VOLKMANN'S ISCHAEMIC CONTRACTURE

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Volkmann's ischaemic contracture benefited by muscle slide operation.

A bo aged twelve years fell in 1949 and sustained a supracondvlar fracture of the right elbow with backward displacement of the lower fragment. On tile same day the fracture reduced. The hospital notes are scant ’ , but it seems likely that there some vascular damage at that time which escaped notice. Radiographs showed persistence of the backward displacement of the lower fragment, and ten day...

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The pathology and prevention of Volkmann's ischaemic contracture.

Ischaemia is a rare complication of injury to a limb but must be excluded in every case. Two distinct types occur: Type I, where a proximal arterial injury gives rise to ischaemia distally; and Type II, where a direct injury gives rise to ischaemia at the site of the injury. Whatever the nature of the insult, an ischaemic contracture only develops as a result of swelling of the soft tissues whe...

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Volkmann's ischaemic contracture and its relationship to fracture of the femur.

Volkmann’s ischaemia is still an uncommon condition. During a fifteen-year period in Platt’s fracture clinic only eight cases were recognised in 21,000 fractures. All were in the upper extremity. To quote from Parkes (1945): “The condition occurs most frequently in the flexor muscles of the forearm, usually following supracondylar fracture of the humerus. It is perhaps unfortunate that attentio...

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The relief of traumatic arterial spasm in threatened Volkmann's ischaemic contracture.

The etiology of Volkmann’s contracture has been much debated. Incorrect bandaging (Volkmann 1881), venous occlusion (Murphy 1914, Brooks 1922, Jepson 1926), subfascial haematoma (Moulonguet and Sen#{232}que 1928, Jos#{233} Jorge 1925), arterial spasm (Griffiths 1940) are some of the causes that have been suggested. Leriche (1928) likened the changes in the muscles to those seen in cardiac and p...

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Dupuytren's Contracture

DESCRIPTION Patient is a 65-year-old right-hand-dominant man. He presents with a 15-year history of progressive left small finger contracture with occasional palmar pain. On examination, he has a palpable palmar cord. Contraction of left small finger metacarpophalangeal (MP) joint was noted to be 60 • .

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ژورنال

عنوان ژورنال: The Journal of Bone and Joint Surgery. British volume

سال: 1951

ISSN: 0301-620X,2044-5377

DOI: 10.1302/0301-620x.33b3.299