VOLKMANN ISCHEMIC CONTRACTURE Flashcards
1
Q
DEFINE
A
IT IS A SEQUEL OF VOLKMANN ISCHAEMIA .
AS A RESULT OF ISCHEMIA MUSCLE FIBRES ARE REPLACED WITH INELASTIC FIBROUS TISSUE .
2
Q
MUSCLES AFFECTED
A
FDP
FPL
2
Q
SITE
A
MOSTLY AT THE FLEXOR COMARTMENT OF FOREARM DUE TO INJURY TO THE BRACHIAL PLEXUS.
3
Q
CLINICAL FEATURES
A
ATROPHY OF FOREARM
FLEXION DEFORMITY OF WRIST
ALTERED SENSATION
CLAWING OF FINGERS
VOLKMANN SIGN - ON EXTENDING WRIST DEFORMITY EXAGGERATES , ON FLEXION DEFORMITY LESS PROMINENT.
4
Q
TT
A
MILD - VOLKMANN SPLINT , PHYSIOTHERAPY , TOTAL EXCISION OF SINGLE MUSCLE INVOLVED
MODERATE- MUSCLE SLIDING OPERATION , TENDON TRANSFER
SEVERE- REMOVAL OF 1ST ROW OF CARPAL BONES
AMPUTATION
ARTHRODESIS
