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Journal of Hand Surgery (British and European Volume)
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Articles

Ischaemic Contracture in an Infant’s Forearm – A Case Report

H. ISSHIKI
T. NAKAMURA
S. TAKAYAMA
Y. TOYAMA

From the Department of Orthopaedic Surgery, School of Medicine, Keio University, Tokyo, Japan

Correspondence: MR Toshiyasu Nakamura, MD, PhD, Department of Orthopaedic Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. Tel.: +81-3-3353-1211; fax: +81-3-3353-6597; E-mail: tosiyasu{at}sc.itc.keio.ac.jp

We present a case of a gradually developing ischaemic contracture of the forearm muscles of an infant who developed without any trauma or acute gangrene at birth. Release of the middle and ring finger digitorum profundus muscles and pronator quadratus at 2 years of age corrected the deformity. Histopathology showed no evidence of fibromatosis or any other tumor. Although a dynamic splint was used to maintain the range of motion, the range of the middle finger motion deteriorated gradually 2 years after surgery. Though the pathogenesis of this problem was unclear, we assume that it was caused by fibrosis of muscles as a result of bleeding before or during delivery.

Key Words: ischarmic contracture • infant • forearm muscle

Journal of Hand Surgery (British and European Volume), Vol. 29, No. 5, 510-513 (2004)
DOI: 10.1016/J.JHSB.2004.03.017
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