volkmann's ischemic contracture…

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ischemic contracture, volkmann's contracture, deformity, the hand, fingers, wrist, injury, muscles, the forearm, volkmann's contracture occurs, lack of blood flow, ischemia, forearm, increased pressure that results from swelling, compartment syndrome, trauma, arm, a crush injury, fracture, lead to swelling that compresses blood vessels, decrease blood flow, arm, a prolonged decrease in blood flow, injure the nerves, muscles, causing them to shorten, become stiff, scarred, muscle shortens, pulls on the joint, end, the muscle, would, it were, contracted, stiff the joint remains bent, cannot straighten, a contracture, in volkmann's contracture, muscles, the forearm, severely injured, resulting in contracture deformities, the fingers, hand, wrist, three levels of severity in volkmann's contracture, flexion contracture of two, three fingers only, no, limited loss of sensation, moderate, all fingers, flexed, thumb is stuck, in the palm, wrist stuck in flexion, loss of some sensation, in the hand, severe, all muscles, in the forearm that both flex, extend the wrist, fingers, involved, severely disabling condition, injury classically associated, elbow fracture in children, cause increased pressure, in the forearm include any forearm fracture, burns, bleeding disorders, excessive exercise, injection of certain medications, forearm, animal bites, hallmark symptom is pain, does not improve, rest, non-sedating pain medications, continue to get worse, pressure is allowed to persist, decreased sensation, weakness, paleness, the skin, typical physical exam findings include severe pain, a muscle is passively moved, doctor moves the fingers up, compartment syndrome, in the forearm, experience severe pain, forearm tensely swollen, shiny, pain, the forearm is squeezed, absolutely diagnose this condition involves directly measuring the pressure, in the compartment by inserting a needle attached to a pressure meter, compartment, compartment pressure is greater than 45 mmhg, the pressure, 30 mmhg, the diastolic blood pressure, lower number, the blood pressure, a diagnosis of compartment syndrome is made, once established, someone, volkmann's ischemic contracture, have fingers, possibly wrist stuck in flexion, best treatment is early surgery to release the pressure, in the forearm, any permanent injury, muscles, nerves occurs, once a muscle contracture is established, reconstructive surgery to lengthen, transfer muscles is necessary to try to regain some hand function, prognosis depends on the severity, stage of disease at which treatment is started, surgical release to relieve pressure is performed, permanent damage occurs, expected outcome is excellent, wounds, left open, covered, a sterile dressing, closed later, 48-72 hrs later, a second surgery once the swelling has resolved, is high pressure, in the forearm, an extended period of time, muscles, nerves, permanently damaged, nerves compressed, greater than 12 to 24 hours, become permanently damaged, mild muscle contractures involving only a few fingers, expect better return to normal function than someone who, loses normal function, all the muscles that move the fingers, wrist, people in this second group, require major reconstructive surgery, condition of volkmann's contracture is a complication of compartment syndrome, severe the contracture, worse the function, the hand, wrist, in severe cases, hand nearly useless, sensation, have suffered trauma to elbow, forearm, a lot of swelling, contact health care provider, proper treatment of injury, evaluation, compartment syndrome, an injury, in the past to arm, have muscle contractures, contact health care provider, proper referral, treatment of condition, prevent compartment syndrome, very aware of this condition, early diagnosis, prevent many, the complications.