Volkmann's contracture

Volkmann's contracture is a permanent flexion contracture of the hand at the wrist, resulting in a claw-like deformity of the hand and fingers. It is also known as Volkmann's ischemic contracture.

Causes

Volkmann's contracture results from acute compartment syndrome, where a traumatic injury causes high pressure in the forearm, leading to muscle and nerve damage. This can be due to fractures, crush injuries, or constrictive bandages.

Symptoms

The symptoms of Volkmann's contracture include pain, weakness, and loss of sensation in the hand and fingers. The hand may appear pale and cold due to lack of blood flow, and there may be a decrease in pulse.

Diagnosis

Diagnosis of Volkmann's contracture involves a physical examination, where the doctor will look for signs of muscle damage and nerve impairment. Imaging tests such as X-rays or MRI may also be used to assess the extent of the injury.

Treatment

Treatment for Volkmann's contracture involves surgery to release the pressure in the forearm and restore blood flow. Physiotherapy may also be needed to improve hand function and strength.

See also

• Compartment syndrome
• Ischemia
• Contracture

Volkmann's contracture Resources
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