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Volkmann's Ischemic Contracture

Skeletal trauma is the most likely cause of an acute compartment syndrome of the forearm. Volkmanns ischaemic contracture is a devastating condition with serious motor and sensory functional implications for the affected limb.


Volkmann S Ischemic Contracture Medical Education Medical Clinic

Volkmanns contracture is a permanent flexion deformity at the hand and wrist that has a claw-like presentation.

Volkmann's ischemic contracture

Volkmann's ischemic contracture

. Volkmanns ischemic contracture is the outcome of prolonged muscle and nerve ischemia resulting most commonly from delayed or untreated acute compartment syndrome. Advances in the free transfer of vascularized muscle nerve and skin have offered potential additional methods of reconstruction 15 16 17 and 18 43 88. - type of forearm ischemic contracture resulting from brachial artery injury usually associated w supracondylar frx of humerus.

Volkmans ischemic contracture A Volkmanns contracture is deformity of the hand fingers and wrist which occurs as a result of a trauma such as fractures crush injuries burns and arterial injuries. Volkmanns ischemic contracture is caused by ischemic injury to the deep tissues enclosed in the tight unyielding osteo-facial compartments secondary to. In the past this type of contracture resulted from a supracondylar fracture of the humerus in.

The deformity of established Volkmanns ischemic contracture remains a challenging problem despite the available methods of management. Volkmanns ischemic contracture is generally diagnosed with a visual and palpatory examination of the arm to determine the extent of swelling. Volkmanns contracture also called Volkmann ischemic contracture is a deformity of the hand fingers and wrist caused by fibrosis and contracture of the forearm 1.

Volkmann contracture is a deformity of the hand fingers and wrist caused by injury to the muscles of the forearm. One of the early uses of these techniques for. Volkmanns contracture is caused by acute arterial insufficiency to the arm.

Volkmanns ischemic contracture is the result of unrecognized or inadequately treated compartment syndrome of the forearm causing muscle ischemia necrosis and ultimately contracture of the hand see Fig. A clinical study of Volkmanns ischemic contracture of the forearm has been presented. Mostly it occurred in males 775 percent mostly in the second or third decade of life.

Volkmanns Ischemic contracture is the result of an untreated ischemic injury that causes muscle and nerve damage in the involved compartment of the extremity. The total incidence was 0105 percent of all orthopedic cases. This clinical review outlines acute compartment syndrome and Volkmanns ischaemic contracture their presentation evolution and.

It is the result of an acute compartment syndrome. - may see loss of motor. Most patients lived in rural areas reflecting prevailing socioeconomic conditions.

VOLKMANNS ISCHEMIC CONTRACTURE Definition A condition which is characterized by ischemic necrosis of the structures contained within the volar compartment of the forearm associated with crippling contractures and varying degrees of neurologic deficit. 2 3 Most commonly this arterial insufficiency is caused by compartment syndrome that occurs after an individual has experienced trauma to the arm between shoulder and elbow or at the elbow. Increased compartment pressures decrease capillary perfusion to the muscle ultimately leading to muscle necrosis and fibrosis which clinically presents as contracture.

Volkmanns ischaemic contracture is a devastating condition with serious motor and sensory functional implications for the affected limb usually the forearm although it may also occur in the leg. The condition is also called Volkmann ischemic contracture. Measurements may also be taken to evaluate the blood pressure within the arm to further assess the precise amount of nerve and arterial compression.


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