CONTRACTURA ISQUEMICA DE VOLKMANN PDF

Twenty-five patients treated between and were evaluated. The method of treatment was related to the severity of the infarction, ranging from conservative to free vascularized muscle transplantation. Although the study population was small, we could observe a wide range of functional outcome. Substantial improvement of function was obtained in patients who had free vascularized muscle transplantation.

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

It is caused by ischemic injury to the deep tissues enclosed in tight unyielding osteo-facial compartment often secondary to a neglected acute compartment syndrome. Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Updating… Please wait. Unable to process the form. Check for errors and try again. Thank you for updating your details. Log In. Sign Up. Log in Sign up. Articles Cases Courses Quiz.

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Once your system installs this update, you will not be able to upload new images. Please use another browser until we can get it fixed. Clinical presentation A number of deformities can occur. Pathology It is caused by ischemic 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 sites ankle and root: uncommon 6. Lapuk S, Woodbury DF. Volkmann's ischemic contracture. A case report. Pubmed 3. Hovius SE, Ultee J. Prevention and treatment. Pubmed 4. Stevanovic M, Sharpe F.

Management of established Volkmann's contracture of the forearm in children. Volkmann's ischemic contracture of the upper extremity. Pubmed 6. Volkmann's ischemic contracture of the foot and ankle: evaluation and treatment of established deformity.

Promoted articles advertising. Edit article Share article View revision history Report problem with Article. URL of Article. Article information. System: Musculoskeletal. Synonyms or Alternate Spellings: Volkmann ischemic contractures Volkmann ischemic contracture Volkmann ischaemic contractures Volkmann's contractures Volkmann's contracture Volkmann contractures Volkmann contracture.

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Volkmann's contracture

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. This is a detailed, well-written monograph that covers the subject thoroughly. The author has evidently drawn from extensive experience with this condition. The pathogenesis and pathology of Volkmann's contracture are discussed in detail. The complete clinical picture from the time of initial injury to the final tendon transplant is discussed clearly, concisely, and adequately. Alternative methods of surgical reconstruction are also discussed.

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Contractura isquémica de Volkmann

A Volkmann ischemic contracture refers to a complex and variable flexion deformity involving distal limbs typically the wrist and fingers resulting from fibrosis and contracture of flexor muscles. 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. It is caused by ischemic injury to the deep tissues enclosed in tight unyielding osteo-facial compartment often secondary to a neglected acute compartment syndrome. Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Updating… Please wait.

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These images are a random sampling from a Bing search on the term "Compartment Syndrome. Search Bing for all related images. Started in , this collection now contains interlinked topic pages divided into a tree of 31 specialty books and chapters. Content is updated monthly with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers. Patients should address specific medical concerns with their physicians.

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Volkmann's contracture is a permanent flexion contracture of the hand at the wrist , resulting in a claw-like deformity of the hand and fingers. Passive extension of fingers is restricted and painful. Any fracture in the elbow region or upper arm may lead to Volkmann's ischemic contracture, but it is especially associated with supracondylar fracture of the humerus. Volkmann's contracture results from acute ischaemia and necrosis of the muscle fibres of the flexor group of muscles of the forearm , especially the flexor digitorum profundus and flexor pollicis longus.

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