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Chapter-207 Volkmann's Ischemic Contracture

BOOK TITLE: Textbook of Orthopedics & Trauma (4 Volumes)

Author
1. Pande VK
2. Gehlot H
ISBN
9789385891052
DOI
10.5005/jp/books/12869_208
Edition
3/e
Publishing Year
2016
Pages
6
Author Affiliations
1. SMS Medical College and Hospital, Jaipur, SMS Medical College and Hospital, Jaipur, Rajasthan, India
2. Postgraduate Institute of Swasthiyog Pratishthan, Fracture and Orthopedics Hospital, Miraj, Maharashtra, India
Chapter keywords
Volkmann’s ischemic contracture, VIC, collateral vessel, morbid anatomy, nerve, nerve lesion, free muscle transplant, brachial artery, mild VIC, severe VIC, tendon transfer

Abstract

Volkmann’s ischemic contracture (VIC) is one of the most devastating complications after a limb injury. It is a flexion deformity of the wrist and fingers from contracture of mainly the flexor muscles of the forearm. The usual cause is a compartment syndrome of the forearm or traumatic interruption of arterial blood flow, leading to ischemia of the forearm muscles, mainly flexors. It often affects the nerves, mainly the median nerve, in more severe cases. Prognosis of VIC depends on the severity. Severe VIC is particularly difficult to treat, often necessitating multiple surgeries, prolonged follow-up and physiotherapy. Anatomic considerations, morbid anatomy, and clinical classification and management of established VIC have been discussed in detail in the present chapter.

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