eMedicine Specialties > Orthopedic Surgery > Trauma
Volkmann Contracture: Workup
Updated: Aug 26, 2008
Workup
Imaging Studies
- Radiographs of the humerus, elbow, and forearm are useful to assess the amount of displacement of supracondylar fractures and combined radius and ulnar fractures.
- Nondisplaced supracondylar fractures rarely cause Volkmann contracture.
More on Volkmann Contracture |
| Overview: Volkmann Contracture |
Workup: Volkmann Contracture |
| Treatment: Volkmann Contracture |
| Follow-up: Volkmann Contracture |
| Multimedia: Volkmann Contracture |
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References
Blakemore LC, Cooperman DR, Thompson GH. Compartment syndrome in ipsilateral humerus and forearm fractures in children. Clin Orthop. Jul 2000;(376):32-8. [Medline].
Prayson MJ, Chen JL, Hampers D, Vogt M, Fenwick J, Meredick R. Baseline compartment pressure measurements in isolated lower extremity fractures without clinical compartment syndrome. J Trauma. May 2006;60(5):1037-40. [Medline].
Harris IE. Supracondylar fractures of the humerus in children. Orthopedics. Jul 1992;15(7):811-7. [Medline].
O'Hara LJ, Barlow JW, Clarke NM. Displaced supracondylar fractures of the humerus in children. Audit changes practice. J Bone Joint Surg Br. Mar 2000;82(2):204-10. [Medline].
Ragland R 3rd, Moukoko D, Ezaki M, Carter PR, Mills J. Forearm compartment syndrome in the newborn: report of 24 cases. J Hand Surg [Am]. Sep 2005;30(5):997-1003. [Medline].
Hargens AR, Mubarak SJ. Current concepts in the pathophysiology, evaluation, and diagnosis of compartment syndrome. Hand Clin. Aug 1998;14(3):371-83. [Medline].
Deeney VF, Kaye JJ, Geary SP. Pseudo-Volkmann's contracture due to tethering of flexor digitorum profundus to fractures of the ulna in children. J Pediatr Orthop. Jul-Aug 1998;18(4):437-40. [Medline].
Botte MJ, Gelberman RH. Acute compartment syndrome of the forearm. Hand Clin. Aug 1998;14(3):391-403. [Medline].
Domanasiewicz A, Jablecki J, Kocieba R, Syrko M. Modified Colzi method in the management of established Volkmann contracture--the experience of Trzebnica Limb Replantation Center (preliminary report). Ortop Traumatol Rehabil. Jan-Feb 2008;10(1):12-25. [Medline].
Stevanovic M, Sharpe F. Management of established Volkmann's contracture of the forearm in children. Hand Clin. Feb 2006;22(1):99-111. [Medline].
Wilson PD. Capsulectomy for the relief of flexion contractures of the elbow following fracture. 1944. Clin Orthop. Jan 2000;(370):3-8. [Medline].
Fitzgerald AM, Gaston P, Wilson Y. Long-term sequelae of fasciotomy wounds. Br J Plast Surg. Dec 2000;53(8):690-3. [Medline].
Ultee J, Hovius SE. Functional results after treatment of Volkmann's ischemic contracture: a long-term followup study. Clin Orthop Relat Res. Feb 2005;42-9. [Medline].
McGraw JJ, Akbarnia BA, Hanel DP. Neurological complications resulting from supracondylar fractures of the humerus in children. J Pediatr Orthop. Nov-Dec 1986;6(6):647-50. [Medline].
Myers RA. Hyperbaric oxygen therapy for trauma: crush injury, compartment syndrome, and other acute traumatic peripheral ischemias. Int Anesthesiol Clin. Winter 2000;38(1):139-51. [Medline].
Chuang DC, Carver N, Wei FC. A new strategy to prevent the sequelae of severe Volkmann's ischemia. Plast Reconstr Surg. Nov 1996;98(6):1023-31; discussion 1032-3. [Medline].
Tizón-Marcos H, Barbeau GR. Incidence of compartment syndrome of the arm in a large series of transradial approach for coronary procedures. J Interv Cardiol. Jun 3 2008;[Medline].
Further Reading
Keywords
Volkmann contracture, compartment syndrome, compartmental pressure, flexor contractures, fasciotomy, pseudo-Volkmann contracture, Volkmann ischemic contracture, supracondylar humeral fracture, distal humerus fracture, ischemic contracture
Workup: Volkmann Contracture