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Wheeless' Textbook of Orthopaedics

Volkmann's ischemic contracture. A case report


Lapuk S. Woodbury DF. Orthopaedic Review. [JC:orr] 17(6):618-24, 1988 Jun. A case is presented illustrating some of the basic principles in the development and repair of Volkmann's ischemic contracture following a supracondylar fracture. The etiology, initial signs, prevention, and possible treatments of the contracture are discussed. Early fasciotomy is the best treatment for impending contracture, while neurolysis with infarct excision, a flexor pronator slide, and tendon transfer can return much function following established contracture of the forearm.



Original Text by Clifford R. Wheeless, III, MD.