Volkmann's contracture in children: aetiology and prevention.
نویسندگان
چکیده
A review was conducted of the records of fifty-five children who were admitted to the Hospital for Sick Children in Toronto between 1955 and 1975 with a diagnosis of Volkmann's contracture in fifty-eight limbs. Ten patients had been transferred to this hospital with established ischaemia after Bryant's traction for a fractured femur; all had a very poor outcome. Thirteen other cases of Volkmann's contracture affecting the superficial posterior compartment had been treated with a fixed Thomas' splint and a Bradford frame after fractures of the femoral shaft. Supracondylar fractures of the elbow resulting in Volkmann's contracture frequently had both an arterial injury and a compartment syndrome. Most of the fifty-five children reviewed here had not had early appropriate treatment. For the past twenty-one years the frequency of Volkmann's contracture has not declined in spite of many published reports on the compartment syndrome, and the hazards of supracondylar fractures and of Bryant's traction.
منابع مشابه
Localized type Volkmann's contracture treated with tendon transfer and tension-reduced early mobilization
RATIONALE For localized type Volkmann's contracture, in which degeneration of the flexor digitorum profundus (FDP) muscle to one or two fingers and restriction of finger extension occur, dissection or excision of the affected muscle is usually recommended. However, these surgical procedures need relatively wide exposure of the muscle, because the FDP muscle is in the deep portion of the forearm...
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BACKGROUND "The terrible disability of irreversible ischaemic flexion contracture of the metacarpi and digits known as Volkmann's contracture can be avoided in the vast majority of cases, but never completely cured" (M. Koszla). A modification of Colzi's forgotten technique for the treatment of Volkmann's contracture is presented together with our treatment outcomes. MATERIAL AND METHOD The C...
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Entrapment of the flexor digitorum profundus (FDP) is a recognized complication of paediatric both-bone forearm fractures. Although a rare complication, it is usually missed at the time of initial fracture management resulting in the need for corrective surgery. An attempted closed manipulation followed by immediate surgical correction of FDP entrapment in our hospital prompted a review of the ...
متن کاملClinical note Multidisciplinary conservative management in classical Volkmann's contracture: a case report
This clinical note describes the case of a nine-year-old girl with classical Volkmann's contracture of the left forearm. The report demonstrates the results and follow-up of conservative orthotic management used as a mode of treatment by a multidisciplinary team. When using an orthosis it is essential to check regularly to attain the desired result. Introduction In an anatomic compartment, musc...
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عنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 61-B 3 شماره
صفحات -
تاریخ انتشار 1979