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Case Reports
. 2025 Aug:133:111538.
doi: 10.1016/j.ijscr.2025.111538. Epub 2025 Jun 19.

Life's first challenge: Exploring wrist necrosis accompanied by feet deformity in a newborn from umbilical cord torsion; a case report study

Niloofar Bagheri  1 , Katayoun Bahmani  2 , Newsha Poursaadat  3 , Navid Faraji  4 , Kosar Hamidi  5 , Behrooz Rezaei  6
Affiliations
Case Reports

Life's first challenge: Exploring wrist necrosis accompanied by feet deformity in a newborn from umbilical cord torsion; a case report study

Niloofar Bagheri et al. Int J Surg Case Rep. 2025 Aug.

Abstract

Introduction and importance: 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.

Case presentation: 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.

Discussion: 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.

Conclusion: 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.

Keywords: Case report; Clubfeet; Newborn; Torsion; Umbilical cord.

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Conflict of interest statement

Conflict of interest statement The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1
Fig. 1
Left wrist necrosis accompanied by feet deformity after birth.
Fig. 2
Fig. 2
Another view of left wrist necrosis of the newborn.
Fig. 3
Fig. 3
This radiograph illustrates the left wrist of a newborn affected by significant necrosis resulting from ischemia due to umbilical cord torsion. The image reveals dark discoloration and reduced bone density in the distal radius and ulna, indicative of severe tissue damage. Additionally, structural deformities are evident, highlighting the critical loss of functionality in the wrist.
See this image and copyright information in PMC

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