37:
101:. Pain will likely also increase upon extension of the affected limbs hands and fingers, which is one of the earliest signs of compartment syndrome and should urgently be followed up by an exam to look for potential development of Volkmann contracture itself. Palpating for tissue firmness in the forearm, and the pulse volume and character of the
176:
Prevention of the condition requires restoration of blood flow after injury and reduction of compartmental pressure on the muscles. Any splints, bandages, or other devices that might be obstructing circulation must be removed.
429:
414:
192:
If contracture occurs, surgery to release the fixed tissues may help with the deformity and function of the hand. In established stage reconstructive surgery may be needed.
638:
291:
Gordon, Wade T.; Talbot, Max; Shero, John C.; Osier, Charles J.; Johnson, Anthony E.; Balsamo, Luke H.; Stockinger, Zsolt T. (2018-09-01).
113:
Any fracture in the elbow region or upper arm may lead to
Volkmann's ischemic contracture, but it is especially associated with
1055:
236:
121:. It is also caused by fractures of the forearm bones if they cause bleeding from the major blood vessels of the forearm.
968:
73:, resulting in a claw-like deformity of the hand and fingers. Passive extension of fingers is restricted and painful.
161:
973:
529:
208:. Because the contracture occurred at the same time as the paralysis, he considered a nerve cause to be unlikely.
1024:
165:
1060:
665:
633:
85:
are observable before actual contracture. What is known as the five Ps of compartment syndrome include:
706:
602:
594:
444:
833:
828:
1029:
838:
675:
670:
114:
36:
484:
371:
226:
1017:
803:
763:
607:
577:
978:
617:
522:
201:
137:
82:
8:
813:
783:
433:
293:"Acute Extremity Compartment Syndrome and the Role of Fasciotomy in Extremity War Wounds"
948:
927:
886:
753:
495:
438:
206:"non-Infective Ischemic conditions of various fascial compartments in the extremities"
798:
793:
748:
455:
322:
314:
268:
232:
44:
943:
907:
304:
204:(1830–1889), the 19th century German doctor who first described it, in a paper on
515:
449:
133:
125:
1000:
995:
818:
685:
460:
358:
353:
260:
423:
1049:
1034:
917:
881:
876:
738:
680:
572:
318:
102:
309:
292:
1012:
912:
871:
861:
856:
778:
562:
557:
326:
272:
983:
922:
768:
690:
479:
157:
98:
62:
406:
891:
773:
612:
552:
181:
129:
743:
490:
149:
94:
1007:
153:
118:
59:
727:
567:
538:
418:
90:
89:, generally the initial symptom, accompanied by pulselessness,
184:
may be required to reduce pressure in the muscle compartment.
369:
70:
866:
86:
66:
507:
228:
Introduction to sports medicine & athletic training
343:
Centralblatt fĂĽr
Chirurgie, Leipzig, 1881, 8: 801–803.
290:
396:
105:, also reflects the degree of compartment syndrome.
341:Die ischämischen Muskellähmungen und Kontracturen.
124:The condition may be caused by obstruction on the
1047:
224:
128:near the elbow, possibly from improper use of a
267:, Treasure Island (FL): StatPearls Publishing,
363:
639:Focused assessment with sonography for trauma
523:
168:. The muscles become fibrotic and shortened.
156:of the muscle fibres of the flexor group of
530:
516:
148:Volkmann's contracture results from acute
35:
308:
258:
218:
81:The most important signs and symptoms of
259:Mirza, Taaha M.; Taqi, Muhammad (2023),
1048:
370:American Surgical Association (1913).
511:
225:Robert C. France (30 December 2003).
76:
969:Acute respiratory distress syndrome
231:. Cengage Learning. pp. 426–.
13:
143:
14:
1072:
392:
376:. J. B. Lippincott. pp. 555–
974:Chronic traumatic encephalopathy
30:Volkmann's ischaemic contracture
1025:Post-traumatic stress disorder
346:
333:
284:
252:
1:
1056:Early complications of trauma
211:
171:
666:Advanced trauma life support
634:Diagnostic peritoneal lavage
187:
7:
10:
1077:
537:
195:
162:flexor digitorum profundus
961:
936:
900:
849:
726:
719:
707:Resuscitative thoracotomy
699:
658:
651:
626:
595:Clinical prediction rules
593:
586:
545:
470:
400:
108:
43:
34:
26:
21:
603:Abbreviated Injury Scale
834:Penetrating head injury
829:Intracranial hemorrhage
1030:Subcutaneous emphysema
989:Volkmann's contracture
839:Traumatic brain injury
676:Early appropriate care
671:Damage control surgery
261:"Volkmann Contracture"
166:flexor pollicis longus
158:muscles of the forearm
115:supracondylar fracture
56:Volkmann's contracture
22:Volkmann's contracture
804:Thoracic aorta injury
764:Diaphragmatic rupture
608:Injury Severity Score
578:Trauma triad of death
310:10.1093/milmed/usy084
979:Compartment syndrome
618:Revised Trauma Score
303:(suppl_2): 108–111.
202:Richard von Volkmann
138:compartment syndrome
132:, improper use of a
83:compartment syndrome
1061:Orthopedic problems
814:Blunt kidney trauma
784:Pulmonary contusion
928:Spinal cord injury
887:Penetrating trauma
754:Soft tissue injury
471:External resources
200:It is named after
77:Signs and symptoms
1043:
1042:
957:
956:
799:Internal bleeding
794:Cardiac tamponade
749:Joint dislocation
715:
714:
647:
646:
505:
504:
373:Annals of surgery
297:Military Medicine
238:978-1-4018-1199-0
160:, especially the
53:
52:
16:Medical condition
1068:
949:Pediatric trauma
944:Geriatric trauma
908:Abdominal trauma
724:
723:
656:
655:
591:
590:
532:
525:
518:
509:
508:
398:
397:
386:
385:
383:
381:
367:
361:
350:
344:
337:
331:
330:
312:
288:
282:
281:
280:
279:
256:
250:
249:
247:
245:
222:
39:
19:
18:
1076:
1075:
1071:
1070:
1069:
1067:
1066:
1065:
1046:
1045:
1044:
1039:
953:
932:
896:
845:
720:Pathophysiology
711:
695:
643:
622:
582:
541:
536:
506:
501:
500:
466:
465:
409:
395:
390:
389:
379:
377:
368:
364:
351:
347:
338:
334:
289:
285:
277:
275:
257:
253:
243:
241:
239:
223:
219:
214:
198:
190:
174:
146:
144:Pathophysiology
126:brachial artery
111:
79:
58:is a permanent
17:
12:
11:
5:
1074:
1064:
1063:
1058:
1041:
1040:
1038:
1037:
1032:
1027:
1022:
1021:
1020:
1015:
1005:
1004:
1003:
1001:Rhabdomyolysis
996:Crush syndrome
993:
992:
991:
981:
976:
971:
965:
963:
959:
958:
955:
954:
952:
951:
946:
940:
938:
934:
933:
931:
930:
925:
920:
915:
910:
904:
902:
898:
897:
895:
894:
889:
884:
879:
874:
869:
864:
859:
853:
851:
847:
846:
844:
843:
842:
841:
836:
831:
823:
822:
821:
819:Splenic injury
816:
808:
807:
806:
801:
796:
788:
787:
786:
781:
776:
771:
766:
758:
757:
756:
751:
746:
741:
732:
730:
721:
717:
716:
713:
712:
710:
709:
703:
701:
697:
696:
694:
693:
688:
686:Trauma surgery
683:
678:
673:
668:
662:
660:
653:
649:
648:
645:
644:
642:
641:
636:
630:
628:
627:Investigations
624:
623:
621:
620:
615:
610:
605:
599:
597:
588:
584:
583:
581:
580:
575:
570:
565:
560:
555:
549:
547:
543:
542:
535:
534:
527:
520:
512:
503:
502:
499:
498:
487:
475:
474:
472:
468:
467:
464:
463:
452:
441:
426:
410:
405:
404:
402:
401:Classification
394:
393:External links
391:
388:
387:
362:
345:
332:
283:
251:
237:
216:
215:
213:
210:
197:
194:
189:
186:
173:
170:
145:
142:
110:
107:
78:
75:
51:
50:
47:
41:
40:
32:
31:
28:
24:
23:
15:
9:
6:
4:
3:
2:
1073:
1062:
1059:
1057:
1054:
1053:
1051:
1036:
1035:Wound healing
1033:
1031:
1028:
1026:
1023:
1019:
1016:
1014:
1011:
1010:
1009:
1006:
1002:
999:
998:
997:
994:
990:
987:
986:
985:
982:
980:
977:
975:
972:
970:
967:
966:
964:
962:Complications
960:
950:
947:
945:
942:
941:
939:
935:
929:
926:
924:
921:
919:
918:Facial trauma
916:
914:
911:
909:
906:
905:
903:
899:
893:
890:
888:
885:
883:
882:Gunshot wound
880:
878:
877:Electrocution
875:
873:
870:
868:
865:
863:
860:
858:
855:
854:
852:
848:
840:
837:
835:
832:
830:
827:
826:
824:
820:
817:
815:
812:
811:
809:
805:
802:
800:
797:
795:
792:
791:
789:
785:
782:
780:
777:
775:
772:
770:
767:
765:
762:
761:
759:
755:
752:
750:
747:
745:
742:
740:
739:Bone fracture
737:
736:
734:
733:
731:
729:
725:
722:
718:
708:
705:
704:
702:
698:
692:
689:
687:
684:
682:
681:Trauma center
679:
677:
674:
672:
669:
667:
664:
663:
661:
657:
654:
650:
640:
637:
635:
632:
631:
629:
625:
619:
616:
614:
611:
609:
606:
604:
601:
600:
598:
596:
592:
589:
585:
579:
576:
574:
573:Resuscitation
571:
569:
566:
564:
561:
559:
556:
554:
551:
550:
548:
544:
540:
533:
528:
526:
521:
519:
514:
513:
510:
497:
493:
492:
488:
486:
482:
481:
477:
476:
473:
469:
462:
458:
457:
453:
451:
447:
446:
442:
440:
436:
435:
431:
427:
425:
421:
420:
416:
412:
411:
408:
403:
399:
375:
374:
366:
360:
359:Who Named It?
356:
355:
349:
342:
339:R. Volkmann.
336:
328:
324:
320:
316:
311:
306:
302:
298:
294:
287:
274:
270:
266:
262:
255:
240:
234:
230:
229:
221:
217:
209:
207:
203:
193:
185:
183:
178:
169:
167:
163:
159:
155:
151:
141:
139:
135:
131:
127:
122:
120:
116:
106:
104:
103:radial artery
100:
99:paraesthesias
96:
92:
88:
84:
74:
72:
68:
64:
61:
57:
48:
46:
42:
38:
33:
29:
25:
20:
988:
913:Chest injury
872:Crush injury
862:Blunt trauma
857:Blast injury
779:Pneumothorax
563:Traumatology
558:Major trauma
496:orthoped/578
489:
478:
454:
443:
428:
413:
378:. Retrieved
372:
365:
352:
348:
340:
335:
300:
296:
286:
276:, retrieved
264:
254:
242:. Retrieved
227:
220:
205:
199:
191:
179:
175:
147:
134:plaster cast
123:
112:
80:
55:
54:
49:Orthopaedics
984:Contracture
937:Demographic
923:Head injury
769:Flail chest
691:Trauma team
480:MedlinePlus
63:contracture
27:Other names
1050:Categories
892:Stab wound
774:Hemothorax
700:Procedures
659:Principles
652:Management
613:NACA score
587:Assessment
553:Polytrauma
546:Principles
456:DiseasesDB
278:2023-04-24
265:StatPearls
212:References
182:fasciotomy
172:Prevention
130:tourniquet
850:Mechanism
744:Degloving
491:eMedicine
354:synd/2865
319:1930-613X
188:Treatment
150:ischaemia
95:paralysis
45:Specialty
1008:Embolism
380:15 April
327:30189076
273:32491686
244:15 April
154:necrosis
790:Cardio
450:D054061
196:History
119:humerus
117:of the
69:at the
65:of the
60:flexion
901:Region
825:Neuro
728:Injury
568:Triage
539:Trauma
485:001221
325:
317:
271:
235:
109:Causes
97:, and
91:pallor
760:Resp
461:13991
439:958.6
424:T79.6
136:, or
71:wrist
867:Burn
735:MSK
445:MeSH
434:9-CM
382:2010
323:PMID
315:ISSN
269:PMID
246:2010
233:ISBN
164:and
152:and
87:pain
67:hand
1018:fat
1013:air
810:GI
430:ICD
415:ICD
357:at
305:doi
301:183
1052::
494::
483::
459::
448::
437::
422::
419:10
321:.
313:.
299:.
295:.
263:,
180:A
140:.
93:,
531:e
524:t
517:v
432:-
417:-
407:D
384:.
329:.
307::
248:.
Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.
_(14756898256).jpg)