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Venous malformations predominated (71%), followed by lymphatic\u2010venous (19%), lymphatic (5%) and glomuvenous (5%). Symptoms included pain (76%), swelling (71%), cosmetic concerns (81%), functional compromise (29%) and stiffness (5%). Imaging modality was ultrasound (100%), and magnetic resonance imaging (71%). Treatment included compression (62%), sclerotherapy (62%) and surgery (24%). Post\u2010sclerotherapy ultrasounds showed complete sclerosis (25%), near complete sclerosis (58%) and partial sclerosis (17%). Post\u2010surgery, patients reported improved cosmesis (80%), size (100%), pain (60%) and function (40%). Complications occurred in 24%, including bleeding, digital ischaemia and thrombosis. Mean follow\u2010up was 3.4\u2009years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Children with low\u2010flow VMs of the hand and forearm experience significant symptoms and functional limitations. A multidisciplinary approach to management ensures optimal outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.16591","type":"journal-article","created":{"date-parts":[[2021,1,21]],"date-time":"2021-01-21T18:36:17Z","timestamp":1611254177000},"page":"1739-1743","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Low\u2010flow vascular malformations of the hand and forearm: a multidisciplinary experience in a tertiary paediatric centre"],"prefix":"10.1111","volume":"91","author":[{"given":"Yasiru G.","family":"Karunaratne","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery Sydney Children's Hospital  Sydney New South Wales Australia"},{"name":"Department of Plastic and Reconstructive Surgery Sydney Children's Hospital  Sydney New South Wales 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