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Volkmann’s ischemic contracture
Alternative Names: Ischemic contracture Treatment: The best treatment is early surgery to release the pressure in the forearm before any permanent injury to the muscles and nerves occurs. However, once a muscle contracture is established, reconstructive surgery to lengthen and sometimes transfer muscles is necessary to try to regain some hand function. Expectations (prognosis): Text Continues Below The prognosis depends on the severity and stage of disease at which treatment is started. If surgical release to relieve pressure is performed before permanent damage occurs, then the expected outcome is excellent. The wounds are usually left open (covered with a sterile dressing) and closed later (usually 48-72 hrs later) during a second surgery once the swelling has resolved. However, if there is high pressure in the forearm for an extended period of time, then the muscles and nerves can be permanently damaged. Nerves compressed for greater than 12 to 24 hours will usually become permanently damaged. Those with mild muscle contractures involving only a few fingers can expect better return to normal function than someone who loses normal function of all the muscles that move the fingers and wrist. People in this second group require major reconstructive surgery and do not do as well. Complications: The condition of Volkmann's contracture is itself a complication of compartment syndrome. The more severe the contracture, worse the function of the hand and wrist. In severe cases, the hand may be nearly useless and without sensation. Calling your health care provider: Page:  1 | 2 | Next >>