Volkmann's contracture: Difference between revisions

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Volkmann's is not a diagnosis in itself - so this section eneds to go.
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==Signs and symptoms==
The most important signs and symptoms of compartment syndrome are observable before actual contracture. What is known as the five Ps of compartment syndrome include: [[pain]], generally the initial symptom, accompanied by pulselessness, [[pallor]], [[paralysis]], and [[Paresthesia|paraesthesias]]. Pain will likely also increase upon extension of the affected limbs hands and fingers, which is one of the earliest signs of compartment syndrome and should urgently be followed up by an exam to look for potential development of Volkmann contracture itself. Palpating for tissue firmness in the forearm, and the pulse volume and character of the [[Radial artery|radial artery,]] also reflects the degree of compartment syndrome.<ref>{{Citation |last=Mirza |first=Taaha M. |title=Volkmann Contracture |date=2023 |url=http://www.ncbi.nlm.nih.gov/books/NBK557754/ |work=StatPearls |access-date=2023-04-24 |place=Treasure Island (FL) |publisher=StatPearls Publishing |pmid=32491686 |last2=Taqi |first2=Muhammad}}</ref>
 
==Causes==
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Prevention of the condition requires restoration of blood flow after injury and reduction of compartmental pressure on the muscles. Any splints, bandages, or other devices that might be obstructing circulation must be removed.{{Citation needed|date=May 2021}}
 
A [[fasciotomy]] may be required to reduce pressure in the muscle compartment.<ref>{{Cite journal |last=Gordon |first=Wade T. |last2=Talbot |first2=Max |last3=Shero |first3=John C. |last4=Osier |first4=Charles J. |last5=Johnson |first5=Anthony E. |last6=Balsamo |first6=Luke H. |last7=Stockinger |first7=Zsolt T. |date=2018-09-01 |title=Acute Extremity Compartment Syndrome and the Role of Fasciotomy in Extremity War Wounds |url=https://pubmed.ncbi.nlm.nih.gov/30189076/ |journal=Military Medicine |volume=183 |issue=suppl_2 |pages=108–111 |doi=10.1093/milmed/usy084 |issn=1930-613X |pmid=30189076}}</ref>
A [[fasciotomy]] may be required to reduce pressure in the muscle compartment.{{Citation needed|date=May 2021}}
 
== Treatment ==