Bagheri Niloofar, Bahmani Katayoun, Poursaadat Newsha, Faraji Navid, Hamidi Kosar, Rezaei Behrooz
MSc, Department of Nursing, School of Nursing and Midwifery, Tehran University of Medical Science, Tehran, Iran.
BSN, Department of Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Int J Surg Case Rep. 2025 Aug;133:111538. doi: 10.1016/j.ijscr.2025.111538. Epub 2025 Jun 19.
This study involves the critical challenge of left wrist necrosis in newborns, particularly when accompanied by foot deformities due to umbilical cord torsion. Prompt recognition and management of such congenital conditions are vital for optimizing health outcomes.
We present a case of a newborn male, delivered at term, who exhibited significant left wrist necrosis and bilateral clubfoot deformities. The clinical course revealed compromised blood flow during labor, leading to ischemia and subsequent necrosis of the wrist, alongside the development of clubfeet.
Our study emphasizes the necessity for early diagnosis and a multidisciplinary approach involving pediatric surgeons, orthopedic specialists, and physical therapists. The case illustrates the importance of psychological support for families coping with the emotional ramifications of surgical interventions. Furthermore, the rare combination of wrist necrosis and clubfoot deformities highlights the need for enhanced prenatal monitoring and research into underlying mechanisms and risk factors.
This case underscores the significance of collaborative management strategies in addressing complex congenital conditions. By improving our understanding of these challenges and emphasizing the importance of early intervention, we can better support affected infants and their families, ultimately enhancing care practices in neonatology. Continued research is essential to develop targeted strategies for prevention and management in similar cases.
本研究涉及新生儿左腕坏死这一关键挑战,尤其是当伴有因脐带扭转导致的足部畸形时。对此类先天性疾病的及时识别和处理对于优化健康结局至关重要。
我们呈现一例足月出生的男婴病例,该男婴表现出明显的左腕坏死和双侧马蹄内翻足畸形。临床病程显示分娩过程中血流受损,导致手腕缺血及随后的坏死,同时伴有马蹄内翻足的发展。
我们的研究强调早期诊断以及由小儿外科医生、骨科专家和物理治疗师参与的多学科方法的必要性。该病例说明了为应对手术干预带来的情感影响而为家庭提供心理支持的重要性。此外,腕部坏死和马蹄内翻足畸形的罕见组合凸显了加强产前监测以及对潜在机制和风险因素进行研究的必要性。
该病例强调了协作管理策略在处理复杂先天性疾病方面的重要性。通过增进我们对这些挑战的理解并强调早期干预的重要性,我们能够更好地支持受影响的婴儿及其家庭,最终改善新生儿科的护理实践。持续的研究对于制定针对类似病例的预防和管理策略至关重要。