DOAJ |
| issn | 2352-6440 |
| language | English |
| publishDate | 2024-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj-art-2ca7bef5cf84414cbbcf92e8d3431f912025-08-20T03:20:33ZengElsevierTrauma Case Reports2352-64402024-08-015210107110.1016/j.tcr.2024.101071Management of neonatal upper limb trauma complicated by arterial injury: A case reportMan Duc Minh Phan0Ly Thi Thanh Nguyen1Tien Minh Nguyen2Phi Duong Nguyen3Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Viet NamCity Children's Hospital, Ho Chi Minh City, Viet NamCity Children's Hospital, Ho Chi Minh City, Viet NamCity Children's Hospital, Ho Chi Minh City, Viet Nam; Corresponding author at: City Children's Hospital, 15 Vo Tran Chi Street, Tan Kien ward, Binh Chanh district, Ho Chi Minh City, Viet Nam.This case report presents the clinical course and management of a 29-day-old female infant who presented with upper limb trauma secondary to entrapment beneath a sewing machine. Following admission, the patient exhibited clinical signs consistent with arterial injury and compartment syndrome, necessitating prompt diagnostic evaluation and surgical intervention. Despite challenges in arterial visualization via Doppler ultrasound, radiographic imaging confirmed displaced distal humerus fracture of the left upper limb, prompting further evaluation and surgical planning. Surgical decompression and stabilization were performed, followed by successful endovascular intervention utilizing digital subtraction angiography (DSA) to restore arterial perfusion. Subsequent development of compartment syndrome necessitated emergent fasciotomy, followed by wound care and skin grafting. Multidisciplinary rehabilitation facilitated optimal recovery, with the patient demonstrating improved motor function and sensory perception at six-month follow-up. This case underscores the importance of timely recognition, multidisciplinary collaboration, and prompt intervention in managing pediatric upper limb trauma complicated by arterial injury and compartment syndrome.http://www.sciencedirect.com/science/article/pii/S2352644024000943NeonateUpper limb traumaArterial injuryCompartment syndromeSurgical interventionCase report |
| spellingShingle | Man Duc Minh Phan Ly Thi Thanh Nguyen Tien Minh Nguyen Phi Duong Nguyen Management of neonatal upper limb trauma complicated by arterial injury: A case report Trauma Case Reports Neonate Upper limb trauma Arterial injury Compartment syndrome Surgical intervention Case report |
| title | Management of neonatal upper limb trauma complicated by arterial injury: A case report |
| title_full | Management of neonatal upper limb trauma complicated by arterial injury: A case report |
| title_fullStr | Management of neonatal upper limb trauma complicated by arterial injury: A case report |
| title_full_unstemmed | Management of neonatal upper limb trauma complicated by arterial injury: A case report |
| title_short | Management of neonatal upper limb trauma complicated by arterial injury: A case report |
| title_sort | management of neonatal upper limb trauma complicated by arterial injury a case report |
| topic | Neonate Upper limb trauma Arterial injury Compartment syndrome Surgical intervention Case report |
| url | http://www.sciencedirect.com/science/article/pii/S2352644024000943 |
| work_keys_str_mv | AT manducminhphan managementofneonatalupperlimbtraumacomplicatedbyarterialinjuryacasereport AT lythithanhnguyen managementofneonatalupperlimbtraumacomplicatedbyarterialinjuryacasereport AT tienminhnguyen managementofneonatalupperlimbtraumacomplicatedbyarterialinjuryacasereport AT phiduongnguyen managementofneonatalupperlimbtraumacomplicatedbyarterialinjuryacasereport |