Save Type Surname (from nickname) Usage Ukrainian, Russian, Belarusian Scripts Шрамко(Ukrainian, Russian, Belarusian) Pronounced Pron. shrum-KAW(Ukrainian) shrum-KO(Russian) shram-KO(Belarusian) [key·IPA] Meaning & History Derived from East Slavic шрам (shram) meaning "scar, cicatrix".