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Pseudo-Volkmann Contracture: A Case Report.
Cureus
April 2024
Department of Orthopedics, Royal Medical Services, Amman, JOR.
Pseudo-Volkmann contracture, also known as entrapment of the flexor muscles, occurs due to mechanical entrapment of the flexor myotendinous units in the fracture or adhesions after both bone forearm fractures. It differs from Volkmann contracture in that there is no ischemia or compartment syndrome, and there is an absence of muscle fibrosis intra-operatively. Patients with pseudo-Volkmann contracture typically present with an inability to extend the fingers passively or actively when the wrist is in extension.
View Article and Find Full Text PDFPearls & Oy-sters: INO Plus From Downward Herniation-A Cautionary Tale Regarding Neuro-Ophthalmologic Signatures of Brainstem Compression.
Neurology
May 2024
From the Department of Neurology (J.H., C.V., J.V., M.U.F., C.W.I.); Department of Neurosurgery (V.N., E.K.); Department of Neuroradiology (S.W., M.P.), University Hospital Wuerzburg, Germany; and Center for Brain Circuit Therapeutics (M.U.F.), Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Pupillary assessment is a quintessential part of the clinical examination in neuro-intensive care patients because it provides insight into the integrity of midbrain reflex arcs. Abnormal pupils, particularly anisocoria and later bilateral fixed mydriasis, are classically used to assess expansive intracranial processes because they are frequently considered early indicators of transtentorial midbrain compression due to elevated intracranial pressure. Complex ocular motor deficits mapping to the midbrain are rarely described in the setting of high transtentorial pressure.
View Article and Find Full Text PDFFunctioning Free Muscle Transplantation to Restore Finger Movement for Sequalae of Volkmann Ischemic Contracture.
Hand Clin
May 2024
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei - Linkou, No. 5, Fuxing Street, Guishan District, Taoyuan City 333, Taiwan. Electronic address:
Volkmann ischemic contracture (VIC) is a devastating condition that results from neglected compartment syndrome, which leads to prolonged ischemia, irreversible tissue necrosis, and various degrees of muscle and nerve damage, causing serious motor and sensory functional implications for the limb and a spectrum of diseases associated with worsening deformities. A thorough understanding of the anatomy and VIC pathophysiology is needed to plan an appropriate strategy. Functioning free muscle transplantation (FFMT) can restore finger movement in a paralyzed limb but requires a three-staged approach to maximize the benefits of FFMT, leading to meaningful finger extrinsic function.
View Article and Find Full Text PDFRefinements in the Treatment of Volkmann Ischemic Contracture of the Forearm: A Thematic Review.
Plast Reconstr Surg Glob Open
February 2024
From the Department of Orthopedic Surgery, University of Southern California Keck School of Medicine, Joseph H. Boyes Hand Fellowship Program Director, Los Angeles, Calif.
Volkmann contracture of the forearm is a devastating complication of muscle ischemia. It is most commonly associated with trauma and a sequela of compartment syndrome. In the last few decades, much has improved in our ability to treat these patients.
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