Volkman’s Ischemic Contracture – Dr. Bipin Ghanghurde
About Volkman’s Ischemic Contracture
Volkmann contracture (or Volkmann ischemic contracture) is a permanent shortening (contracture) of forearm muscles, usually resulting from injury, that gives rise to a claw-like deformity of the hand, fingers, and wrist.
It can be caused due to neglected trauma or tight plaster leading to increase compartment pressure eventually leading to muscle necrosis
It is more common in children.
18 year old boy had a childhood fracture which was treated with cast. However, due to tight cast and compartment syndrome muscle necrosis happened. This lead to nerve injury and muscle shortening
In Moderate VIC
Release of FDS and FDP
Z plasty of FCR
FDS transfer to FDP
FCU transfer to ECRB
Neurolisis of median and ulnar nerve
Follow up after 6 months
Patient has a functional hand
He is able to do activities of daily living
Cosmetically also hand looks good
Sensations recovered as nerves are freed.