Volkmans ischemic

contracture

This is persistent flexion contracture of

the wrist and fingers as a result of
ischemia of a extremity
Volkman, 1881
 Causes
injury or obstruction of the
brachial artery near the
elbow (for example, at
extension supracondylar
fractures of the humerus)
more often at
tense oedema of the soft children
tissues of the forearm (for
example, compression in
plaster bandage)
 Pathogenesis
Ischemia of the forearm
(first of all in the anteroir fascial compartment)

Part necrosis of muscles and peripheral nerve trunks

(especially the flexor digitorum profundus and flexor pollicis
longus, and the median nerve)

Fibrosis of muscles and nerves

persistent flexion paralysis or paresis of

contracture nerves of the forearm
of the wrist and fingers (first of all in the median
nerve)