Congenital pressure necrosis of the forearm in a newborn infant

A. K. Gosain*, F. O. Moore, L. G. Rabinowitz, J. Upton

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

The authors report a case of congenital pressure necrosis of the forearm presenting in a newborn infant. The patient presented with an edematous and purpuric upper extremity with no underlying vascular compromise. After demarcation of the nonviable tissue during the first month of life, the extremity was debrided, and a thin split-thickness skin graft was applied. Graft contracture over the subsequent year was released and reconstructed with a full-thickness skin graft. Patient follow-up at age 22 months demonstrated progressive return of strength and function of the extremity with restoration of soft-tissue bulk and contour. When presented with this unusual circumstance, the plastic surgeon should be familiar with its differential diagnosis and management. Conservative debridement and age-appropriate resurfacing of the remaining wound were the essential treatment principles followed in this patient.

Original languageEnglish (US)
Pages (from-to)318-328
Number of pages11
JournalAnnals of plastic surgery
Volume45
Issue number3
DOIs
StatePublished - 2000

ASJC Scopus subject areas

  • Surgery

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