Display options
Share it on

Eur J Trauma Emerg Surg. 2007 Oct;33(5):539-44. doi: 10.1007/s00068-007-6142-5. Epub 2007 May 15.

The Volkmann Ischemic Contracture of the Forearm is Preventable.

European journal of trauma and emergency surgery : official publication of the European Trauma Society

Jurrian C Reurings, Michiel H J Verhofstad

Affiliations

  1. Division of Surgery, St. Elisabeth Hospital, Tilburg, The Netherlands. [email protected].
  2. Division of Surgery, St. Elisabeth Hospital, PO Box 90151, 5000 LC, Tilburg, The Netherlands. [email protected].

PMID: 26814939 DOI: 10.1007/s00068-007-6142-5

Abstract

The acute compartment syndrome of the forearm is rare and may therefore be easily missed. Although many clinicians will not see such a patient during their entire career, profound knowledge of the symptoms is required to recognize the syndrome in time. Besides immediate identification of the compartment syndrome early surgical treatment is mandatory to avoid its devastating consequences. Then the functional results can be good, but if the correct diagnosis is missed a Volkmann's ischemic contracture will invariably develop. This paper aims to attend the reader to this diagnostic pitfall. Two patients with a compartment syndrome of the forearm are described to illustrate both ends of this diagnostic challenge. Pathophysiological, anatomical and clinical aspects, classification and therapeutic modalities are reviewed.

Keywords: Compartment syndrome; Diagnosis; Treatment; Volkmann's ischemic contracture

Publication Types