title: Volkmann's ischemic contracture of the upper extremity.
abstract: Upper extremity deformity of ischemic contracture usually includes elbow flexion, forearm pronation, wrist flexion, thumb flexion and adduction, digital metacarpophalangeal joint extension, and interphalangeal joint flexion. Treatment of mild contractures consists of either nonoperative management with a comprehensive rehabilitation program (to increase range of motion and strenght) or operative management consisting of infarct excision or tendon lengthening. Treatment of moderate-to-severe contractures consists of release of secondary nerve compression, treatment of contractures (with tendon lengthening or recession), tendon or free-tissue transfers to restore lost function, and/or salvage procedures for the severely contracted or neglected extremity.
authors.affiliation: Hand and Foot Surgery Section, Division of Orthopaedic Surgery, Scripps Clinic and Research Foundation, La Jolla, California, USA.
authors.forename: M J
authors.initials: MJ
authors.lastname: Botte
authors.forename: M A
authors.initials: MA
authors.lastname: Keenan
authors.forename: R H
authors.initials: RH
authors.lastname: Gelberman
mesh_terms: D001132:Arm; D003161:Compartment Syndromes / Q000503:physiopathology / Q000601:surgery; D006227:Hand Deformities, Acquired / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D013709:Tendon Transfer