Management of established Volkmann's contracture of the forearm in children

Hand Clinics
Milan Stevanovic, Frances Sharpe

Abstract

As with many diagnoses in medicine, the best treatment for Volkmann's ischemic contracture is prevention. Early recognition and prompt treatment of impending Volkmann's ischemia should decrease the presentation and severity of late contracture and hand dysfunction. The authors have found the flexor muscle slide the best treatment option for mild and moderate deformity. This procedure can be combined with additional reconstructive procedures to maximize functional outcome. The authors believe this procedure results in the best preservation of the muscle resting length and limits the scarring around the adjacent muscles. For severe cases,early wide excision with functional free-muscle transfer may limit the injury to the nerves, decreasing the distal problems associated with mo-tor and sensory impairment in the hand.

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Citations

Aug 28, 2012·International Orthopaedics·Marko BumbasirevicHenry D E Atkinson
Jun 23, 2010·Seminars in Plastic Surgery·Paul DinhMilan V Stevanovic
Jun 1, 2009·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Hind Mahmood, Abdulzahra Hussain
Apr 25, 2007·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Francisco del Piñal, Marco Innocenti
Jun 6, 2007·Hand Clinics·Jeffrey B Friedrich, Alexander Y Shin
Mar 25, 2015·The Journal of Hand Surgery·Jason L CoddingAsif M Ilyas
Jan 6, 2011·The Journal of the American Academy of Orthopaedic Surgeons·Mark L Prasarn, Elizabeth A Ouellette

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