Congenital Volkmann-Lesser ischemic contracture of the upper limb

Neonatal vascular compromise to limbs has been associated traditionally wit h perinatal injury of the brachial plexus, fracture of the clavicle or hume rus, or iatrogenic causes. Congenital Volkmann's ischemic contracture is an exceptional etiology of ischemic limb in the newborn. Fewer than 10 cases had been described in the literature. The authors report a newborn presenti ng at birth with partial bluish discoloration of the right forearm. The cli nical picture and laboratory studies lead to the diagnosis of congenital Vo lkmann-Lesser ischemic contracture.