Volkmann Contracture Clinical Presentation

Updated: Feb 13, 2017
  • Author: John A Kare, MD; Chief Editor: Murali Poduval, MBBS, MS, DNB  more...
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Presentation

History and Physical Examination

The clinical presentation of Volkmann contracture includes what is commonly referred to as the five Ps: pain, pallor, pulselessness, paresthesias, and paralysis. Of these, pain is the earliest sign. [15]

On physical examination, pain accentuated by passive stretching seems to be the most reliable finding. Firmness of the tissues often is noted on palpation. Pulselessness and paralysis are late findings. Induration of the forearm is another useful diagnostic finding.