A Case of Volkmann's Contracture Treated by Shortening the Radius and Ulna.

Clinical and Demographic Profile of Volkmann’s Ischemic Contractures Presenting at National Institute of Rehabilitation Medicine, Islamabad, Pakistan

“…One problem with the bone shortening procedures is that the main contracture is within the flexor compartment; however the shortening results in lengthening of both flexor and extensor muscles. 1,18 Also, the shortening procedures are not desirable for pediatric age group as the forearm is already shortened by the initial ischemic insult to the bone and its growth plates. The shortening procedures are suitable for long-standing contractures which are not amenable to the soft tissue release procedures.…”

“…The shortening procedures are suitable for long-standing contractures which are not amenable to the soft tissue release procedures. 1,18 In this study, wrist arthrodesis was performed in three patients. Proximal row carpectomy was performed as part of the procedure.…”

“…One problem with the bone shortening procedures is that the main contracture is within the flexor compartment; however the shortening results in lengthening of both flexor and extensor muscles. 1 , 18 …”

Reconstruction of a Chronic Volkmann Contracture following Forearm Revascularization with Burkhalter's Procedure and Fractional Flexor Tendon Lengthening after a Failed Stiles-Bunnell Transfer

“…Various treatments have been proposed including excision of the infarcted muscle, excision of scarred fibrotic nerves without distal function, followed by nerve grafting to try to establish some protective sensation, fractional or Z-lengthening of the affected muscles, muscle sliding operations (flexor origin muscle slide), neurolysis, tendon transfers, and functional free muscle transfers, as well as combinations of the above procedures. [10][11][12][13][14][15] The most marked ischemia usually occurs in the deeply situated muscles such as the flexor pollicis longus and flexor digitorum profundus, as well as in the pronator teres and flexor digitorum superficialis muscles, and mild ischemia occurs in the superficially located wrist flexors. Excision of the flexor digitorum superficialis muscles tendons may be performed not at the time of the primary surgery, but at the time of tendon transfer, allowing tenolysis of the profundus tendons and less adhesions will occur than if the superficialis had been excised initially.…”

Exercise Induced Chronic Compartment Syndrome of the First Dorsal Interosseous Compartment of the Hand: A Case Report

“…In 1911, Bardenheuer [3] presented with one of the earliest descriptions of fasciotomy which he described as "aponeurectomy" for prevention of Volkmann's contracture. Rowlands and Lond [4]) and later Brooks et al [5] advanced the premise that not only ischemia but also the re-establishment of blood flow were contributory to contracture after injury. Griffiths [6] argued that arterial injury and spasm rather than pressure were the cause.…”