title: The use of CT scan in evaluating Volkmann's syndrome in the limbs.
abstract: Between January 1980 and October 1986 26 cases of Volkmann's syndrome were submitted to preoperative CT scan. Thirteen were localised in the upper limb, 11 in the lower limb, and 2 were cases of pseudo-Volkmann's disease. CT scan allowed us to confirm the densitometric features and distribution of muscle infarction in the various muscle planes. Thus, two groups were distinguished, each with different densitometric features: a first group with diffuse hypodensity of the muscular sheaths with unclear borders, and a coefficient of attenuation at approximately 30-40 H.U., which at operation corresponded to diffuse fibrosis; a second group with defined hypodensity of the various muscle groups equal to 10-20 H.U., which at operation gave a macroscopic picture of infarction. CT scan provides a detailed preoperative topographical and morphological evaluation of the infarction area, and therefore a treatment plan based on a more accurate knowledge of the anatomical and pathological lesions.
authors.affiliation: Istituto di Clinica Ortopedica e Traumatologica dell'Università, Modena.
authors.forename: A
authors.initials: A
authors.lastname: Landi
authors.forename: G
authors.initials: G
authors.lastname: De Santis
authors.forename: G L
authors.initials: GL
authors.lastname: Sacchetti
authors.forename: C
authors.initials: C
authors.lastname: Ciuccarelli
authors.forename: R
authors.initials: R
authors.lastname: Luchetti
authors.forename: P
authors.initials: P
authors.lastname: Bedeschi
mesh_terms: D000293:Adolescent; D000328:Adult; D001132:Arm; D002648:Child; D002675:Child, Preschool; D003161:Compartment Syndromes / Q000145:classification / Q000000981:diagnostic imaging* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007866:Leg; D008297:Male; D008875:Middle Aged; D011300:Preoperative Care; D011403:Pronation; D013484:Supination; D014057:Tomography, X-Ray Computed