Clinico-roentgenological characteristics of the changes in ischemic Volkmann's contracture
Fishchenko, P.I.; Tsyretorov, S.T.
Ortopediia Travmatologiia i Protezirovanie 11: 49-53
1990
ISSN/ISBN: 0030-5987 PMID: 2095498 Document Number: 360817
In the article is presented the study of clinical aspects and roentgenograms of 91 children with Volkmann's contraction. The causes of contraction with 46 patients were supracondylar fractures of arm and with 32--forearm bone fractures. All fractures were associated with massive injures of soft tissues, some of the persons have injures of brachial artery. Tardy or incompletely dissected circular plaster bandage turned out to be a factor of complication. All patients demonstrated typical clinical aspects of acute circulatory disturbance of extremity, in some of them with skin and subcutaneous fat necrosis. Clinical aspects of contraction during residual period were notable for variety of manifestations and depended upon the depth of tissue affection (muscles, tendons, articulations, vessels, bones). The gravity of disease has been aggravated by affection of nerve trunks (66 patients). Roentgenologic picture revealed changes of mutual positioning of articular ends of jointed bones and trophic changes within the bones. Trophic changes were revealed by osteoporosis of different extent, growth disturbances as well as perversion of ossification rate of epiphysis and apophysis of tubular and carpal bones.