Volkmann ischemic contracture

Changed by Francis Fortin, 8 Apr 2020

Updates to Article Attributes

Body was changed:

A Volkmann ischaemic contracture refers to a complex and variable flexion deformity involving distal lumbeslimbs (typically the wrist and fingers) resulting from fibrosis and contracture of flexor muscles.

Clinical presentation

TheA number of deformities can occur where in. In the upper extremity, this includes elbow flexion, forearm pronation, wrist flexion, thumb flexion and adduction, digital metacarpophalangeal joint extension, and interphalangeal joint flexion. AffectedThe affected limb may become dysfunctional, painful and may lose sensibilitysensitivity

Pathology

It is caused by ischaemic injury to the deep tissues enclosed in tight unyielding osteo-facial compartment often secondary to a neglected acute compartment syndrome.

Location
  • forearm and wrist: classically described site sites
  • ankle and root: uncommon 6
  • -<p>A <strong>Volkmann ischaemic contracture</strong> refers to a complex and variable flexion deformity involving distal lumbes (typically the wrist and fingers) resulting from fibrosis and contracture of flexor muscles.</p><h4>Clinical presentation</h4><p>The number of deformities can occur where in the upper extremity this includes elbow flexion, forearm pronation, wrist flexion, thumb flexion and adduction, digital metacarpophalangeal joint extension, and interphalangeal joint flexion. Affected limb may become dysfunctional, painful and may lose sensibility. </p><h4>Pathology</h4><p>It is caused by ischaemic injury to the deep tissues enclosed in tight unyielding osteo-facial compartment often secondary to a neglected <a href="/articles/acute-compartment-syndrome">acute compartment syndrome</a>.</p><h5>Location</h5><ul>
  • -<li>forearm and wrist: classically described site </li>
  • +<p>A <strong>Volkmann ischaemic contracture</strong> refers to a complex and variable flexion deformity involving distal limbs (typically the wrist and fingers) resulting from fibrosis and contracture of flexor muscles.</p><h4>Clinical presentation</h4><p>A number of deformities can occur. In the upper extremity, this includes elbow flexion, forearm pronation, wrist flexion, thumb flexion and adduction, digital metacarpophalangeal joint extension, and interphalangeal joint flexion. The affected limb may become dysfunctional, painful and may lose sensitivity. </p><h4>Pathology</h4><p>It is caused by ischaemic injury to the deep tissues enclosed in tight unyielding osteo-facial compartment often secondary to a neglected <a href="/articles/acute-compartment-syndrome">acute compartment syndrome</a>.</p><h5>Location</h5><ul>
  • +<li>forearm and wrist: classically described sites</li>

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