Abstract

The disastrous complication of injury which produces contracture of the flexor muscles of the fingers, wrist and forearm, described by Volkmann in 1869, interests every practicing physician. Modern mechanical devices and rapid transportation produce injuries of unusual severity, and those in attendance during the first hours have the responsibility of preventing the deformity, and often partial permanent disability. Once contracture is established, it challenges the most expert reconstructive surgical treatment. The results of a study of a series of 128 patients with Volkmann's ischemic contracture, therefore, are considered of sufficient interest to present here. Volkmann's ischemic contracture probably is not as rare as it would appear to be. It is referred to in the literature as Volkmann-Lesser paralysis, Volkmann's ischemic paralysis, myositis or contracture. I prefer the descriptive term ischemic contracture. Paralysis may be absent in these cases, or again it may be definite and may involve the distribution of

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