Description

Volkmann described complications following therapy of a limb injury.


Features of Volkmann's contracture:

(1) limb paralysis

(2) limb contracture

(3) scarring

 

Mechanism: ischemia affecting muscles and nerves due to compartment syndrome or arterial occlusion

 

Risk factors:

(1) limb fracture or surgery

(2) hemorrhage and/or edema into a limb

(3) arterial occlusion of a major artery in the limb

(4) overly tight bandages or cast

(5) orthopedic frame with limb elevation (including the 90/90 spica cast)


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