eMedicine Specialties > Orthopedic Surgery > Trauma

Volkmann Contracture: Workup

Author: John A Kare, MD, Assistant Professor of Emergency Medicine, Charles R Drew University of Medicine and Science/UCLA, Director of Research, Department of Emergency Medicine, Martin Luther King Jr/Charles R Drew Medical Center
Contributor Information and Disclosures

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
References

References

  1. Blakemore LC, Cooperman DR, Thompson GH. Compartment syndrome in ipsilateral humerus and forearm fractures in children. Clin Orthop. Jul 2000;(376):32-8. [Medline].

  2. 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].

  3. Harris IE. Supracondylar fractures of the humerus in children. Orthopedics. Jul 1992;15(7):811-7. [Medline].

  4. 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].

  5. 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].

  6. Hargens AR, Mubarak SJ. Current concepts in the pathophysiology, evaluation, and diagnosis of compartment syndrome. Hand Clin. Aug 1998;14(3):371-83. [Medline].

  7. 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].

  8. Botte MJ, Gelberman RH. Acute compartment syndrome of the forearm. Hand Clin. Aug 1998;14(3):391-403. [Medline].

  9. 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].

  10. Stevanovic M, Sharpe F. Management of established Volkmann's contracture of the forearm in children. Hand Clin. Feb 2006;22(1):99-111. [Medline].

  11. Wilson PD. Capsulectomy for the relief of flexion contractures of the elbow following fracture. 1944. Clin Orthop. Jan 2000;(370):3-8. [Medline].

  12. Fitzgerald AM, Gaston P, Wilson Y. Long-term sequelae of fasciotomy wounds. Br J Plast Surg. Dec 2000;53(8):690-3. [Medline].

  13. 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].

  14. 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].

  15. 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].

  16. 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].

  17. 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

Contributor Information and Disclosures

Author

John A Kare, MD, Assistant Professor of Emergency Medicine, Charles R Drew University of Medicine and Science/UCLA, Director of Research, Department of Emergency Medicine, Martin Luther King Jr/Charles R Drew Medical Center
John A Kare, MD is a member of the following medical societies: American Academy of Emergency Medicine, American Medical Student Association/Foundation, and Emergency Medicine Residents Association
Disclosure: Nothing to disclose.

Medical Editor

Jeffrey L Visotsky, MD, Assistant Professor, Department of Clinical Orthopedic Surgery, Northwestern University
Jeffrey L Visotsky, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Association for Hand Surgery, American College of Physician Executives, American College of Surgeons, American Medical Association, American Society for Surgery of the Hand, Arthroscopy Association of North America, Chicago Medical Society, and Illinois State Medical Society
Disclosure: Depuy Consulting fee Speaking and teaching; Pegasus Honoraria Board membership

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Samuel Agnew, MD, FACS, Associate Professor, Departments of Orthopedic Surgery and Surgery, Chief of Orthopedic Trauma, University of Florida at Jacksonville; Consulting Surgeon, Department of Orthopedic Surgery, McLeod Regional Medical Center
Samuel Agnew, MD, FACS is a member of the following medical societies: American Association for the Surgery of Trauma, American College of Surgeons, Orthopaedic Trauma Association, and Southern Orthopaedic Association
Disclosure: Nothing to disclose.

CME Editor

Dinesh Patel, MD, FACS, Associate Clinical Professor of Orthopedic Surgery, Harvard Medical School; Chief of Arthroscopic Surgery, Department of Orthopedic Surgery, Massachusetts General Hospital
Dinesh Patel, MD, FACS is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Association of Physicians of Indian Origin, American College of International Physicians, and American College of Surgeons
Disclosure: Nothing to disclose.

Chief Editor

Mary Ann E Keenan, MD, Professor, Vice Chair for Graduate Medical Education, Department of Orthopedic Surgery, University of Pennsylvania School of Medicine; Chief of Neuro-Orthopedics Program, Department of Orthopedic Surgery, Hospital of the University of Pennsylvania
Mary Ann E Keenan, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Orthopaedic Surgeons, American Orthopaedic Association, American Orthopaedic Foot and Ankle Society, American Society for Surgery of the Hand, and Orthopaedic Rehabilitation Association
Disclosure: Nothing to disclose.

 
 
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